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Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Pediatric EM Morsels

2010; doi:10.1016/j.annemergmed.2010.08.038. Lancet Child Adolesc Health. 2024; Published online June 4, 2024. doi:10.1016/S2352-4642(24)00104-4. Leonard JC, Kuppermann N, Olsen C, et al. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med. 2010.08.038.

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Pediatric Elbow Injuries

Pediatric Emergency Playbook

If not, assume a fracture-dislocation. 2010 Jan;33(1):19. The radiocapetellar line runs along the radial neck through the radial head and should line up nicely with the capitellum. Pediatrics. 1998 Jul;102(1):e10. Mallo G, Stanat SJ, Gaffney J. Orthopedics. Watch Larry Mellick Reduce a Nursemaid's Elbow!

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The Femoral Nerve Block

EM Curious

Maybe it's dislocated? The Case Let's say we do a little time warp, and we are unfortunately six months into the past, stuck in the dredges of frigid winter. EMS appears with a patient who just wiped out big time on the ice. He's gripping his thigh with his hands, and he is screaming. Maybe he's broken his hip? doi:10.1111/acem.12154

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Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

RebelEM

In 2010, the United States Food and Drug Administration (FDA) granted approval for intravenous (IV) acetaminophen as a pain management option. Background: The geriatric patient population is at high risk for undertreatment of pain (Hwang et al. Likewise, there are many important considerations when prescribing analgesics in this group.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Observation: A 2010 systematic review of 3 RCTs found no difference in mortality, progression of PTX size, or length of hospital stay between chest tube and observation for stable trauma patients with occult PTX [33]. J Emerg Med. doi:10.1136/thx.2010.136986

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REBEL Core Cast 133.0 – TMJ Dislocation

RebelEM

Temporomandibular (TMJ) Joint Dislocation Definition: Displacement of the mandibular condyle from the temporomandibular fossa. Epidemiology: Anterior dislocations are most common Mechanism Atraumatic (most common) from extreme mouth opening (yawning, eating, dental procedure, etc). 2010, (Ch) 70: p 895-909. Louis, Mosby, Inc.,

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Upper Limb Arterial and Nerve Injuries: An Introductory Guide

Mind The Bleep

Upper limb fractures and dislocations can lead to associated arterial and nerve damage. First aid such as irrigation, tourniquet use, reduction and splinting of fractures/dislocations. Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain.