RebelEM

APRIL 29, 2024

Int J Emerg Med 2009 PMID: 20157465 4. Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation. World J Emerg Surg 2023 PMID: 36918947 3. Ngo AS, Oh JJ, Chen Y, Yong D, Ong MEH.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. National Burn Repository 2019 Update, Report of data from 2009–2018. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient. References American Burn Association.

Burns 98

Burns Fluid Resuscitation Resuscitation Poisoning 98

EM Curious

JULY 24, 2015

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

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

EM Guide Wire

MAY 19, 2019

Delayed Identification of Pediatric Abuse-Related Fractures. 2009; 125 (1): 60-66. Sentinel Injuries Subtle Findings of Physical Abuse. Pediatric Clinics of North America. 2014; 61(5): 923-935. Ravichandiran N, Schuh S, Bejuk M, et al. PEDIATRICS. Sheets LK, Leach ME, Koszewski IJ, et al. PEDIATRICS. 2013; 131(4): 701-107.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

ACEP Now

MAY 6, 2023

Clavicular and humeral fractures are more common in passengers than in drivers. Drivers frequently sustain hand, wrist, and elbow injuries, while passengers rarely have hand fractures. Sudbury, Massachusetts: Jones and Bartlett; 2009. Mechanisms of injury in motor vehicle crashes. In: Ralph Riviello, ed.

Forensics 52

Forensics Documentation/Coding Fractures Head Injuries 52

PHEM Cast

APRIL 18, 2016

Spinal fractures occur in 2% of all major trauma. Unstable spinal fractures occur in all major trauma 0.7%. Blackham & Benger, 2009. Remember this when you get on scene – 98% of patients will not have a spinal injury. The awake patient will develop a position of comfort with muscle spasm protecting the injured spine.

Fractures 40

Fractures Operations Administration Shock 40

PHEM Cast

JULY 14, 2016

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. 2009 May;10(2):74–8. Posterior column: facet joints, ligamentum flavum, the spinous processes and the interconnecting ligaments. J Neurotrauma. 2014 Mar 15;31(6):531–40. Shafer JS, Naunheim RS.

Fractures 52

Fractures Hospitals Shock Research 52

EMDocs

JULY 11, 2023

Fractures and dislocations are indications for full dose factor replacement. 2009 Nov;15(6):1281-90. If LP is absolutely necessary, pretreat with clotting factors and speak with hematology. Other procedures needing factor replacement: arterial line placement, intramuscular injection, and arthrocentesis. Haemophilia. PMID: 19637999.

Head Injuries 75

Head Injuries Pediatrics Dislocations CDC 75

Taming the SRU

NOVEMBER 14, 2023

A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6 A thorough trauma history and physical exam should be performed including evaluation for bony fracture in the surrounding structures of the face. A) on LEFT: Auricular hematoma with overlying tattoos.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. Still no pain medicine. Prehospital Emergency Care, 4(4), 285-289. Sakran, J.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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% PMID: 34499261. Br J Neurosurg.

EMS 67

EMS Fractures Operations Wellness 67

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 66

Fractures Resuscitation Operations EMS 66

EMDocs

OCTOBER 7, 2023

Published June 2009. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Nephrol Dial Transplant.

EMS 98

EMS Fluid Resuscitation Fractures Resuscitation 98

Don't Forget the Bubbles

JULY 22, 2024

The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. 2009 Jan 22;360(4):329–38. So, an up-to-date, high-quality meta-analysis iss much needed. Fortunately, Lee et al. N Engl J Med.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

Pediatric Emergency Playbook

JANUARY 1, 2017

Further, children participate in and absorb their family’s culture and specific personality from a very young age ( Finley 2009 ). 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.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

The Skeptics' Guide to EM

OCTOBER 7, 2017

He is Ottawa Ankle Rule positive but the x-ray shows no fracture. The Ottawa Ankle Rules have been validated down to five years of age and can be used to safely rule out ankle fractures. BMJ 2009 * Janssen et al. Background: We have covered the Ottawa Ankle Rules (tools) early in Season#1 ( SGEM#3 ). Hupperets et al.

Urgent Care 40

Urgent Care Emergency Department Fractures Wellness 40

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. Schaefer, P.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Don't Forget the Bubbles

NOVEMBER 6, 2024

Palpable signs of skull fractures on physical examination and depressed skull fractures or traumatic brain injuries on CT in children. Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022. Pediatrics. 2024 Oct 1;154(4):e2023065402. Bressan S, et al. Eur J Pediatr. 2024 Dec;183(12):5321-5330.

Pediatrics 52

Pediatrics Sepsis Fractures Hospitals 52

PulmCCM

MARCH 7, 2025

Australia, and the Netherlands from 2009 to 2012, patients admitted for emergency surgery on the weekend had higher adjusted odds of 30-day mortality. Sayers et al (BMC Medicine 2017) concluded weekends did not affect outcomes in hip fracture repair in the U.K. Among almost 3 million patients at 28 hospitals in the U.S.,

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Many authors feel NTI is absolutely or relatively contraindicated with potential basilar skull fractures; there is also opinion arguing that airway protection trumps the extreme rarity of this complication. Intracranial placement of a nasotracheal tube after facial fracture: a rare complication. Sinusitis can occur in long intubation.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

EMDocs

NOVEMBER 6, 2024

tetani infection is also indicated. tetani infection is also indicated.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98

Don't Forget the Bubbles

NOVEMBER 6, 2024

Palpable signs of skull fractures on physical examination and depressed skull fractures or traumatic brain injuries on CT in children. Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022. Pediatrics. 2024 Oct 1;154(4):e2023065402. Bressan S, et al. Eur J Pediatr. 2024 Dec;183(12):5321-5330.

Pediatrics 59

Pediatrics Sepsis Fractures Hospitals 59