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EM @3AM: Phalanx Dislocation

EMDocs

7 See ALiEM for guide on this procedure Always obtain post-reduction imaging to evaluate for any underlying fractures and test for any joint, ligament or tendon injuries PIP dorsal : Apply traction, then hyperextend at the PIP joint while the other hand applies dorsal pressure to the proximal phalanx.

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Foot Injuries in the ED

Taming the SRU

fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Stress fractures are caused by repetitive microtrauma and stress on the bone, and therefore present with more subacute or chronic symptoms. Gross deformities often suggest fracture or dislocation. RICE), and symptomatic management (e.g.,

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

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

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Animal Bites

Mind The Bleep

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.

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Managing the Patient with Alcohol Intoxication

RebelEM

Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Hamilton 2014) Patients with alcohol intoxication have an extremely high risk of intracranial pathology, and the threshold for obtaining head imaging should be very low.

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High Pressure Injection Injury

Cook County EM Blog

X-rays showed radiopaque foreign bodies confined to the distal thumb without fracture. 2014 Jan;22(1):38-45. There were no signs of infection, compartment syndrome, tissue necrosis, or limb ischemia. Orthopedics was consulted and recommended outpatient follow up in several days. Ulus Travma Acil Cerrahi Derg. 2020 Nov;26(6):899-904.