ETM Course

JUNE 28, 2015

2011 Dec;71(6):1869-72 (full article free text) 2. Intra-Aortic Balloon Occlusion to Salvage Patients with Life-Threatening Hemorrhagic Shocks from Pelvic Fractures J Trauma 2010; 68(4): 942–8 (full article free text) 3. Surgery 2011; 150(3): 400–9 (full article free text) 7. J Trauma 2011; 71(3): 720–725 8.

Hospitals 52

Hospitals Resuscitation Shock Military 52

ALiEM

SEPTEMBER 13, 2024

Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. Epub 2011 Dec 2. Visual acuity: able to count fingers. Extraocular movements intact. Ocular pressure deferred. 1 mm superior eyelid laceration. No evidence of retrobulbar hematoma or emphysema. Intraconal and extraconal fat planes are preserved. Eye (Lond).

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

ETM Course

JUNE 17, 2015

In this episode we talk to Joseph Mathew, one of the authors of a great new article on a novel technique for tamponade of bleeding related to pelvic fractures. Injury 2011 Sep;42(9):913-6 We also cover the oft-misunderstood procedure of retrograde urethrogram (RUG). The diagnosis of acute urethral trauma.

Fractures 40

Fractures Emergency Department Resuscitation Research 40

ALiEM

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. 2011 Dec;6:1-4. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Annals of Clinical and Laboratory Science.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

Don't Forget the Bubbles

SEPTEMBER 30, 2024

A 2011-2012 Australian study by Blake et al. increase in Leicester City’s population from the 2011 census, bringing the city’s population to 368,581 and the county’s total population to 712,300. What is happening internationally? Of these, 40% were paediatric patients, and 12.4% The 2021 census revealed an 11.8%

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension: A Scientific Statement from the American Heart Association. PMID: 21422387 Wan S et al. Circ 2004.

Stroke 136

Stroke Outcomes Hospitals Administration 136

The Skeptics' Guide to EM

AUGUST 17, 2019

Case: You are taking care of a 56-year-old woman who presented to the emergency department with a Jones fracture. JAMA 2011). Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. ED physicians are among the most frequent prescribers of opioids. Volkow et al.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

PEMBlog

JUNE 5, 2024

Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. 2011 Aug;58(2):145-55. The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. Axial load can cause burst fracture, so someone that dives into a pool.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

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. 2011 May;70(5):1282–5. Posterior column: facet joints, ligamentum flavum, the spinous processes and the interconnecting ligaments. Emergency Medicine Journal. 2013 Dec 22;31(1):86–6.

Fractures 52

Fractures Hospitals Shock Research 52

Taming the SRU

JANUARY 29, 2024

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. 2011 Dec;77(12):1606-12. The remainder of the physical examination is unremarkable. J Vasc Interv Radiol. 1995 Mar-Apr;6(2):283-6.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2011 Jan;3(1):118-27. 2011 Aug;18(8):781-96. 2011 Sep;18(9):1011. In: StatPearls [Internet].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. 2011 Dec;71(6):1869-72. The initial impact is the greatest, and will vary depending on the child’s height and what part of his body reaches up to the bumper of the car.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Don't Forget the Bubbles

SEPTEMBER 5, 2024

In this study, the Broselow tape had the best overall accuracy, with 50.7% (vs 30.88% for APLS 2011) of estimates occurring within 10% of measured weight and 80.0% (vs 55% for APLS 2011) estimates within 20% of measured weight. The median patient age was 8.2 years (IQR 2.5–14.2 years), with a slight male predominance (51.5% were male).

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All deaths involving hip fractures if the attending physician believes the fracture caused or contributed to the cause of death. If the fracture is to appear anywhere on the death certificate, the certificate must be completed by the Department of Medical Examiner-Coroner and not by the attending physician. ·

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Northwestern EM Blog

DECEMBER 20, 2021

Physical examination should always include an attempt to ambulate the child unless there is an obvious contraindication noted immediately (eg open fracture). doi:10.1136/archdischild-2011-301245. Strength and range of motion of both lower extremities should also be examined [2]. References Smith E, Anderson M, Foster H. PMID: 26554284.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Pediatric Emergency Playbook

MARCH 1, 2016

He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. Rib fractures on CXR predict pulmonary contusions. 2011 May;18(5):477-82. A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He decompensates and needs blood.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Pediatric EM Morsels

SEPTEMBER 1, 2023

For a 16-year-old girl who presents to the ED with a forearm fracture, asking confidentially about the home environment can help us differentiate an accidental vs. assault If we don’t ask, we won’t know Education Bullying is a known risk factor for suicide [Borowsky 2013] A child NOT enrolled in school is another red flag for human trafficking.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

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. 2011 Nov;71(5):E110-3. Konda SR, et al.

Soft Tissue Injuries 96

Soft Tissue Injuries Fractures Dislocations Radiology 96

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. neutropenia) ( Babl 2011 , Dokko 2014 ). 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

Identifying serious causes of back pain: cancer, infection, fracture. 2011 Apr;40(4):428-31. Clin Infect Dis. 2015 Sep 15;61(6):e26-46. doi: 10.1093/cid/civ482. Epub 2015 Jul 29. PMID: 26229122. (12) 12) Siemionow K, Steinmetz M, Bell G, Ilaslan H, McLain RF. Cleveland Clinic journal of medicine. 2008;75(8):557-566. doi:10.3949/ccjm.75.8.557

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Open Fracture. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823.

EMS 104

EMS Fractures Soft Tissue Injuries Ultrasounds 104

PulmCCM

MARCH 7, 2025

between 2008 and 2011, patients in the U.K. Sayers et al (BMC Medicine 2017) concluded weekends did not affect outcomes in hip fracture repair in the U.K. 2011 Jul;146(7):810-7. Epub 2011 Mar 21. Among over 4 million admissions for elective surgeries in the U.K. PMID: 28914284. doi: 10.1001/archsurg.2011.60.

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Don't Forget the Bubbles

AUGUST 10, 2023

This is partly because the hands (including fingers) of children & young people have a tendency to fracture without as much compressive force being applied to the bones when compared with adult hands. The resulting injuries include crush injuries, fractures, avulsions, lacerations and amputations. No bone is exposed.

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 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

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. June 6, 2011. Marlow, T.

Airway Management 40

Airway Management Resuscitation EMS CPR 40

Mind The Bleep

SEPTEMBER 17, 2024

Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture. Comorbidities Diabetes and immunosuppression increase infection risk and severity 11. Regular medications.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52