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.

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

Taming the SRU

JANUARY 29, 2024

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. 2000 Dec;45(6):644-6. The remainder of the physical examination is unremarkable. Vasc Endovascular Surg. 2016 Feb;50(2):98-101. Epub 2016 Feb 11.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Cook County EM Blog

MARCH 20, 2023

X-rays showed radiopaque foreign bodies confined to the distal thumb without fracture. 2019 Nov 16;8(11):2000. 2000 Jul;45(1):64-6. There were no signs of infection, compartment syndrome, tissue necrosis, or limb ischemia. Orthopedics was consulted and recommended outpatient follow up in several days. J Clin Med. ISSN 0736-4679.

Fractures 52

Fractures Documentation/Coding Operations Research 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. Still no pain medicine. National Academies. Howard, J. Touchstone, Mike.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

AUGUST 30, 2023

This finding was not significantly different among operators with different levels of experience, or between adults and children. Identifying serious causes of back pain: cancer, infection, fracture. 2000 Aug;30(1):17-24. Cleve Clin J Med. 2008 Aug;75(8):557-66. doi: 10.3949/ccjm.75.8.557. PMID: 18756836. Semin Arthritis Rheum.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 64

Fractures Resuscitation Operations EMS 64

Pediatric Emergency Playbook

JANUARY 1, 2017

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. Long-bone injuries Fracture pain should be addressed immediately with splinting and analgesia.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40