ALiEM

MARCH 1, 2024

Case Discussion Take-Home Points Whenever you have a two-pupil phenomenon consistent with traumatic iridodialysis, the differential should always include penetrating injury to the globe, globe rupture, scleral rupture, hyphema, and lens dislocation. These additional findings may warrant urgent surgical repair or close monitoring of IOP. [2]

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

Broome Docs

APRIL 30, 2024

Don’t forget Justin has a stream on his Youtube channel that does include this podcast and his deeper dives into the data – HERE You can also check out some random ultrasound education and other goodies on the Broomedocs Youtube channel Avoiding calls to neurosurgery?! J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

Emergency Medicine Cases

FEBRUARY 25, 2020

When is an ultrasound of the shoulder indicated and how should they be interpreted? 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? What are the surgical indications for clavicle fractures? and many more.

Fractures 52

Fractures Dislocations Ultrasounds EMS 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

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). Clinical Question: What is the impact of point of care ultrasound in adults with acute traumatic shoulder pain when used as an adjunct to physical examination?

Dislocations 84

Dislocations Fractures Ultrasounds Emergency Department 84

Mount Sinai EM

AUGUST 13, 2023

Hip innervation Indications Intertrochanteric fractures Femoral neck fractures Acetabular fractures Pubic ramus fractures Hip dislocations The PENG block is not effective for injuries below the IT line ; for this go for a block instead. Anatomic Landmarks Using a curvilinear probe parallel to the inguinal crease, identify the femoral head.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

Taming the SRU

MAY 22, 2023

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation [Image 2]. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology.

Fractures 69

Fractures Dislocations Operations Radiology 69

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

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

ACEP Now

OCTOBER 15, 2023

Flexible laryngoscopy, CT scan, direct laryngoscopy under general anesthesia, esophagoscopy, ultrasound, or chest X-ray may all be requested by the surgical consultant. Even with optimal care, patients may become dependent on a tracheostomy and/or gastrostomy in the long term.

Fractures 52

Fractures Dislocations Airway Management Operations 52

EM Curious

MAY 6, 2015

DVT ULTRASOUND CONTROVERSY [PODCAST]: There has been an emerging collection of literature that two-point compression ultrasound may be inadequate to rule out DVT. Check out the podcast here @ Ultrasound Podcast. IS IT TIME TO START USING THE HEART PATHWAY IN THE EMERGENCY DEPARTMENT? Read on here @ Rebel EM. Check it out here.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5%

Seizures 40

Seizures Fractures Burns Pediatrics 40

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Maybe it's dislocated? Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. doi:10.1111/acem.12154

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Accuracy of Ultrasound in Diagnosis of Pneumothorax: A Comparison between Neonates and Adults-A Systematic Review and Meta-Analysis. The "lung point": an ultrasound sign specific to pneumothorax. Published 2020 Jul 23. doi:10.1002/14651858.CD013031.pub2

Fractures 85

Fractures COPD Hospitals Emergency Department 85

Taming the SRU

AUGUST 25, 2023

wrist in extension clavicle tibial pediatric forearm Most likely injuries to need an x-ray? bicarb <18mEq/L) ketosis (preferably serum beta-hydroxybutyrate >3mmol/L) Risk factors SGLT2 inhibitor use fasting state ketogenic diet intra-abdominal pathology (AGE, pancreatitis, etc.)

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

Taming the SRU

JANUARY 10, 2024

R4 Case Follow-up: SCAD WITH dr. Martella Spontaneous Coronary Artery Dissection (SCAD) is a diagnosis confirmed via imaging: Coronary Angiography, Optical Coherence Tomography, Intravascular Ultrasound Therefore, treatment in the ED is the same as atherosclerotic ACS: ASA, heparin gtt and possible statin.

EKG/ECG 82

EKG/ECG Shock Fractures Emergency Department 82

EMDocs

JUNE 21, 2023

Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds. J Orthop Trauma. 2013 Sep;27(9):509-14. PMID: 23412508. Kongkatong M, et al. J Emerg Med. 2019 Sep;57(3):362-366. PMID: 31375371. Kupchick TD, et al.

Soft Tissue Injuries 67

Soft Tissue Injuries Fractures Dislocations Radiology 67

Northwestern EM Blog

DECEMBER 27, 2021

Take-Home Point: Bedside pericardiocentesis is a rare but important procedure that can be performed emergently using ultrasound or landmark guidance. Take-Home Point: Knee dislocations are time-sensitive injuries that require rapid diagnosis and treatment because of the high rate of vascular complications.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

EM Curious

AUGUST 26, 2015

CORE CATEGORIES Successful Tracheal Intubation In Children With Difficult Airways: Seven Secret Techniques Anesthesiology News Ultrasound Cases: Not your Normal Cystitis CMT = PID.Not Always 10 Ways to Reduce a Shoulder Dislocation: Video How-To Larry Mellick EMERGENCY MEDICINE/CRITICAL CARE LITERATURE OF INTEREST Identifying Patients Suitable for (..)

Burns 52

Burns Dislocations EMS Ultrasounds 52

EB Medicine

NOVEMBER 1, 2018

Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Jeff: If not already done, an ultrasound should be obtained as well and a two week follow up ultrasound will be needed. Pregnant patients who are past the age of fetal viability should have fetal monitoring and ultrasound after experiencing an electric shock.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40