Hartford Hospital

Learn About Conditions and Procedures

What is Trauma?

What is Trauma?Trauma is a serious injury or shock to the body. It is caused by a physical force such as violence or an accident. The injury may be complicated by psychiatric, behavioral, and social factors.

It is critical to have an entire team immediately available to provide care to an injured patient 24-hours a day. This teamwork starts at the scene of the injury where a coordinated, statewide pre-hospital medical system rapidly transports the injured patient from the scene to the hospital providing the appropriate level of care according to criteria established in the statewide trauma regulations. Once at the hospital, a complete team of surgeons, emergency physicians and nurses continue the life-saving treatment.

This team approach to care of the injured patient has had a dramatic impact on saving lives.

Minimally Invasive Procedures for Massive Bleeding

Injuries take many forms. The most advanced hospitals can treat injuries with a variety of approaches that involve well-known ones, like surgery, and newer ones where minimally invasive procedures can replace some surgeries.

As a Level 1 Trauma Center, Hartford Hospital has Interventional Radiologists as part of the Trauma Team. They perform procedures such as "embolization" which is a recognized interventional radiology technique that is used to treat trauma patients with massive bleeding.

Click here to see some of the advanced interventional techniques available at Hartford Hospital



Learn more about trauma, or search below to learn about other health conditions.

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Definition | Reasons for Test | Possible Complications | What to Expect | Call Your Doctor

Definition

Electromyography (EMG) measures and records the electrical activity of a muscle. The test can record a muscle's electrical activity at rest or during a muscle contraction.

An EMG is often done with nerve conduction studies. These studies can analyze the electrical activity in your nerves.

EMG of the Shoulder

EMG shoulder 2
Copyright © Nucleus Medical Media, Inc.

Reasons for Test

EMG is most often done to:

  • Aid in diagnosing the source of pain, cramping, or weakness in the muscles and nerves
  • Differentiate between true muscle weakness and limitations due to pain
  • Determine if muscles are working properly
  • Distinguish between muscle and nerve disorders

Possible Complications

There are no major complications associated with this test.

What to Expect

Make sure you talk to your doctor about the medicines you are taking. You may be asked to adjust certain medicines up to a week before the test, such as:

  • Anti-inflammatory drugs, such as aspirin
  • Blood thinners, such as clopidogrel (Plavix), warfarin (Coumadin), or ticlopidine (Ticlid)

On the day before and day of the test:

  • If you have myasthenia gravis, ask if you should take any medicine before the test.
  • If directed to, avoid cigarettes, coffee, tea, and soft drinks for 2-3 hours before the test.
  • Take a bath or shower before the test.
  • On the day before, do not use lotion or oil.
  • Wear comfortable clothing, but expect to change into a hospital gown.
  • Tell your doctor if you have a pacemaker or other implanted device.

A small needle electrode will be inserted into a muscle at rest. You will be asked to rest or contract the muscle. The electrical activity picked up by the needle will produce a waveform. The waveform will be recorded and analyzed. The test is repeated on different muscles and limbs.

You will be able to leave once the test is done. Once you are home:

  • Resume any medicines you stopped before the test.
  • Resume normal activities as tolerated.

30-90 minutes

You may have some pain when the needle electrodes are inserted. The insertion feels like an injection into the muscle.

After the test, you may have muscle aches and discomfort for several days. Warm compresses and pain medicine may help.

The doctor doing the EMG may discuss the results with you. A report will also be sent to your regular doctor. Your doctor will discuss treatment options based on the tests and other factors.

Call Your Doctor

After the test, call your doctor if any of the following occur:

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge around the needle sites
RESOURCES:

National Institutes of Health

http://www.nih.gov

National Institute of Neurological Disorders and Stroke

http://www.ninds.nih.gov

CANADIAN RESOURCES:

Muscular Dystrophy Canada

http://www.muscle.ca

References:

Electromyography (EMG). Mayo Clinic.com website. Available at: http://www.mayoclinic.com/health/emg/MY00107. Updated August 2010. Accessed November 12, 2010.

What to expect during your EMG test. American Association of Neuromuscular & Electrodiagnostic Medicine website. Available at: http://www.aanem.org/Education/Patient-Resources/Learn-About-an-EMG.aspx. Updated March 2005. Accessed June 5, 2008.

Young RR, Hutton JT, Homan RV. Gait and movement disorders. American Academy of Neurology website. Available at: http://www.aan.com/. Accessed June 5, 2008.

Last reviewed [Under Medical Review] by Lawrence Frisch, MD, MPH

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.