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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Yes, we’re talking about your clavicular , proximal humeral, supracondylar, lateral condylar , scaphoid and metacarpal fractures. Today, we want to focus on a couple of our good friends, buckle and greenstick forearm fractures. Plint, 2006. West, 2005.

Fractures 290
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Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

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Should I Apply Compression Devices To Patients With DVT?

The Trauma Pro

Screening looks at patient factors such as age, obesity, and previous VTE, as well as injury risk factors like spine and pelvic fractures and decreased mobility. J Thrombosis Thrombolysis 23:25-30, 2006. Chest 127(5):1631-1636, 2005. A randomized study.

Fractures 124
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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Med Clin North Am, 2006 May;90(3):505-23. Specific Disorders of the Spine. In: Sherman SC eds. Simon’s Emergency Orthopedics. New York, NY: McGraw-Hill; 2014 Winters ME, Kluetz P et al. Back Pain Emergencies. PMID: 16473102 Zimmerli W. Vertebral Osteomyelitis. N Engl J Med 2010 Mar; 362(11)1022-9.

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REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

Foot Ankle Int 2006; 27(4): 305-13. You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Bone Joint J. 2017; 99-B(1): 78-86. PMID: 28053261 Chiodo CP, Wilson MG.