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Ortho Pearls: Metacarpal Fracture Management

Cook County EM Blog

2000 Sep;25(5):817-23. If there are no indications for surgery, the patient can be immobilized in a cast for four weeks with good outcomes. Metacarpal fractures: treatment and complications. Hand (N Y). 2014;9(1):16-23. doi:10.1007/s11552-013-9562-1 Stern PJ. Management of fractures of the hand over the last 25 years. J Hand Surg Am.

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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. 2000 Jan-Mar;4(1):14-8.

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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. 2000; 1(4):260-269.