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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

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Ortho Pearls: Tongue-Type Calcaneus Fractures (TTCF)

Cook County EM Blog

This displacement pattern can result in catastrophic secondary soft tissue injury overlying the fracture as the tongue fragment leads to increased pressure of the soft tissue, in turn compromising its blood supply. 2013 Jul;31(7):1151.e3-4. Epub 2013 Apr 10. Am J Emerg Med. doi: 10.1016/j.ajem.2013.02.029.

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Traumatic Arthrotomy

Northwestern EM Blog

What are the next best steps for evaluation and treatment of his injury? Figure 1: Knee laceration Background Traumatic arthrotomy is defined as a soft tissue injury over a joint that penetrates the joint space. Reporting 10/10 pain over the laceration.

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Pediatric Non-Accidental Trauma (NAT)

EM Guide Wire

Sentinel Injuries in Infants Evaluate for Child Physical Abuse. 2013; 131(4): 701-107. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. 2009; 125 (1): 60-66. Sheets LK, Leach ME, Koszewski IJ, et al. PEDIATRICS. Teeuw AH, Derkx BHF, Koster WA, et al. Detection of child abuse and neglect in the emergency room.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. 2013 Sep;27(9):509-14. While suggestive of TA, not sensitive or specific. Konda SR, et al. J Orthop Trauma.

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Pediatric Pain

Pediatric Emergency Playbook

The FPS-R uses more neutral and realistic faces and, unlike the Wong Baker scale, does not use smiling or crying faces to anchor the extremes of pain ( Tsze 2013 ). Ibuprofen may be more effective than acetaminophen (paracetamol) for odontogenic pain ( Bailey 2013 ). Author’s advice: take codeine off your formulary.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Reduced Tissue Manipulation: With video laryngoscopy, less force is required to achieve proper visualization, reducing the risk of activating the gag reflex, dental trauma, soft tissue injury, and bleeding during intubation attempts (25). Resuscitation 2013; 84(11): 1500 – 4. 2013): 71-78. Sakles, John C.,