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 135

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 129

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 91

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 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

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?

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Fractures Operations Dislocations Burns 263

Emergency Medicine Cases

NOVEMBER 22, 2022

In this EM Quick Hits podcast: Justin Morgenstern on fluids in pancreatitis, Leeor Sommer on nasal fractures, Christina Shenvi on delirium, Sheldon Cheskes and Rohit Mohindra on Dose VF, and Noor Khatib and Kari Sampsel on intimate partner violence.

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Fractures EMS Fluid Resuscitation Resuscitation 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background There is a high rate of surgical fixation of displaced Colles’ type distal radial wrist fractures despite fracture manipulation in the ED. Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown.

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Fractures Ultrasounds Outcomes Research 40

Board Bombs

SEPTEMBER 27, 2020

Let's talk burst fractures, chance fractures, and lame TP fractures in this short episode. Let's talk burst fractures, chance fractures, and lame TP fractures in this short episode. Greatest Action Hero of all time, not too different from today's ER docs right?

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Fractures 52

Board Bombs

APRIL 4, 2021

The GOAT, Dr. Mary Claire O'Brien joins us to tell you ALL what you need to know about pelvic fractures. The GOAT, Dr. Mary Claire O'Brien joins us to tell you ALL what you need to know about pelvic fractures. well its time to close some books to save lives. Oh and don't rock the pelvis! well its time to close some books to save lives.

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Fractures Wellness 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.

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Fractures Pediatrics Best Practices Outcomes 243

Board Bombs

AUGUST 2, 2020

Pull up a chair and grab some spaghetti, these two Italian fracture names you must know for the boards! Pull up a chair and grab some spaghetti, these two Italian fracture names you must know for the boards! -Dean Martin "When the ground hits your arm like a big ole FOOSH, that's Galeaazi!". or Monteggia? Not sure which one?

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Fractures 52

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.

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Fractures EKG/ECG Hospitals Wellness 147

University of Maryland Department of Emergency Med

DECEMBER 31, 2022

Pelvic fractures caused by large force compression (open book) and vertical sheer injuries can lead to life threatening massive hemorrhage fr. Click to view the rest

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Fractures 40

The Trauma Pro

MAY 3, 2024

In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. Which is what you should also do in your practice!

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Fractures Documentation/Coding Radiology Radiology 147

The Skeptics' Guide to EM

DECEMBER 10, 2022

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. X-rays demonstrate a minimally displaced midwaist fracture of the scaphoid. The LR- to rule out a scaphoid fracture was 0.15

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Operations Fractures Military Emergency Department 52

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? and get 20% of all orders at [link] Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?* It is in Beta and your feedback is welcome.

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Fractures Documentation/Coding Operations Emergency Department 52