RebelEM

MARCH 9, 2023

Assess for blood in the nares or signs of basal skull fracture, including battle signs, raccoon eyes, or hemotympanum. Check that clavicles are intact and that there are no obvious rib fractures or spinal step-offs. As always, document clinical sobriety before discharge. Epub 2015 Sep 14. Osteopathic Family Physician.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

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. EMS in America: The Foundation Documents. Still no pain medicine.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. In terms of radiography, a chest x-ray should be obtained as rib fractures, hemopneumothorax, and mediastinal free air are all things you wouldn't want to miss and are also associated with blunt cardiac injury. Nachi: Definitely.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EMDocs

NOVEMBER 16, 2024

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 5 CT if concern for occult fracture.

EMS 98

EMS Dislocations Fractures Operations 98

Taming the SRU

FEBRUARY 22, 2023

STEP-UP Self Physical and Psycological IM-SAFE Illness Medications Stress Alcohol Fatigue Eating Psychological Cognitive Threat/Challenge appraisal: PERCEIVED demands vs. resources Threat appraisal - stress levels excessive, performance impaired – vapor lock (autonomic arousal, tunnel vision, auditory exclusion, loss of time awareness, impaired memory (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

EB Medicine

JUNE 6, 2019

Nachi: And as a brief aside, before we continue… Missed appendicitis is one of the three most common causes of emergency medicine malpractice lawsuits - with MI and fractures being the other two. Nachi: Few things are more important prior to discharge of an abdominal pain patient than documenting repeat exams and a PO trial.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

JULY 3, 2023

3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck. This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS. 2015 Dec;23 Suppl 2(Suppl 2):S76-82.

Seizures 98

Seizures Stroke Outcomes EMS 98

Taming the SRU

SEPTEMBER 1, 2023

2015) reported a sensitivity of 98.9% 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.,

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Mind The Bleep

JANUARY 28, 2025

Enquire about any associated trauma such as head injuries and fractures. First Aid Measures : Document if any initial care has been done, such as cleaning or dressing the wound. Documentation Clearly record findings, including measurements and descriptions of the wound, and consider photographic documentation if appropriate.

Documentation/Coding 52

Documentation/Coding Head Injuries Fractures Emergency Department 52

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. Document clearly: The location of all wounds Medical photography or drawn labelled diagrams can aid in explaining the exact location. Assess neurovascular status distal to the bite. References Kennedy, S. link] Jakeman, M.,

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

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. Sinusitis can occur in long intubation.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

EMDocs

NOVEMBER 6, 2024

doi:10.1136/bcr-2015-213897 Paterson AW, Ryan W, Rao-Mudigonda VV. tetani infection is also indicated. 1992;359(6398):832-835. doi:10.1038/359832a0 Giannini L, Maccari A, Chiesa V, Canevini MP. Trismus, the first symptom in a challenging diagnosis of Tetanus. BMJ Case Rep. 2016;2016:bcr2015213897. Trismus: or is it tetanus?

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98