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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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US Probe: Suprapatellar Recess Injection for Chronic Knee Pain in the Emergency Department – An Effective Approach for Relief

EMDocs

X-ray shows mild joint space narrowing and osteophytes, with no fractures or dislocations. Better outcomes : Ultrasound-guided injections deliver medication more accurately, leading to faster and more effective pain relief 1,2. Ultrasound improves accuracy, comfort, and outcomes compared to landmark-based injections.

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Back Braces: Are They Really Needed?

The Trauma Pro

The first was published in 2016 and examined papers comparing postop bracing vs. no postop bracing. There was no difference in pain, return to work, functional outcome, or instrumentation failure. World Neurosurg 93:221-228, 2016. I found two systematic reviews and a ten-year prospective clinical trial. First, the reviews.

Fractures 203
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Grand Rounds Recap 1.3.24

Taming the SRU

Phenobarbital has been proven to be equivalent to benzodiazepines with regard to clinical, pharmacologic and utilization outcomes. The treatment of alcohol withdrawal should be proactive as opposed to reactive with consideration of which patients are at the highest risk. Phenobarbital should be dosed based on IBW and patient risk factors.

EKG/ECG 93
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Pediatric Elbow Injuries

Pediatric Emergency Playbook

If not, assume a fracture-dislocation. Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. 2016 Mar 11. The radiocapetellar line runs along the radial neck through the radial head and should line up nicely with the capitellum. Ann R Coll Surg Engl. 2013 Mar; 95(2): e36–e37.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Eur Respir Rev. 2010;19(117):217-219. 2018;320(14):1471-1480.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Answer : Posterior dislocation of a periprosthetic hip Epidemiology: Total Hip Arthroplasty (THA) is the 4 th most common surgical procedures in the United States (2.3% 4 Dislocation is the most common complication after THA occurring at a rate of 0.2-10% 5-7 Dislocation rate as high as 28% in revision THA. 10% of patients.

EMS 98