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

Mount Sinai EM

DECEMBER 27, 2022

Illustration by Yvonne Chow The Lisfranc Injury The lisfranc injury is any disruption of the joint and is a spectrum including ligamentous injury, dislocations and fractures. High energy mechanisms, such as MVCs or falls, are more likely to cause fracture-dislocations. Normal Lisfranc joint and ligament.

Dislocations 130

Dislocations Fractures Operations Radiology 130

ALiEM

AUGUST 7, 2023

Sternoclavicular (SC) joint dislocation SC joint dislocation can occur with anterior or posterior displacement of the medial clavicular head. Anterior dislocations are mostly caused by medial impact to the lateral shoulder. Anterior dislocations are more common and generally regarded as less serious.

Dislocations 98

Dislocations Academics Fractures Emergency Department 98

Emergency Medicine Cases

FEBRUARY 25, 2020

Which proximal humerus fractures are likely to require surgical management? What is the best x-ray view to diagnose a sternoclavicular dislocation? What are the surgical indications for clavicle fractures? What are the surgical indications for clavicle fractures? and many more.

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. Management of prehospital shoulder dislocation: feasibility and need of reduction.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

Life in the Fast Lane

JULY 26, 2023

Pramod Chandru Network Five: Orthopaedics Network Five Emergency Medicine Journal Club Episode 22 - Orthopaedics reviewing papers on vascular injuries from knee dislocations, distal radius fractures and all things pelvic binders!

Dislocations 52

Dislocations Fractures 52

Mount Sinai EM

AUGUST 13, 2023

Background Hip fractures are a very frequent presentation, even in non trauma centers. Adequate pain control, and early surgical treatment and mobilization are the main goals of hip fracture treatment; to reduce complications including infections, DVT and delirium.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

Pediatric EM Morsels

MARCH 31, 2023

Loss of cervical lordosis Concerning mechanism Remember: CT will help identify bony injury, however MRI is the better test to assess for ligamentous injury as well as spinal cord injury Below is an example of a Hangman’s Fracture (See Cervical Spine Fractures ). Moral of the Morsel You eyes may deceive you!

Fractures 130

Fractures Pediatrics Dislocations Radiology 130

ACEP Now

MARCH 15, 2024

3 Tenderness over the distal radial metaphysis after wrist injury is strongly suggestive of a distal radius fracture despite normal plain radiographs and fluoroscopic images. Children and older adults have weaker long bones than young adults and are more likely to sustain a distal radius fracture after a FOOSH than a carpal bone injury.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Emergency Medicine Journal

OCTOBER 26, 2023

Terrible triad injury Monteggia fracture-dislocation Isolated radiocapitellar dislocation Occult supracondylar fracture Answer C (Isolated radiocapitellar dislocation) Discussion Plain radiographs showed radiocapitellar line (RCL) malalignment in both the lateral and anteroposterior views ( figure 2 ), suggesting anterior radial head dislocation.

Dislocations 40

Dislocations Fractures Emergency Department 40

The Skeptics' Guide to EM

DECEMBER 30, 2023

While your ED evaluation, computed tomography (CT) imaging of her head and spine demonstrated no traumatic injury and an x-ray of her pelvis showed no fracture or dislocation, she was unable to bear weight due to her hip pain, so you ordered a CT to further evaluate for occult fracture.

Hospitals 111

Hospitals Emergency Department Fractures Dislocations 111

Board Bombs

FEBRUARY 5, 2023

It's all in the hips- fractures and dislocations. It's all in the hips- fractures and dislocations. Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. As Shakira says, the hips don't lie. So we've packed a lot of truthful information into this podcast. Episode 164.

Dislocations 52

Dislocations Fractures 52

EMergucate

JULY 9, 2012

Triquetrum fracture / dislocation or carpal ligamentous injury stage III – stage II injury + dislocated triquetrum; can be associated … Continue reading →

Dislocations 40

Dislocations Fractures 40

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 69

Fractures Dislocations Operations Radiology 69

ALiEM

DECEMBER 22, 2023

The patient reported a history of falls resulting in shoulder, rib, and left hip fractures in the past. Occult femur fracture Occult fractures are defined as fractures that cannot be detected by standard radiographic examination until weeks after the injury either due to lack of displacement or limitations of the imaging study.

Fractures 64

Fractures Dislocations Academics Radiology 64

Taming the SRU

MAY 23, 2023

fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Stress fractures are caused by repetitive microtrauma and stress on the bone, and therefore present with more subacute or chronic symptoms. Gross deformities often suggest fracture or dislocation. Range all joints.

Fractures 55

Fractures Dislocations Operations EMS 55

Taming the SRU

JANUARY 24, 2024

Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management? reduction, elbow cast, +/- ORIF Monteggia Fracture How? fracture of proximal 1/3 of ulna w/ radial head dislocation Management? FOOSH What? FOOSH What?

Fractures 78

Fractures Leadership Resuscitation Dislocations 78

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

ACEP Now

OCTOBER 15, 2023

Fracturing the larynx requires considerable force, and the great majority of fractures are from blunt high-velocity trauma. Is there an open neck wound or palpable cartilage fracture? Reconstructive computed tomography can assess the laryngeal framework to avoid missing laryngeal fracture and, hopefully, long-term comorbidities.

Fractures 52

Fractures Dislocations Airway Management Operations 52

Mount Sinai EM

JANUARY 11, 2023

In: Sherman SC. Simon’s Emergency Orthopedics, 8e.

Radiology 130

Radiology Radiology Fractures Dislocations 130

Taming the SRU

MARCH 11, 2024

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). Knee dislocations make up less than 0.5% Knee dislocations make up less than 0.5%

Dislocations 98

Dislocations Emergency Department Fractures Operations 98

EMDocs

MARCH 30, 2024

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. 10 Spinal Fracture Classification 11 There are multiple different classification systems available. Spine fracture. The spinal canal houses the spinal cord. J Emerg Med.

EMS 89

EMS Fractures Emergency Department Dislocations 89

EMergucate

MARCH 22, 2020

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

Dislocations 40

Dislocations Fractures EMS 40

Pediatric EM Morsels

SEPTEMBER 22, 2023

Most commonly caused by fracture or dislocation of vertebrae. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. This leads to descending sympathetic tracts being disrupted. Secondary spinal cord injury occurs hours to days after the initial insult.

Shock 273

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 273

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

Emergency Medicine Cases

JANUARY 2, 2024

Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients.

Fractures 52

Fractures Wellness Dislocations EMS 52

Pediatric Education

MARCH 17, 2024

If there is any concern for significant trauma including potential fracture, the elbow should be stablized and radiographs obtained, before attempting RHS reduction maneuvers. If there is a fracture or it is unclear if there is a fracture, then the elbow should be stabilized and orthopaedics consulted.

Fractures 40

Fractures Dislocations Pediatrics Urgent Care 40

Taming the SRU

OCTOBER 27, 2023

Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). BACKGROUND Shoulder injury and dislocations are common reasons for patients to present to the emergency department (ED) for evaluation. 39, 655–661 (2022).

Dislocations 84

Dislocations Fractures Ultrasounds Emergency Department 84

RCEM Learning

APRIL 9, 2024

Curriculum Category Syllabus Questions SLO1 Complex stable patient Allergy Cardiology Dermatology Ear, nose and throat Elderly care / frailty Endocrinology Environmental emergencies Gastroenterology and hepatology Haematology Infectious diseases Maxillofacial / dental Mental Health Musculoskeletal (non-traumatic) Nephrology Neurology Obstetrics & (..)

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Resuscitation 52

EMergucate

JULY 17, 2022

The forearm AP x-ray shows fracture of upper third of ulna with an impacted radial neck fracture. The radio-capitellar line … Continue reading →

Fractures 52

Fractures Dislocations EMS 52

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

The Skeptics' Guide to EM

MARCH 25, 2023

Background: The SGEM has reviewed the use of point of care ultrasound (POCUS) for a variety of conditions in the ED.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Pediatric Elbow Films: Putting It All Together Watch this dynamic video by Dr Jeremy Jone s from Radiopaedia : Fracture Saviors: Fat Pads and Drawn Lines These three things can save us: fat pads, the anterior humeral line, and the radiocapitellar line. If not, assume a fracture-dislocation.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

EM Curious

JULY 11, 2015

His x-ray imaging is seen below: View fullsize View fullsize Click on images above to enlarge Diagnosis: Volar Lunate Dislocation Lunate dislocation is an uncommon traumatic wrist injury that is often a result of high energy trauma from loading of a dorsiflexed wrist along with forced ulnar deviation (i.e References: Sherman, S.

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 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

Taming the SRU

FEBRUARY 23, 2024

Broadstock and Ramachandran Nerve blocks should be a part of your multimodal analgesia toolbox in the ED Basic Equipment: antiseptic cleaner barrier protection needle (EchoBlock needs are specifically designed for regional anesthesia and available in our ED) anesthetic typically 0.5%

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

Emergency Medicine Cases

FEBRUARY 26, 2019

In this main episode podcast we discuss the pitfalls in the diagnosis and management of elbow injuries and answer questions such as: What is an easy way to remember the surgical indications for radial head fractures? Why is it so important to assess for the extensor mechanism on physical exam for patients with olecranon fractures?

Soft Tissue Injuries 52

Soft Tissue Injuries Fractures Operations Dislocations 52