EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. The value of ultrasound for detecting hand fractures: A meta-analysis. A 41-year-old male with no significant past medical history presents with a deep hand laceration. The patient states they were cutting an avocado when the knife pierced through and punctured his hand.

EMS 68

EMS Fractures Operations Ultrasounds 68

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fractures EMS Pediatrics 52

RebelEM

AUGUST 17, 2023

A femur fracture A high-riding patella A noncompressible right femoral vein with decreased color flow on Doppler An avulsion fracture of the anterolateral tibial plateau Calcification and bone formation within the thigh muscle FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Abraham MK, Bond MC. Post TW, ed.

EMS 52

EMS Fractures Emergency Department 52

Emergency Medicine Cases

JULY 18, 2023

He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture. The post Journal Club 4 PoCUS or X-ray for Distal Forearm Fractures appeared first on Emergency Medicine Cases.

Fractures 52

Fractures Research EMS 52

Emergency Medicine Cases

FEBRUARY 12, 2019

On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks.

Poisoning 52

Poisoning Fractures Pediatrics EMS 52

The Skeptics' Guide to EM

JULY 23, 2022

Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. The X-ray shows a buckle fracture of his right distal radius. Reference: Perry et al.

Fractures 52

Fractures Pediatrics Outcomes Emergency Department 52

Emergency Medicine Cases

SEPTEMBER 7, 2021

In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractures and why? The post Ep 160 Geriatric Trauma 2 Rib Fractures, Pelvic Fractures, Prognostication, Elder Abuse, Discharge Planning appeared first on Emergency Medicine Cases.

Elder Abuse 52

Elder Abuse Fractures EMS 52

ACEP Now

MAY 4, 2023

Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows). EMS recognized a chest wall deformity with movement of the chest wall, and a splint was devised and taped around his chest for what was suspected to be a flail chest. Discussion FIGURE 5: Chest X-ray OF post open reduction and interior fixation of rib fractures.

EMS 52

EMS Fractures Operations Ultrasounds 52

Emergency Medicine Cases

FEBRUARY 28, 2023

The post Ep 179 Hand Injuries – Finger Tip Injuries, Jersey Finger, PIP Dislocations, Metacarpal Fractures, Thumb Injuries, Tendon Lacerations appeared first on Emergency Medicine Cases.

Dislocations 52

Dislocations Fractures EMS 52

Pediatric EM Morsels

APRIL 19, 2024

Yes, we’re talking about your clavicular , proximal humeral, supracondylar, lateral condylar , scaphoid and metacarpal fractures. Today, we want to focus on a couple of our good friends, buckle and greenstick forearm fractures. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature.

Fractures 251

Fractures Pediatrics Best Practices Outcomes 251

Emergency Medicine Cases

AUGUST 28, 2018

In this EM Cases Journal Jam podcast with Anton Helman, Justin Morgenstern, Rory Spiegel, and special guest Jacques Lee we explore the evidence for femoral nerve blocks and fascia iliaca blocks as well as discuss the practical implementation of them in your ED. Do they decrease opioid use? Are they safe compared to standard pain management?

Fractures 52

Fractures EMS Wellness 52

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! J Clin Orthop Trauma.

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

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics Research 130

Emergency Medicine Cases

FEBRUARY 25, 2020

Which proximal humerus fractures are likely to require surgical management? What are the surgical indications for clavicle fractures? The post Ep 136 Occult Shoulder Injuries and Proximal Humerus Fractures appeared first on Emergency Medicine Cases. What is the best x-ray view to diagnose a sternoclavicular dislocation?

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

Emergency Medicine Cases

JULY 17, 2018

In this month's POCUS Cases Dr. Rob Simard explains the role of POCUS in distal radius fracture diagnosis and reduction, how to troubleshoot finding the echogenic line that represents the shaft of the radius, and the limitations of using POCUS for distal radius fractures.

Fractures 52

Fractures Ultrasounds EMS 52

EMergucate

APRIL 22, 2024

The lumbar spine x-ray shows anterior compression fracture of L1 & fracture of spinous process of T12 vertebra. This is … Continue reading →

Fractures 52

Fractures EMS 52

Emergency Medicine Cases

OCTOBER 8, 2019

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

Burns Pediatrics EMS EKG/ECG 52

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 98

EMS Ultrasounds Academics Fractures 98

The Skeptics' Guide to EM

MARCH 27, 2021

He has a passion for FOAMed and is the creator of the […] The post SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures first appeared on The Skeptics Guide to Emergency Medicine. He has a passion for FOAMed and is the creator of the Danish EM platform www.akutmedicineren.dk.

Fractures 40

Fractures Outcomes Hospitals Emergency Department 40

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

Emergency Medicine Cases

DECEMBER 19, 2023

When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED? Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management?

Fractures 91

Fractures EMS 91

EMDocs

AUGUST 28, 2023

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Failure to detect child abuse results in $45 million verdict Femur fracture missed; no imaging follow-up system in place Facts : A 2 ½ month old infant is brought to the ED by his mother because he is not moving his right leg and cries every time it is touched.

Fractures 63

Fractures Seizures Patient Safety Hospitals 63

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

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Flood syndrome- start fluids, give antibiotics, consult surgery.

Administration 81

Administration Resuscitation Research Fluid Resuscitation 81

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. fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Gross deformities often suggest fracture or dislocation. nonunion, post-traumatic arthritis or deformity).

Fractures 55

Fractures Dislocations Operations EMS 55

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

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]. As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Obtain at least 3 views when possible.

Fractures 69

Fractures Dislocations Operations Radiology 69

EB Medicine

NOVEMBER 3, 2022

(Table 3) Prehospital Care What do our EMS colleagues need to keep in mind when transporting a child with an ocular injury? Orbital fractures: What should we be looking for? Table 3)Prehospital Care* What do our EMS colleagues need to keep in mind when transporting a child with an ocular injury?* How can they help us in the ED?

Pediatrics 52

Pediatrics Fractures EMS Outcomes 52

Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

EMS 52

EMS Head Injuries Pediatrics Sepsis 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

EMDocs

JUNE 28, 2023

And listen to your EMS providers and nurses. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EMS is called, and he is brought to the ED for a reported “slip and fall” with associated facial abrasions. EM requires a team! Examine the patient.

Documentation/Coding 66

Documentation/Coding EMS Stroke Patient Safety 66

EMergucate

DECEMBER 26, 2022

The pelvic x-ray shows: Right iliac wing fracture Right acetabular fracture Right inferior pubic ramus fracture Diastasis of the pubic … Continue reading →

Fractures 52

Fractures EMS 52

EMergucate

APRIL 2, 2023

Ischial tuberosity avulsion fracture on the left side. Avulsion fractures … Continue reading → The pelvic X-ray shows. This is due to hamstring pull.

Fractures 52

Fractures EMS 52

EMergucate

NOVEMBER 13, 2023

The knee x-ray shows a Segond fracture with knee effusion. There is a small elliptical bony fragment near the lateral … Continue reading →

Fractures 52

Fractures EMS 52

EMergucate

FEBRUARY 19, 2024

The initial right shoulder x-ray was performed to look for fracture around the … Continue reading → There is right chest wall subcutaneous emphysema.

Fractures 52

Fractures EMS 52

ALiEM

AUGUST 7, 2023

A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree.

Dislocations 98

Dislocations Academics Fractures Emergency Department 98