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Common traumatic pathologies 

Mind The Bleep

In this injury, there is a fracture of the orbital floor and the inferior orbital rim remains intact. The “teardrop sign” is a radiological sign of inferior orbital wall fractures in which intraorbital fat +/- inferior rectus muscle herniates through the fracture. Teardrop sign (inferior orbital wall fracture).

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Diagnostic Radiology: Musculoskeletal and Breast Imaging. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Vertebral Osteomyelitis and Spinal Epidural Abscess: An Evidence-based Review. J Spinal Disord Tech. 2015 Jul;28(6):E316-27 PMID: 26079841 Chowdhury V, Gupta A, Khandelwal N.

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Trauma Resuscitation Updates

RebelEM

Pelvic Fracture A score ≥2 present, consider MTP Clinical Take Home Point: Use of balanced transfusion (including PRBCs and clotting factors) helps avoid dilutional coagulopathy WHOLE BLOOD VS COMPONENT THERAPY Kronstedt S et al. Shock 2012. PMID: 31461138 Brotfain E et al. PMID: 23143053 Spaite DW, Hu C, Bobrow BJ, et al.

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Pediatric Elbow Injuries

Pediatric Emergency Playbook

What am I seeing -- or not seeing -- here? First a refresher on radiographic anatomy of the elbow -- Images courtesy of Radioglypics (Open Access Radiology Education). If you don't see the obvious fracture, you can be "saved" by the sail sign and/or a posterior fat pad. Position of comfort, analgesia, xrays, and now what?

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

2012 Jan 13;61(RR-1):1-20. The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. You more often will see vertebral body and arch fractures as opposed to the growth plate fractures and ligamentous injuries in the younger children. MMWR Recomm Rep. PMID: 22237112.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

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. 1950s & 1960s Resuscitation Research. Touchstone, Mike.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. 5 CT if concern for occult fracture. Periprosthetic Fractures Pain prior to injury may point toward underlying pathology like infection, implant loosening, etc. Unified classification system used to describe periprosthetic hip fractures. 10% of patients.

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