Mount Sinai EM

DECEMBER 27, 2022

Illustration by Yvonne Chow The Lisfranc Injury The lisfranc injury is any disruption of the joint and is a spectrum including ligamentous injury, dislocations and fractures. High energy mechanisms, such as MVCs or falls, are more likely to cause fracture-dislocations. Print publication year: 2016 273 – 310.

Dislocations 130

Dislocations Fractures Operations Radiology 130

Northwestern EM Blog

MARCH 1, 2025

Absolute contraindications of prone positioning are severely increased intracranial pressure as positioning of the head in prone position can partially obstruct cerebral venous drainage, as well as unstable spinal fractures because the manipulation while repositioning a patient may lead to further injury (Guerin et. 2020; Koulouras et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? She […] The post SGEM#273: My Buddy (Tape) for Boxer’s Fractures first appeared on The Skeptics Guide to Emergency Medicine. Background: Boxer’s fractures are common hand injuries.

Fractures 40

Fractures EMS Emergency Department Outcomes 40

Don't Forget the Bubbles

MARCH 4, 2024

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. had ‘no fracture’, 39.3%

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Trauma CTs showed a "mildly displaced sternal fracture and a small retrosternal hematoma." 2016, April 13). It is very unlikely that a previously healthy teenager would have such disease of the conduction system, bringing up the possibility of blunt cardiac injury in this clinical setting. References Alborzi, Z., Zangouri, V.,

EKG/ECG 115

EKG/ECG Wellness Fractures Emergency Department 115

Taming the SRU

JANUARY 10, 2024

(ACEP, 2022 available at [link] ) In 2020, the Bureau of Labor Statistics found that health care workers make up for more than three quarters of all workplace violence nationwide, and are almost four times more likely to suffer a serious injury from workplace violence than workers in any other workplace setting Rates of violence against healthcare (..)

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

Don't Forget the Bubbles

AUGUST 2, 2023

We know that fractures are the precipitating event in about 5–14% of cases and surgical procedures in 10–15%. carried out a retrospective chart review of children with CRPS presenting to a paediatric Chronic Pain Clinic in Canada over a 5-year period (2012 to 2016). Published 2016 Apr 29. More recently, Mesaroli et al.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Pediatric Elbow Films: Putting It All Together Watch this dynamic video by Dr Jeremy Jone s from Radiopaedia : Fracture Saviors: Fat Pads and Drawn Lines These three things can save us: fat pads, the anterior humeral line, and the radiocapitellar line. If not, assume a fracture-dislocation.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

RebelEM

APRIL 29, 2024

2016 PMID:27075364 13 Astasio-Picado Á et al. Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation. Resuscitation. 2021 PMID: 34273470 12 Petitpas F et al.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. 2016 Aug;42(5):953-1021. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient. Around 5% will have a concomitant injury from trauma. J Burn Care Res.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EMDocs

DECEMBER 19, 2023

link] Published April 7, 2016. Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. doi:10.1136/emj.2005.028456

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

Taming the SRU

JANUARY 1, 2024

Contraindications to placing an IO include a prior attempt at the same site, known orthopedic fracture or local hardware, overlying skin infection, and structural bone disease such as osteogenesis imperfecta (6). 2016 Dec 14;20(1):102. 2016 Mar;34(3):578–81. 2016 Dec;51(6):636–42. J Trauma Acute Care Surg. Am J Emerg Med.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

EM Guide Wire

MAY 19, 2019

Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016. 2016; 37(4): 146-158. Delayed Identification of Pediatric Abuse-Related Fractures. 2016; 42(2): 128-138. link] Accessed May 15, 2019. Christian CW. The Evaluation of Suspected Child Abuse. PEDIATRICS. PEDIATRICS.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All deaths involving hip fractures if the attending physician believes the fracture caused or contributed to the cause of death. If the fracture is to appear anywhere on the death certificate, the certificate must be completed by the Department of Medical Examiner-Coroner and not by the attending physician. · April 6, 2016.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

EMDocs

JUNE 8, 2024

Orbital wall fractures: palpate bony structures surrounding the eye, check extra ocular muscle movements to rule out entrapment, obtain CT imaging if suspected [7]. American Academy of Ophthalmology , AAO, 5 May 2016, www.aao.org/eyenet/article/savvy-steroid-use. High risk of re-bleeding and vision loss [7]. McGraw Hill, 2020.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study).

Stroke 136

Stroke Outcomes Hospitals Administration 136

Taming the SRU

NOVEMBER 27, 2023

Before definitive management, X-rays of the affected finger should be considered, especially in cases where there is suspicion for a foreign body or clinical concern for associated fracture, osteomyelitis, or necrotizing soft tissue infection [17]. Similar to complex paronychias, treatment of most felons relies on incision and drainage.

Soft Tissue Injuries 95

Soft Tissue Injuries Emergency Department EMS Fractures 95

Taming the SRU

JANUARY 29, 2024

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. 2016 Feb;50(2):98-101. Epub 2016 Feb 11. The remainder of the physical examination is unremarkable. Vasc Endovascular Surg. Ann Plast Surg.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Taming the SRU

FEBRUARY 12, 2024

CT HEAD Bilateral hemorrhagic contusions, left subdural hematoma with mass effect, scattered subarachnoid hemorrhage, occipital bone fracture and venous thrombosis adjacent to fracture site. Notable diagnostics Point-of-care glucose (initial): 274 PT/INR: 47.4/4.9 Ther Adv Drug Saf. Nov 26; 10. Connolly, SJ et al. N Engl J Med.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. Eur Respir Rev. 2010;19(117):217-219.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

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. Accessed 2/29/2016. Accessed 2/29/2016. Accessed 2/2/2016.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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. 2016 Feb 4;65:242-51. Any report of trauma should prompt evaluation with imaging. Osteopathic Family Physician.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Pediatric Education

MARCH 17, 2024

If there is any concern for significant trauma including potential fracture, the elbow should be stablized and radiographs obtained, before attempting RHS reduction maneuvers. If there is a fracture or it is unclear if there is a fracture, then the elbow should be stabilized and orthopaedics consulted.

Dislocations 40

Dislocations Fractures Pediatrics Urgent Care 40

The Skeptics' Guide to EM

JULY 2, 2017

She takes the oral contraceptive pill and was placed in a below-knee plaster cast for a fibula fracture 2 weeks ago. The 2015 Chest Guidelines recommend systemically administered thrombolytic therapy in patients with acute PE associated with hypotension (systolic BP<90mmHg) who do not have a high risk of bleeding ( Kearon et al 2016). *

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

This appears to be immediately beneath the sternal fracture. However, his cardiac MRI shows scar that is also possibly associated with his sternal fracture given his location. At this point, recommend a short-term follow-up cardiac MRI tailored to evaluation of the right ventricle, in a few days after patient recovery.

EKG/ECG 52

EKG/ECG Fractures Hyperthermia / Hypothermia Wellness 52

ACEP Now

MARCH 14, 2024

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Urgent Care Ultrasounds

MAY 15, 2018

There was no chest tenderness at the site of the pain to indicate a rib fracture and no clinically detectable signs of pneumothorax. 2016; 23(10):1170-1175. A man in his 80’s tripped and fell, landing on his chest. He complained of Rt anterior chest pain, worse with deep breathing and cough. Intensive care medicine.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Taming the SRU

AUGUST 30, 2023

2016 Dec;115(6):317-21. Identifying serious causes of back pain: cancer, infection, fracture. 2016 Aug 23;134(8):e113. Bray C, Bell LN, Liang H, Haykal R, Kaiksow F, Mazza JJ, Yale SH. Erythrocyte Sedimentation Rate and C-reactive Protein Measurements and Their Relevance in Clinical Medicine. PMID: 29094869. Brigden ML.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EMDocs

NOVEMBER 16, 2024

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.

EMS 98

EMS Dislocations Fractures Operations 98

EMDocs

FEBRUARY 22, 2025

Answer : CSF Leak Epidemiology: CSF leaks are broken into three main causes Craniofacial trauma: approximately 80% of cases 1 3% of blunt head and 9% of penetrating head trauma patients have CSF leaks Basilar skull fractures commonly occur with CSF leaks (up to 30%) Iatrogenic: approximately 16% of cases 1 3.8% 2016 Jun;13(2):87-90.

EMS 66

EMS Fractures Operations Wellness 66

EB Medicine

JUNE 6, 2019

Nachi: For more information on HIV and its management, check out the February 2016 issue of Emergency Medicine Practice , which covered this and more in depth. At less than 200, cryptosporidium, isospora, cyclospora, and microsporidium all make their way onto the differential in addition to the standard players.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 64

Fractures Resuscitation Operations EMS 64

Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

Don't Forget the Bubbles

JULY 22, 2024

The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. 2016 Aug;51(8):868–76. 2016 May;67(5):593-601.e3. So, an up-to-date, high-quality meta-analysis iss much needed. Pediatr Pulmonol.

Outcomes 105

Outcomes Research Pediatrics Hospitals 105

RebelEM

MAY 22, 2023

A turning point occurred in 2016 when a generic formulation of IV acetaminophen became available, significantly reducing costs and potentially facilitating broader utilization in routine practice. In 2010, the United States Food and Drug Administration (FDA) granted approval for intravenous (IV) acetaminophen as a pain management option.

Emergency Department 94

Emergency Department Administration Dislocations Hospitals 94

Pediatric Emergency Playbook

JANUARY 1, 2017

NON-PHARMACOLOGIC TREATMENT The first line of treatment in all pain management is non-pharmacopeia ( Horeczko 2016 ). Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Ketoralac (0.5

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40