EMDocs

MARCH 30, 2024

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. 10 Spinal Fracture Classification 11 There are multiple different classification systems available. Spine fracture. September 30, 2017. Accessed June 23, 2023.

EMS 106

EMS Fractures Emergency Department Dislocations 106

EMDocs

OCTOBER 9, 2023

12 Weight gain (up to 70%), development of cataracts (up to 15%), fractures (up to 12%), and neuropsychiatric events (up to 10%) are the most common adverse events. Consider the other complications of systemic steroids: weight gain, cataracts, fractures, and neuropsychiatric events. Published 2017 Mar 28. Circulation.

Basic Life Support 107

Basic Life Support CPR Fractures Emergency Department 107

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

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. 2017 Jan;151(1):215-224.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

The Skeptics' Guide to EM

DECEMBER 8, 2017

[display_podcast] Date: November 28th, 2017 Reference: Motov S et al. display_podcast] Date: November 28th, 2017 Reference: Motov S et al. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas.

Emergency Department 52

Emergency Department Fractures EMS 52

RebelEM

JANUARY 24, 2024

2017; 99-B(1): 78-86. You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Bone Joint J. PMID: 28053261 Chiodo CP, Wilson MG. Foot Ankle Int 2006; 27(4): 305-13.

Operations 98

Operations Ultrasounds Fractures Outcomes 98

EB Medicine

MAY 31, 2017

This podcast is based on the full-length review published in the June 2017 issue of Emergency Medicine Practice. This podcast is based on the full-length review published in the June 2017 issue of Emergency Medicine Practice.

Outcomes 40

Outcomes Fractures Emergency Department 40

PulmCCM

FEBRUARY 12, 2024

The Society of Critical Care Medicine (SCCM) expanded its prior 2017 guidance, now recommending strongly that corticosteroids be given for severe community-acquired pneumonia, and also suggesting steroids for patients with acute respiratory distress syndrome (ARDS) and septic shock of any severity.

Shock 52

Shock Administration Sepsis Fractures 52

ALiEM

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. 2017 Jun;32:660-6. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Journal of general internal medicine.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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]. 2017 Jul 1;96(1):44-51. An algorithmic approach. Plast Reconstr Surg. doi: 10.1097/PRS.0b013e3181823be0.

Soft Tissue Injuries 96

Soft Tissue Injuries Emergency Department EMS Fractures 96

The Skeptics' Guide to EM

JULY 2, 2017

[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

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 J Thromb Haemost. Jan; 8(1): 202-4. Samuelson, B.T., Cuker A, et al.

Administration 81

Administration Fractures Anaphylaxis Head Injuries 81

PulmCCM

JANUARY 16, 2024

Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). This looks like the major fracture between the two expert panels. This is new.

Research 87

Research Documentation/Coding Outcomes Fractures 87

RebelEM

MARCH 9, 2023

Osna 2017) Alcohol can contribute to pancreatitis, CKD, epilepsy, and countless other conditions. 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. Alcohol Alcohol.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Don't Forget the Bubbles

SEPTEMBER 30, 2024

examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent. Critically unwell or injured patients are prioritised, whereas those who are felt to be less unwell wait longer for clinical review. Simpson et al.

Emergency Department 89

Emergency Department Research Pediatrics Hospitals 89

Taming the SRU

AUGUST 30, 2023

In contrast, an 2017 Cochrane Review update regarding using PCT to initiate or discontinue antibiotics found PCT-guided therapy had a statistically significant d ecrease in mortality for hospitalized patients by 1.4% (primary endpoint) and a statistically significant decrease in antibiotic exposure by 2.4 2017 Dec 14;9(6):7204-7218.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

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. 2017; 25(4):248-250. 5) Luckily, due to persistent observation, the lung point was detected as it slipped into view, even though the probe position may not have been optimal. Intensive care medicine.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Dr. Smith's ECG Blog

JANUARY 13, 2024

If it does not sense a native rhythm (perhaps from lead fracture or displacement), it will attempt to pace at 60 beats per minute, which can cause unnecessary pacing spikes interrupting normal cardiac function. "Failure to sense" occurs when the pacemaker does not recognize native function appropriately, and results in excess pacing spikes.

EKG/ECG 110

EKG/ECG Hospitals Fractures Emergency Department 110

PulmCCM

FEBRUARY 8, 2024

Back in 2017, the American Thoracic Society, the European Society of Intensive Care Medicine, and the Society of Critical Care Medicine together issued a clinical practice guideline for the management of acute respiratory distress syndrome (ARDS). This looks like the major fracture between the two expert panels. This is new.

Research 52

Research Documentation/Coding Fractures Outcomes 52

Northwestern EM Blog

DECEMBER 20, 2021

Physical examination should always include an attempt to ambulate the child unless there is an obvious contraindication noted immediately (eg open fracture). Published 2017 Jul 18. If the child refuses to bear weight, the child should be made non-weight bearing until serious pathology which can be worsened by walking is ruled out.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Don't Forget the Bubbles

SEPTEMBER 29, 2024

Alternatively, they may have fallen off the monkey bars, so we offer some painkillers, do an X-ray to confirm the fracture, and apply a cast. Victoria: Victoria State Government – Health and Human Services; 2017. Then, they are safe for discharge. References Government VS. Guidelines for emergency department short stay units.

Emergency Department 52

Emergency Department Dehydration Hospitals Fractures 52

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 97

EMS Dislocations Fractures Operations 97

Pediatric EM Morsels

JANUARY 19, 2024

[Kocher 1996, Pereira 2017] It is a complication of congenital syphilis , causing local periostitis, intense pain , and subsequent decreased movement. Kocher 1996, Pereira 2017] Syphilis is on the rise in the US. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

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]. doi:10.1155/2017/6014967 Light RW. Published 2017 Sep 7. 89% of patients with PTX under this cutoff were successfully observed.

Fractures 97

Fractures COPD Hospitals Emergency Department 97

Taming the SRU

JULY 25, 2024

Indication - skeletally mature patients with a radiographically documented femur fracture (hip to knee) Contraindications: Patient refusal Allergy to local anesthetic Infection over site of planned injection Obtunded/uncooperative patient Crush injury No available provider or space Medication: 0.5%

Stroke 98

Stroke Fractures Operations Outcomes 98

The Skeptics' Guide to EM

DECEMBER 17, 2022

EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive. Background: Major trauma in older patients is increasing in frequency (1), with the median age of major trauma patients in the UK from 2012-2017 being 63.6 years ( 2 ).

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. Journal of Neurosurgical Anesthesiology 29(2): p 161-167, April 2017. | You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. His name is Ben. While waiting, another call comes in.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

JANUARY 30, 2021

Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. Non-union is defined as “a failure of the fracture-healing process” and occurs in up to 1 in 10 fractures.

Fractures 52

Fractures Documentation/Coding Outcomes 52

RebelEM

MAY 25, 2023

Ann Emerg Med 2017 [6] This was a retrospective database review of 7521 traumatic brain injury patients SBP target ≥90mmHg resulted in a mortality of 7.8% vs SBP target <90mmHg which resulted in a mortality of 33.4% Shock 2012. PMID: 23143053 Spaite DW, Hu C, Bobrow BJ, et al. Ann Emerg Med. PMID: 28559036 Holcomb JB et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Northwestern EM Blog

JANUARY 3, 2022

climbing stairs) Diagnosis: Anterior patella tenderness; pain with patellar grind test , deep knee flexion EM differential: meniscus injury, stress fracture, ligamentous injury Initial treatment: home exercise program or formal physical therapy to strengthen quadriceps, core, and hip abductors.

Fractures 52

Fractures EMS Urgent Care Stroke 52

The Skeptics' Guide to EM

OCTOBER 7, 2017

[display_podcast] Date: October 5th, 2017 Reference: Brison et al. Steve completed his Sport Medicine fellowship training with the Fowler Kennedy Sport Medicine Clinic in 2017. display_podcast] Date: October 5th, 2017 Reference: Brison et al. He is Ottawa Ankle Rule positive but the x-ray shows no fracture. BMJ Nov 2016.

Urgent Care 40

Urgent Care Emergency Department Fractures Wellness 40

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

Advanced Emergency Nursing from AENJ

MAY 14, 2017

Fractures and dislocations that are being reduced can produce a snap or click as the parts mesh again. Even the electrocautery pen can induce a little sizzle as it cauterizes or as it perforates a nail with a subungual hematoma.

Dislocations 40

Dislocations Emergency Nursing Seizures Fractures 40

EMDocs

NOVEMBER 4, 2024

million patient complaints in 2017, making it the second most common ED complaint. Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Acad Emerg Med.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

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 63

Fractures Resuscitation Operations EMS 63

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. Oxford UK: John Wiley and Sons; 2017. C suggests taking a ‘worst first’ approach to forming your differential and guiding your workup.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

ACEP Now

MARCH 11, 2025

Musculoskeletal complications include osteopenia with increased risk for long bone fractures. London: National Institute for Health and Care Excellence (NICE); 2017 May. Pulmonary complications include pneumothorax and pneumomediastinum. 12 Physical exam may provide important clues to the presence of an eating disorders.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83