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Fat Embolism - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубліковано 22 лип 2020
- Dr. Ebraheim’s educational animated video describes fat embolism - fracture of the long bones.
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Fat Embolism
Fat embolism can occur when fat globules are released from the bone, usually during long bone fractures. These fat globules can travel to the lungs and obstruct the pulmonary vessels. Release of these fat globules can also occur during reaming of the intramedullary canal. These fat globules also cause the release of inflammatory mediators which cause endothelial lung damage and hypoxemia. Fat embolism usually occurs in trauma patients with multiple fractures, especially the fractures which involve the pelvis and long bones. Fat embolism occurs more with closed fractures. The fat globules may also travel to the brain; this is called cerebral embolism. The fat globules may also travel to the skin capillaries. The classic triad for fat embolism includes respiratory changes, neurologic signs, and petectial rash. The fat globules affect the pulmonary vessels, and the patient will have difficulty in breathing (dyspnea, hypoxia). You see this from the history, the physical examination of the patient, the patient’s vital signs and blood gases. The fat globules may travel to the brain. The patient may have confusion or alteration of the mental status. In severe cases, the patient may have seizures. The fat globules can affect the dermal capillaries. Patient history is important in diagnosis. The mortality rate involving fat embolism is about 10%. Fat embolism usually occurs earlier than deep venous thrombosis (DVT). Patients with femur fractures, nonoperative treatment, overreaming of the fracture, or pathologic fractures are at risk for fat embolism. Patients with pathological fractures are especially at risk in bilateral femur fractures; try not to fix bilateral pathological femur fractures in the same sitting. Multiple trauma patients are always at risk of fat embolism. There are diagnostic signs. Major respiratory signs include shortness of breath- hypoxemia (oxygen saturation less than 60mmHg) or pulmonary edema. Major neurological signs confusion, agitation, altered mental status, or drowsiness. Major petectial rash signs include axillae, conjunctiva, or palate. Rash occurs in about 20-50% of cases and usually appears within 36 hours. Rash is usually self-limiting and usually disappears in about 7 days. Minor signs include tachycardia, pyrexia, anemia, thrombocytopenia, or fat in the urine. Early stabilization of long bone fractures will reduce risk of fat embolism. High index of suspicion is needed for diagnosis. Treatment of fat embolism is supportive treatment such as oxygen or In severe cases, mechanical ventilation with high levels of PEEP. The outcome of the patient post fat embolism depends on the pre-injury condition of the heart and the lungs.
This man's voice is knowledge itself
🤣
I've had this happen to me with the fatty embolisms. I broke both my tibia and fibula on my left leg. My oxygen levels dropped on the second day which was when the doctors found the fat embolism in my lungs. I was put on high flow oxygen plus my strength dropped also. I also had a big rash accross my chest. Oxygen levels came back to normalish after a week or 2 as did the rash disappearing and my strength was back after a month and a half.
There were days during that time were I'd be on crutches for a quarter of the day and because of the fatty embolisms, I was weak and in bed for a day or two getting my strength back.
About a year and half has passed since my accident and I feel great, back to doing most things I used to do before the accident.
Amazing information. Had this happen to me 6 months ago when I broke my left femur and my right foot. Fat embolism occurred in my brain and I lost most of my memory and motor skills. It was the worst experience ever, like I knew what I wanted to do and say but was not able too. I wished to just be dead at that point. I started recovering the next day and suddenly had a seizure. Luckily after that scare, everyday afterwards I improved. My head still doesn’t feel 100% but I continue to improve more and more. Also was telling with a concussion for almost 2 months. Lol, my advise to everyone out there is please be safe. 🤗
I hope your condition keeps improving!
How much time taken from recovery please reply my brother has same problem his lung and brain both affected after an accident 😢
Thank you for an beautiful analysis
Awesome explanation 😊thanks
Thank you sir....u have introduced a new way of learning
Thank you Dr. Ebraheim for this simple very helpful and easy to understand explanation.
Pro Tip, watch at 2.0x speed. It´s 100% better.
Amazing content. Thank you so much.
It was helpful
Thanks
Very informative; great visuals 👨🏻🏫😷 👨🏻⚕️🚑🚨
This was very helpful 😊, thanks 🙏
Great video
It is very helpful,thank you.
Please anybody advice how much time taken from recovery my brother have same problem he is on ventilation and likely to be in the coma
Great video. Thank you.
Thanks.
Sir mere femur me rod dala gaya hai to 2 month ke bad mera pair nhi mud raha hai to kya kare please reply sir..
thank u sir ,change the voice frequency
It wasss veery helpful. Thank you so much
Dr. House approves
Thank you sir.☺️
Thank you!
I liked This video it is helpful
Amazing
Great 👍
Thank you sir.. It's really a helpful video 🙂🙂🙂
In the diagnostic criteria" Oxygen saturation < 60 mmHg " is wrong. Please correct it.
How much is it??
The wording is wrong Pa O2
Thank u sir
l'année passée mon fils presentait une fracture pathologique au niveau du col femoral aprés avoir faire une radio scanner on avait su que le type du kyste est un kyste anévrysmal bref il marchait trés normal avec ce kyste avec un raccourciossement de 4 cm le raccourcissement s'est diminué a 2 cm il ya qlq jrs mon fils s'est recassé sur le meme endroit a l'hopital ils l'ont pris en urgence on lui gratte l'os allique plus une prise d'un1/3 de l'os du peronné car ils ont trouvé la zone fracture trés trés fragile comme ils était surpris car le compte rendu du scanner était incorrecte cat le tyoe du kyte est essentiel alors ils l'ont cureté que pensez vs
My butts been huge my entire life so I can’t say what I would or wouldn’t do. To see women die from this due to BBLs is sad af. I wonder how long the big butt trend will last.
So there isn't much you can do about it😢
Thank youuu for the great video! 27/3/22
My husband had a cerebral fat embolism that left him in a coma for almost two weeks. How often does FES lead to coma?
Did he recovered after 2 weeks please reply
Yes
I really don't know why I watch these videos, I think I just want to KNOW everything I can, I am a 28 year old who sells academic English course to kids of 4-6 years. I hate my life
Then do something
House sent me here
me too
I have Fat Embolism
You recovered? How many days it took please let me know, my brother in-law facing this problem now