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Back Braces: Are They Really Needed?

The Trauma Pro

Many vertebral fractures can be treated non-operatively. So I would like to concentrate on some papers that examined the use of back braces on patients who underwent pedicle screw fixation of their thoracic and/or lumbar spine fractures. Int J Burns Trauma 12(4):168-174, 2022. First, the reviews. NCT03097081.

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EM Quick Hits 9 Burn Blister Debridement, ECG Cases, Compartment Syndrome, Pediatric Asthma, Spinal Trauma, Motivational Interviewing P2

Emergency Medicine Cases

The post EM Quick Hits 9 Burn Blister Debridement, ECG Cases, Compartment Syndrome, Pediatric Asthma, Spinal Trauma, Motivational Interviewing P2 appeared first on Emergency Medicine Cases.

Burns 52
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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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Grand Rounds 5.8.24

Taming the SRU

For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce.

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Wound Management in A&E

Mind The Bleep

Bites Burns and chemical Injuries Management of wound Wounds can either heal by primary intention when they are held together by artificial means, or by secondary intention when they heal spontaneously through granulation pulling the wound together. Open fractures that need to be seen by orthopaedics. This includes puncture wounds.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

Contraindications to IO placement include: • Skin infection or cellulitis at the insertion site • Fractured bone proximal to IO insertion • Severe underlying bone disease (osteogenesis imperfecta, osteoporosis, osteomyelitis, compartment syndrome) • Burns • A recent failed IO attempt in the same bone IO access can be complicated by extravasation, bone (..)

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Grand Rounds Recap 3.8.23

Taming the SRU

COPD patients) Use color doppler to evaluate path of needle to make sure there are no vascular structures in the way Superior Trunk Block Regional anesthesia for analgesia of the shoulder C5/C6 roots Lower risk of hemidiaphragmatic paresis Fascial plane is closer to the nerve sheath More challenging block compared to interscalene/supraclavicular Forearm (..)