The Skeptics' Guide to EM

DECEMBER 8, 2017

Physician frustrations with managing acute non-traumatic low back pain include considering rare dangerous back pain patient (epidural abscesses, osteomyelitis, pathological fractures, etc), patients demanding imaging, difficulty in relieving pain and concern about opiate abuse or diversion.

Emergency Department 52

Emergency Department Fractures EMS 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

The two most common complications of VP shunts are malfunction (due to obstruction, fracture, or kinking) or infection. Gastroenterol Clin N Am 36 (2007) 123-144l Feinberg A et al. January 17, 2007. Anesthesiology 2007; 106:164–77 Marks JH. of them were removed for clinical improvement. Hydrocephalus. J Am Coll Surg.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Taming the SRU

MARCH 14, 2023

Obtain shunt imaging (“shunt series,” CTH non-con) Shunt series shows no migration of the shunt catheters or fractures of the tubing. You read about the patient’s history of VP shunt placement for aqueductal stenosis as a child and decide to order some imaging… What are you going to order? Marmarou, Young, Aygok. Neurosurg Focus. J Neurosurg.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

FEBRUARY 22, 2025

Answer : CSF Leak Epidemiology: CSF leaks are broken into three main causes Craniofacial trauma: approximately 80% of cases 1 3% of blunt head and 9% of penetrating head trauma patients have CSF leaks Basilar skull fractures commonly occur with CSF leaks (up to 30%) Iatrogenic: approximately 16% of cases 1 3.8% 2007 Jul;107(1):173-7.

EMS 66

EMS Fractures Operations Wellness 66

EB Medicine

JUNE 6, 2019

Nachi: And as a brief aside, before we continue… Missed appendicitis is one of the three most common causes of emergency medicine malpractice lawsuits - with MI and fractures being the other two. C suggests taking a ‘worst first’ approach to forming your differential and guiding your workup. The max score is therefore 10.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

JUNE 21, 2023

Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds. 2007 Aug;21(7):442-3. Konda SR, et al.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Pediatric Emergency Playbook

JANUARY 1, 2017

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. Long-bone injuries Fracture pain should be addressed immediately with splinting and analgesia.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

MAY 29, 2023

2007 Aug;12(4):353-7. Identifying serious causes of back pain: cancer, infection, fracture. Am J Clin Pathol. 2020 Jan 1;153(1):14-29. doi: 10.1093/ajcp/aqz142. PMID: 31598629. (8) 8) Osei-Bimpong A, Meek JH, Lewis SM. ESR or CRP? A comparison of their clinical utility. Hematology. doi: 10.1080/10245330701340734. PMID: 17654065. (9)

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Don't Forget the Bubbles

JULY 17, 2023

Original clinical studies Distribution and pattern of hand fractures in children and adolescents. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Dr. Smith's ECG Blog

JANUARY 21, 2023

CT head showed traumatic SAH and small SDH with a traumatic occipital fracture. Although there were "no signs of trauma on scene or on the patient" — Head CT revealed an occipital fracture, with traumatic SAH and a small SDH. Electrolytes and an extended electrolytes panel were normal. Pacing Clin Electrophysiol. What happened first?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

RebelEM

NOVEMBER 13, 2024

cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e. vancomycin) If significant soft tissue injury, add gram negative coverage like late generation cephalosporin, extended-spectrum penicillin, or aminoglycoside (i.e.

Soft Tissue Injuries 104

Soft Tissue Injuries Fractures EMS 104

PulmCCM

MARCH 7, 2025

Ranganathan et al reviewed the outcomes for 429,691 patients undergoing commonly performed surgeries on Friday or Monday (or Tuesday after a holiday weekend) in multiple hospitals in Ontario, Canada, from 2007 to 2019. Sayers et al (BMC Medicine 2017) concluded weekends did not affect outcomes in hip fracture repair in the U.K.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. Kidney transplant recipients are at higher risk of rickets and fractures. (13) Incidence and predictors of fractures in children after solid organ transplantation: a 5‐year prospective, population‐based study. Any history of injury? and Hirsch, H.H., Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52