Emergency Medicine Cases

FEBRUARY 11, 2020

What is the biggest myth when it comes to the mechanism of injury for posterior glenohumeral shoulder dislocations? What physical exam maneuvers increase suspicion for posterior glenohumeral dislocation? What are the subtle findings on x-ray we should look for in patients with suspected posterior glenohumeral dislocation?

Dislocations 52

Dislocations EMS 52

EMergucate

NOVEMBER 13, 2023

The frontal chest x-ray shows a dislocated left shoulder. Subsequent dedicated left shoulder x-rays confirmed a posterior dislocation of left … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

JANUARY 29, 2024

The wrist x-rays show multiple fractures but the main injury is trans scaphoid perilunate dislocation. There are also fractures involving … Continue reading →

Dislocations 52

Dislocations Fractures EMS 52

Pediatric EM Morsels

SEPTEMBER 22, 2023

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Most commonly caused by fracture or dislocation of vertebrae. Never fear. Updated 2022 Mar 3]. In: StatPearls [Internet].

Shock 273

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 273

Pediatric EM Morsels

MARCH 31, 2023

www.Orthobullets.com The post Pseudosubluxation: Rebaked Morsel appeared first on Pediatric EM Morsels. J Clin Orthop Trauma. 2023 Feb 4;38:102122. doi: 10.1016/j.jcot.2023.102122. 2023.102122. PMID: 36846073; PMCID: PMC9945789.

Fractures 130

Fractures Pediatrics Dislocations Radiology 130

EMergucate

JANUARY 9, 2023

The hand X-ray shows- dislocated thumb carpometacarpal joint. Thumb CMC joint dislocation is a rare injury, and the mechanism is … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

SEPTEMBER 25, 2021

The x-rays show a posteriorly dislocated left shoulder. The frontal shoulder x-ray shows 3 signs of posterior shoulder dislocation. Light … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

AUGUST 1, 2023

The chest x-ray is from an elderly patient with dislocated hip. What can be seen? Answer will be posted later. … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

DECEMBER 18, 2022

The main finding on the elbow x-ray is that there is a radial head dislocation. On the AP view, the … Continue reading →

Dislocations 52

Dislocations EMS 52

ACEP Now

MARCH 15, 2024

There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. Lunate ligamentous injuries lie on a morbidity spectrum ranging from scapholunate sprains to dissociation and dislocation. The pizza sign or piece of sign is the triangular appearance of the lunate on the AP view, suggesting a lunate dislocation.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

EMergucate

NOVEMBER 26, 2012

The final post about relocating dislocated shoulders – if you want to teach you patient with recurrent shoulder dislocations how to relocate … Continue reading →

Dislocations 40

Dislocations EMS 40

Taming the SRU

MAY 23, 2023

As an EM physician, it is important to have an understanding of the spectrum of foot injuries and how these are appropriately evaluated. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. In: EM Docs [Internet].

Fractures 55

Fractures Dislocations Operations EMS 55

EMergucate

JULY 17, 2021

The ankle x-rays show talonavicular dislocation which is a rare injury. The talar head & navicular should be congruent on … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

OCTOBER 30, 2022

The forearm x-ray shows lunate dislocation. A dedicated view of the wrist is needed to assess associated wrist injuries. The … Continue reading →

Dislocations 52

Dislocations EMS 52

EMergucate

JANUARY 16, 2021

The elbow x-rays show a Monteggia fracture dislocation. There is a fracture of the proximal ulnar shaft with a dislocation … Continue reading →

Dislocations 52

Dislocations Fractures EMS 52

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Range all joints.

Fractures 69

Fractures Dislocations Operations Radiology 69

EMergucate

NOVEMBER 25, 2012

I thought we’ll stay with how to relocate dislocated shoulders for now. This is another technique – takes longer, but … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

NOVEMBER 22, 2012

Today a video link for you to watch the new method (FARES) to reduce a dislocated shoulder and a nice … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

NOVEMBER 28, 2020

The wrist x-rays show a trans-scaphoid peri-lunate dislocation. There are fractures involving the radial & ulnar styloid, mid-scaphoid, and triquetrum … Continue reading →

Dislocations 52

Dislocations Fractures EMS 52

EMergucate

DECEMBER 20, 2020

The elbow x-ray shows a dislocated radial head; the radial head is not in alignment with the capitellum leading to disruption of the radio-capitellar line.

Dislocations 52

Dislocations EMS 52

EMergucate

MARCH 22, 2020

There is also radial head dislocation (radiocapitellar line is broken). The elbow x-ray shows a fracture involving the olecranon process. … Continue reading →

Dislocations 40

Dislocations Fractures EMS 40

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm.

Burns 52

Burns Fluid Resuscitation EKG/ECG Operations 52

Emergency Medicine Cases

JANUARY 24, 2017

Arun Sayal and Hossein Mehdian answer questions such as: When should we suspect a spontaneously reduced knee dislocation? Do all patients suspected of a spontaneous knee dislocation require a CT angiogram to rule out vascular injury? Which patients with a low energy mechanism are at risk for knee dislocation and vascular complications?

Soft Tissue Injuries 52

Soft Tissue Injuries Dislocations Ultrasounds Fractures 52

EM Curious

MAY 6, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read on here @ Rebel EM.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

EM Curious

JULY 11, 2015

Case by Sean Dyer PGY-3 EM Resident; Peer Reviewed by Dr. Christopher Hogrefe, Assistant Professor in Emergency Medicine at Northwestern University Feinberg School of Medicine The Case A 32 y/o male presents with wrist pain after being involved in a motor vehicle collision this afternoon. References: Sherman, S.

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 52

Emergency Medicine Cases

FEBRUARY 25, 2020

What is the best x-ray view to diagnose a sternoclavicular dislocation? Which shoulder injuries require a simple sling vs Velpeau sling vs collar and cuff vs sugar tong splint? When is an ultrasound of the shoulder indicated and how should they be interpreted? What are the surgical indications for clavicle fractures? and many more.

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

EMergucate

NOVEMBER 10, 2019

The OPG image shows a left TMJ dislocation. The left mandibular condyle is positioned outside the glenoid fossa. Comparing the … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

APRIL 7, 2019

The frontal chest x-ray shows right acromioclavicular dislocation. A dedicated view of the right shoulder would be helpful to characterize … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

FEBRUARY 10, 2018

There is an associated dislocation of the radial head as … Continue reading → The lateral x-ray shows plastic bowing of the forearm bones.

Dislocations 40

Dislocations EMS 40

EMergucate

NOVEMBER 23, 2016

The hand x-ray shows a dislocation of the thumb carpometacarpal (CMC) joint. Thumb CMC joint dislocation is a rare injury, … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

DECEMBER 8, 2015

The knee x-rays exhibit a posterolateral dislocation of the left knee and associated joint effusion. Approximately 40-50% of anterior/posterior knee dislocations can be associated … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

APRIL 21, 2018

The AP x-ray of the shoulder shows a light bulb sign, suggestive of a possible posterior dislocation of the shoulder. … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

JUNE 17, 2017

The right shoulder x-ray shows a grade III dislocation of the right acromio-clavicular joint. There is an upward displacement of … Continue reading →

Dislocations 40

Dislocations EMS 40

Taming the SRU

FEBRUARY 23, 2024

Location of the block will determine the morphology of the QRS (as a higher block may have a narrow QRS with a rate of 40-60bpm) Evaluation in the ED: basic labs including BMP and troponin, EKG, bedside echo, CXR Management: Atropine: push-dose 0.5-1mg,

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

EMergucate

JUNE 15, 2016

The x-rays show a posterior dislocation of the shoulder. On the frontal view, the humeral head has a light bulb … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

MARCH 31, 2015

The lateral wrist x-ray shows a peri-lunate dislocation. The capitate, along with the distal metacarpal attachment, has been displaced posteriorly. The … Continue reading →

Dislocations 40

Dislocations EMS 40

EMergucate

MARCH 29, 2015

Is this a lunate or a peri-lunate dislocation? The following lateral right wrist x-ray is from a 30 year old who sustained a right wrist injury in a motor vehicle accident. What abnormality does th…

Dislocations 40

Dislocations EMS 40