practicing how to #prone a #Critically-ill-patient. Pt has g | Figure 1

JLandyMD

Figure 1 Co-Founder

practicing how to #prone a #Critically-ill-patient. Pt has gel rolls on chest, above iliac crest, and on thighs. Roll patient toward the ventilator.

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First irrigate, irrigate, irrigate. Mark your white roll and Vermillion BEFORE injecting. Then clean up the frankly necrotic tissue and the edges with scalpel or littler scissors. Approximate your orbicularis oris with Vicryl or Monocryl, line up white roll and vermillion with Monocryl deep dermals. Skin closure with Plain Gut, mucosa grows back quick so +/- depending on the patient/situation.](https://app.figure1.com/case-detail/025f294a-85e4-45f6-9a90-120671c50b3f)

Roll-over MVA. Patient peripheral sensation intact. Vitals within normal limits while in ED. Patient on lovenox and Coumadin. Bleed present within column. What is a very large concern with a patient in this condition (other than quadriplegia)?](https://app.figure1.com/case-detail/0afa58da-3eec-4c62-8d19-5bd7f55f3a53)

Before and after. Patient had a ditch witch roll on top of him. Sutured by NP in Urgent Care.](https://app.figure1.com/case-detail/2a0b0002-2799-4134-97f3-30ba21876588)

Patient came via EMS as level one trauma. Patient rolled over utility vehicle on himself at the waist level and stayed trapped under the vehicle for 30-40mim. +ETOH. No feeling or sensation in lower extremities by EMS. When patient arrived they were AOx4 but could not feel anything from the neck down. Patient also had slight abrasions on back but no other injuries...](https://app.figure1.com/case-detail/36a29552-96e9-47d1-9fea-c9c8fd9f016f)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

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A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)