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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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Pediatric Hand Fractures

Pediatric Emergency Playbook

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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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Trauma CTs showed a "mildly displaced sternal fracture and a small retrosternal hematoma." 2003, May). It is very unlikely that a previously healthy teenager would have such disease of the conduction system, bringing up the possibility of blunt cardiac injury in this clinical setting. Myocardial contusion in an 8-year-old boy.

EKG/ECG 116
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Annals of B Pod: Phlegmasia Cerulea Dolens

Taming the SRU

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. 2003 Jun;123(6):1953-6. 2003 Jul;4(3):146-52. The remainder of the physical examination is unremarkable. Ann Vasc Surg. 2021 Oct;76:601.e7-601.e11.

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The Femoral Nerve Block

EM Curious

It's a bit of a departure from what we've described above--he mainly goes right at a shaft fracture--but it's the same general idea: As always, these posts are for EDUCATIONAL PURPOSES ONLY. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. Academic Emergency Medicine, 20(6), 584–591. doi:10.1111/acem.12154 doi:10.1111/j.1742-6723.2009.01163.xdoi:10.1097/PEC.0000000000000101

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Episode 11: Gentle Patient Handling

PHEM Cast

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. 2003 Dec 25;349(26):2510–8. An unstable injury is one which involves all 3 columns and often one in which 2 columns are disrupted. N Engl J Med.

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Did Not Wait – DNW

Don't Forget the Bubbles

Patients were excluded from the total if it was clearly noted that they had made another appointment (like seeing an out-of-hours GP), had an upcoming outpatient appointment (such as a fracture clinic visit for a known injury), or if the issue had already been resolved (for example, a foreign object removed by the patient or parent while waiting).