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Ortho Pearls: Metacarpal Fracture Management

Cook County EM Blog

The Case: A 40-year-old male with no past medical history presented to the emergency department after he was assaulted with closed fists just prior to arrival. The patient’s injuries included a blow to the back of his right hand. 2000 Sep;25(5):817-23. Metacarpal fractures: treatment and complications. Hand (N Y).

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Reduced Tissue Manipulation: With video laryngoscopy, less force is required to achieve proper visualization, reducing the risk of activating the gag reflex, dental trauma, soft tissue injury, and bleeding during intubation attempts (25). Chest 2000; 117(1): 260 – 7. Int J Emerg Med. Prehosp Emerg Care.

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Pediatric Pain

Pediatric Emergency Playbook

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. 2000 Aug;106(2 Pt 1):351-7. Acad Emerg Med.