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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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Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! 2009 Oct 3;374(9696):1160-70. Epub 2009 Sep 14. PMID: 19758692.

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Low Risk Intra-Abdominal Trauma: Rebaked Morsel

Pediatric EM Morsels

Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. In 2009, more than 9,000 children died from accidental injuries. Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? The post Low Risk Intra-Abdominal Trauma: Rebaked Morsel appeared first on Pediatric EM Morsels.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Imaging Gadolinium enhanced MRI – modality of choice, highly sensitive and specific ( Mylona 2009 ). 2009 Aug; 39(1):10-7. Cultured specimen narrows antibiotic coverage Urinalysis/Urine Culture –UTI is a frequent missed source of bacteremia (especially in diabetic patients). J Antimicrob Chemother. Semin Arthritis Rheum.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

Int J Emerg Med 2009 PMID: 20157465 4. Rezaie, MD (Twitter/X: @srrezaie ) The post Don’t Forget About the IO in the Critically Ill Patient appeared first on REBEL EM - Emergency Medicine Blog. World J Emerg Surg 2023 PMID: 36918947 3. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH. Ong MEH, Chan YH, Oh JJ, et al.

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The Femoral Nerve Block

EM Curious

EMS appears with a patient who just wiped out big time on the ice. 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.

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Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

EMS reports starring and significant damage to the windshield and show you a picture (Figure 1). FIGURE 1: EMS Photo of damaged windshield showing star/spider web pattern from impact of occupant. Clavicular and humeral fractures are more common in passengers than in drivers. Sudbury, Massachusetts: Jones and Bartlett; 2009.