Remove 2003 Remove Fractures Remove Wellness
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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." Systolic function normal by visual assessment only, unable to visualize well for further characterization. The patient did well and was discharged. 2003, May). 1520: The QRS has narrowed slightly, but the morphology is similar.

EKG/ECG 116
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The Femoral Nerve Block

EM Curious

Identify the triangle shaped femoral nerve, lateral to the femoral artery, as well as the iliopsoas muscle and the fascia illiaca running over its surface. Get your tip as close as possible to the nerve, and under the fascia illiaca, then inject (well, after aspirating first, of course). Academic Emergency Medicine, 20(6), 584–591.

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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. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. An unstable injury is one which involves all 3 columns and often one in which 2 columns are disrupted.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records. All deaths involving hip fractures if the attending physician believes the fracture caused or contributed to the cause of death. . · 2003 Revision. 2003 Revision.

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Diagnostics: Inflammatory Markers

Taming the SRU

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. Identifying serious causes of back pain: cancer, infection, fracture. C-reactive protein: a critical update.

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Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

This appears to be immediately beneath the sternal fracture. However, his cardiac MRI shows scar that is also possibly associated with his sternal fracture given his location. I suspect we are seeing a combined ECG effect ( as well as a tall, slender R' in lead V1 from myocardial contusion-induced incomplete RBBB).

EKG/ECG 52
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Pediatric Pain

Pediatric Emergency Playbook

Children have long suffered from an under-treatment of their pain, due both to our incomplete acknowledgement of their pain and our fear of treatment ( Howard 2003 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well.