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

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

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.

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Fractures Emergency Department 119

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.

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Fractures Shock 69

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.

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Fractures Ultrasounds Pediatrics Outcomes 130

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).

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Fractures Shock 52

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.

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Fractures Operations Emergency Department EMS 94

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.

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Fractures Documentation/Coding Operations Hospitals 59

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.

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Fractures 52

Sensible Medicine

NOVEMBER 7, 2023

Järvinen outlines the work he and his colleagues have done that question our current approach to preventing fractures in the elderly. standard deviations below the young adult peak) are considered at high risk for future fracture. A number of medications are recommended to increase bone density in order to prevent future fracture.

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Fractures Research Hospitals 124

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.

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Fractures Military Radiology Radiology 117

AENJ: Current Issue

DECEMBER 31, 2023

Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture.

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Fractures 40

Ultrasound Gel

FEBRUARY 26, 2024

What's the deal with using ultrasound for forearm fractures in kids? What's the deal with using ultrasound for forearm fractures in kids? The GEL Jr. team is back and they have a bone to pick. They examine a recent article on this topic from the New England Journal of Medicine. link] [link] The GEL Jr.

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Fractures Ultrasounds 40

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.

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Head Injuries Fractures Hospitals Wellness 264

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.

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Fractures Ultrasounds Outcomes Research 90

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.

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Fractures Ultrasounds Emergency Department CDC 77

Board Bombs

NOVEMBER 19, 2023

Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. Cite this podcast as: Briggs, Blake.

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Fractures 52

Ziqitza HealthCare Ltd

JANUARY 2, 2024

What is a Hairline Fracture? A common cause of sports injuries, hairline fracture is a type of fracture that begins as a minor inflammation on the surface of a bone and manifests as a tiny thin hair-like crack on the bone. It is also known as a stress fracture or a fissure fracture.

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Fractures Ambulance Services Shock 52

Emergency Medicine Journal

MAY 28, 2024

Hip fractures require prompt, effective analgesia. 3 Preoperative FIB for hip fractures is associated with reduced pain, opioid use, delirium and mortality. 2 3 As FIB can be undertaken safely by generalist clinicians, 4 it is now an established part of ED hip fracture management.

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Fractures Ultrasounds 52

Pediatric Education

APRIL 7, 2024

The mother was counseled about how to manage the lip laceration, and was relieved to hear that a nasal fracture was very unlikely in his case. Nasal fractures are fewer in younger ages but increase in incidence as children age because of increased opportunity for trauma (e.g. playing, sports, car accidents, etc.).

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Fractures Head Injuries Pediatrics Wellness 40

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

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Fractures Ultrasounds 52

Board Bombs

OCTOBER 31, 2021

Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com We’ve all had this problem before: trying to explain the difference between a fracture and a break is.Well don’t worry, we solve that problem in this podcast! Want to experience the greatest in board studying?

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Fractures 52

Cook County EM Blog

JUNE 2, 2022

Patient Course: Radiographs demonstrated a displaced, comminuted midshaft fracture of the fourth metacarpal. Orthopedic surgery saw the patient in clinic two weeks later, and given the irreducible fracture, the patient underwent open reduction and percutaneous pinning the next day. Metacarpal fractures: treatment and complications.

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Fractures Soft Tissue Injuries Operations Emergency Department 52

Board Bombs

MAY 22, 2023

We cover all wrist fractures, what you need to know, how to manage, and why you almost never need to consult Orthopedics. We cover all wrist fractures, what you need to know, how to manage, and why you almost never need to consult Orthopedics. Marlena and Iltifat are LIVE from SAEM’23. This is their recording from the conference.

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Fractures 52

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

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Fractures 71

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.

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Fractures Research EMS 52

EM Ottawa

JUNE 24, 2024

Question and Methods: This triple blinded RCT of 158 patients with isolated closed limb fractures assessed pain scores at 1-hour following the administration of intravenous acetaminophen, acetaminophen plus ibuprofen, or morphine. Methodology: 3.5/5 5 Usefulness: 2/5 Nasr Isfahani M, et al. BMC Emerg Med. 2024 Jan 25;24(1):15.

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Fractures Administration 52

Cook County EM Blog

APRIL 7, 2022

He initially presented to an outside hospital where he was told he had an “ankle” fracture and was splinted with a short leg posterior splint. Mildly displaced oblique fracture involving the proximal fibular metaphysis. Pathoanatomy and Injury Mechanism of Typical Maisonneuve Fracture. The patient was sent for radiographs.

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Fractures Operations Hospitals 52

Board Bombs

NOVEMBER 27, 2022

This epic podcast covers the major facial fractures, when to call a surgeon, and who needs to be seen in emergently in the ED vs outpatient. Oh, and please don’t call for plastic surgery consult on nasal bridge fractures. Oh, and please don’t call for plastic surgery consult on nasal bridge fractures. Face it, its broken.

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Fractures 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Seymour Fracture Nellans et al. Pediatric Hand Fractures. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures.

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Fractures Pediatrics 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.

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Elder Abuse Fractures EMS 52

Cook County EM Blog

MAY 26, 2022

Interpretation: Comminuted mildly displaced tongue-type calcaneal fracture. Why it Matters Calcaneus fractures represent 60% of all tarsal bone fractures and are the most diagnosed tarsal bone fractures in emergency medicine. Tongue-type calcaneus fractures: a threat to skin. Am J Emerg Med. 2013 Jul;31(7):1151.e3-4.

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Fractures Soft Tissue Injuries 52

PHARM

JUNE 11, 2024

Identification and Management of Pelvic Fractures in Prehospital and Emergency Department Settings – Journal of Surgical Research — Read on www.journalofsurgicalresearch.com/article/S0022-4804(24)00261-0/fulltext

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Emergency Department Fractures Research 40

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.

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Dislocations Fractures EMS 52

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.

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Fractures Head Injuries Radiology Radiology 147

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.

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Fractures Pediatrics Outcomes Emergency Department 52

Canadian EM

OCTOBER 24, 2023

Physical examination reveals tenderness and localized swelling over the left lateral chest wall, with X-ray confirming multiple rib fractures. The post Clinical Question: Which ultrasound-guided nerve block is best for acute pain management of rib fractures in the ED? What are nerve blocks? first appeared on CanadiEM.

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Fractures Ultrasounds Emergency Department 52