Remove 2009 Remove Fractures Remove Wellness
article thumbnail

Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Contraindications to placing an IO include a prior attempt at the same site, known orthopedic fracture or local hardware, overlying skin infection, and structural bone disease such as osteogenesis imperfecta (6). It is a relatively new procedure first described in 2009 (13). 2009 Sep 11;2(3):155–60. 2009 Nov;37(4):419.

article thumbnail

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

RebelEM

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Int J Emerg Med 2009 PMID: 20157465 4. World J Emerg Surg 2023 PMID: 36918947 3.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Consider escharotomy if there is any issue with perfusion or neurologic deficit, as well as difficult ventilation in the intubated patient. National Burn Repository 2019 Update, Report of data from 2009–2018. link] (2019).

Burns 97
article thumbnail

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.

article thumbnail

Diagnostics and Therapeutics: Ear Emergencies in the Department

Taming the SRU

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.

article thumbnail

Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

Vehicle occupants wearing seatbelts may sustain injury to the cervical spine as a result of abrupt deceleration as well as blunt trauma to the chest, abdomen, and pelvis. Clavicular and humeral fractures are more common in passengers than in drivers. Sudbury, Massachusetts: Jones and Bartlett; 2009. In: Ralph Riviello, ed.

article thumbnail

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. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. 2009 May;10(2):74–8. Posterior column: facet joints, ligamentum flavum, the spinous processes and the interconnecting ligaments.