The Trauma Pro

OCTOBER 29, 2024

Here are the factoids: Only 110 patients had a postop CT scan; 73 had scans within the first 24 hours, the other 37 were scanned later The rationale for early scan was to investigate retroperitoneal injury in half of patients, but frequently no indication was given (41%) The rationale for late scan was for workup of ileus in one-third or for evaluation (..)

Operations 199

Operations Fractures Radiology Radiology 199

Pediatric EM Morsels

APRIL 28, 2023

We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ). Of course, we cannot assume all anterior knee pain is benign.

Fractures 130

Fractures Pediatrics Operations Wellness 130

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

Life in the Fast Lane

AUGUST 6, 2023

Mike Cadogan Fractures App The Fractures App is yet another fantastic, simple and effective bedside app created by Tom Fadial and Spencer Tomberg

Fractures 98

Fractures 98

The Trauma Pro

OCTOBER 25, 2024

Earlier this year, I wrote a series of posts on the two commonly used pelvic fracture interventions: preperitoneal packing (PPP) and angioembolization (AE). Patients with pelvic fractures are already at high risk for it. But what about venous thromboembolism risk?

Fractures 113

Fractures Head Injuries Operations Ultrasounds 113

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Ultrasonography or radiography for suspected pediatric distal forearm fractures. Casey currently splits his time […] The post SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures first appeared on The Skeptics Guide to Emergency Medicine. Reference: Snelling et al. He is also a fully-fledged ultrasonographer.

Fractures 136

Fractures Ultrasounds Pediatrics Outcomes 136

The Trauma Pro

JULY 9, 2024

Patients with cervical fractures more commonly need a tracheostomy for ventilatory support and/or have a head injury , and these are well known culprits in dysphagia Normal soft tissue (<6mm at C2, <22mm at C6) A study in the Jan 2011 Journal of Trauma outlined the dysphagia problem seen with placement of a halo vest.

Head Injuries 264

Head Injuries Fractures Hospitals Wellness 264

St. Emlyn

MAY 24, 2024

stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? St Emlyn’s appeared first on St.Emlyn's.

Fractures 130

Fractures Emergency Department 130

PEMBlog

JULY 14, 2023

The foot X-Ray taken of the foot of the patient with the foot problem The Diagnosis She has a fracture at the base of the 5th metatarsal (Jones fracture). I like to think of these injuries as the scaphoid fracture of the foot, as this location of the metatarsal in particular has relatively poor blood supply. Am Fam Physician.

Fractures 98

Fractures Pediatrics 98

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Which clinical features best predict occult scaphoid fractures? He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture? Which clinical features best predict occult scaphoid fractures? Emerg Med J. Emerg Med J. Emerg Med J.

Fractures 128

Fractures Military Radiology Radiology 128

Taming the SRU

SEPTEMBER 25, 2023

This places a significant responsibility on the EM physician to diagnose and treat fractures. Specifically, EM physicians should be able to recognize fractures that will likely require operative management and facilitate close follow up, such as a Maisonneuve fracture. 2) It is a specific type of a Weber C ankle fracture.

Fractures 103

Fractures Operations Emergency Department EMS 103

Emergency Medicine Cases

OCTOBER 22, 2024

Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: [link] The post EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How appeared first on Emergency Medicine Cases.

Fractures 115

Fractures EMS Resuscitation 115

University of Maryland Department of Emergency Med

JULY 8, 2023

Pelvic fractures can be a major source of life threatening hemorrhage. Suspect fracture with significant force/mechanism. Signs are pelvic tendern. Click to view the rest

Fractures 83

Fractures 83

PEMBlog

NOVEMBER 17, 2023

The foot X-Ray taken of the foot of the patient with the foot problem The Diagnosis She has a fracture at the base of the 5th metatarsal (Jones fracture). I like to think of these injuries as the scaphoid fracture of the foot, as this location of the metatarsal in particular has relatively poor blood supply. Am J Sports Med.

Fractures 96

Fractures 96

St. Emlyn

JULY 22, 2024

You may be shocked to […] The post JC: Evaluation of Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study appeared first on St.Emlyn's.

Fractures 108

Fractures Shock 108

Emergency Medicine Journal

AUGUST 21, 2024

Background Lidocaine patches, applied over rib fractures, may reduce pulmonary complications in older patients. We aimed to establish whether a definitive randomised controlled trial (RCT) evaluating lidocaine patches in older patients with rib fracture(s) was feasible.

Fractures 97

Fractures Research Outcomes Hospitals 97

EMDocs

APRIL 14, 2025

Exist along a spectrum: minor subluxation to fracture and dislocation. of all fractures with an annual incidence of 1 per 55,000 persons. Injuries range from sprain to fracture-dislocation; divided into low energy and high energy. In kids its known as a bunk bed fracture where a child jumps and then land on their toes.

Dislocations 74

Dislocations Fractures Ultrasounds Operations 74

St. Emlyn

JULY 22, 2024

You may be shocked to hear that an Emergency Medicine doctor such […] The post Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study appeared first on St.Emlyn's. St.Emlyn's - Emergency Medicine #FOAMed Background I spend some of my time as a major trauma consultant on the major trauma ward (MTW).

Fractures 98

Fractures Shock 98

The Trauma Pro

OCTOBER 3, 2023

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. Is postoperative bracing after pedicle screw fixation of spine fractures necessary?

Fractures 203

Fractures Dislocations Operations Burns 203

Canadian EM

JULY 11, 2024

She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED?

Fractures 83

Fractures Emergency Department 83

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. Serratus Anterior Plane Blocks for Rib Fractures in the ED.

Fractures 101

Fractures Ultrasounds Research Outcomes 101

AENJ: Current Issue

APRIL 15, 2025

Metacarpal fractures account for 30% to 40% of all hand fractures. These fractures usually occur in adolescents and young adults. Fractures of the metacarpals are subdivided into the metacarpal head, neck, shaft, and base. Fifth metacarpal fractures can involve the head, neck, shaft, or base.

Fractures 71

Fractures 71

The Trauma Pro

FEBRUARY 27, 2024

Problems can also arise when the tibia is fractured, leading to leakage into the soft tissues. But complications are possible. The most common is an insertion “miss”, where the fluid then infuses into the knee joint or soft tissues of the leg. Infection is extremely rare.

Fractures 263

Fractures 263

Mind The Bleep

MARCH 22, 2023

Introduction Clinical Definition An open fracture is when the broken bone breaks through the skin or any other body cavity that is open to the outside, including those through the rectum or vagina. This is especially vital when addressing the issue of a fracture, adequate soft tissue coverage or blood vessel injury.

Fractures 59

Fractures Documentation/Coding Operations Hospitals 59

Life in the Fast Lane

AUGUST 15, 2024

Danny McGurgan and Mike Cadogan Galeazzi fracture Galeazzi fracture (1934). Fracture of the distal third of the radius with associated Distal radio-ulna joint (DRUJ) disruption.

Fractures 52

Fractures 52

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. His imaging shows mildly displaced rib fractures of ribs four through seven. Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM.

Fractures 83

Fractures Ultrasounds Emergency Department CDC 83

St. Emlyn

JANUARY 10, 2025

St.Emlyn's - Emergency Medicine #FOAMed Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions.

Fractures 67

Fractures Resuscitation 67

The Trauma Pro

OCTOBER 23, 2023

The trauma group at Stanford paired up with the Chang Gung Memorial Hospital in Taiwan to test the use of AI for interpreting images to identify a specific set of common pelvic fractures. The algorithms generated a “heat map” that showed the areas that were suspicious for fracture. All were handily identified by the AI.

Fractures 147

Fractures EKG/ECG Hospitals Wellness 147

Don't Forget the Bubbles

MAY 12, 2025

Extremity radiographs are valuable for identifying associated fractures and detecting retained foreign bodies, particularly when there is a risk of embedded metallic or other penetrating objects. Tertiary blast injuries Occur when the blast force throws a victim against a surface, causing blunt trauma and fractures.

Radiology 104

Radiology Radiology Fractures Emergency Department 104

The Trauma Pro

APRIL 26, 2024

In this series, I will review the two major techniques for addressing troublesome bleeding from pelvic fractures. A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

University of Maryland Department of Emergency Med

JUNE 24, 2023

Use of intravenous lidocaine has been proposed as an adjunct/replacement for opioids in trauma patients with rib fractures. These small st. Click to view the rest

Fractures 71

Fractures 71

Mind The Bleep

MAY 1, 2024

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Examination of a fractured limb Most patients will be in a lot of pain. If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately.

Fractures 52

Fractures Head Injuries Documentation/Coding Dislocations 52

SCGH ED

MAY 6, 2024

Here are the updated basic fracture management guidelines for SCGH ED. A big thank you to Nuria for all her efforts.

Fractures 52

Fractures 52

Core Ultrasound

FEBRUARY 21, 2023

In this intro video, we demonstrate the use of ultrasound imaging to identify fractures. Ultrasound-guided fracture identification is a minimally invasive technique that allows for quick and accurate diagnosis of fractures, without the need for radiation or contrast agents. Lrg Joint Tap Basic Knee Exam Shoulder Exam

Fractures 52

Fractures Ultrasounds 52

The Trauma Pro

JANUARY 11, 2024

Specific ones that come to mind are shock, long bone or spine fractures, and TBI. Similarly, was there a relationship between the number of units of whole blood and possible “protection” from VTE? Did you examine other physiologic or anatomic variables and their relationship with VTE?

Resuscitation 264

Resuscitation Fractures Shock 264

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 118

Fractures EMS 118

Emergency Medicine Journal

APRIL 22, 2025

However, the diagnostic accuracy of POCUS performed by non-radiologists for the exclusion of elbow fractures is yet unknown. Results A total of 215 patients were included, 143 (67%) of whom had a fracture confirmed on X-ray. to 30.54) for the presence of an elbow fracture. to 30.54) for the presence of an elbow fracture.

Fractures 52

Fractures Ultrasounds Outcomes 52