Trauma Talks

Trauma Talks: Pelvic X-Rays
In this episode of EM:RAP’s Trauma Talks, Britt and Kenji tackle a long-standing debate in trauma care: When is a pelvic X-ray actually needed — and when should you skip it? They chat about minor to major trauma and dive into those critically ill patients as they walk through a range of real-world scenarios to clarify when a pelvic film changes management and when it’s simply unnecessary. They discuss evolving protocols, diagnostic pitfalls, binder controversies, and how to make decisions that reflect the patient in front of you — not just tradition.

Trauma Talks: Rib Fractures + Pulmonary Contusion
Watch the full podcast interview of Trauma Talks, where Britt Guest sits down with Dr. Kenji Inaba to explore the complexities of rib fracture management. They delve into a range of scenarios—from mild rib fractures with stable pleural spaces to higher-location injuries—and discuss key factors in determining when hospital admission is necessary. Dr. Inaba shares his expert insights on practical decision-making, optimizing oxygenation, and effective pain management.

Trauma Talks: Trauma Potpourri: Kenji's Takes
In this episode, Jan and Kenji dive into high-stakes trauma pearls every clinician should know. They break down the near-zero miss rate of modern CT scanners for hollow viscus and bucket-handle injuries in patients with an abdominal seatbelt sign—while reminding us why return precautions and clinical judgment still matter. They also explore the role of REBOA as a bridge to definitive therapy, particularly in hypotensive blunt trauma patients with pelvic fractures, and discuss when to consider thoracic cavity irrigation to prevent secondary interventions in hemothorax cases. Tune in for sharp insights, practical applications, and real-world trauma wisdom you can use on your next shift.