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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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Case Report: a High-Voltage Victim

ACEP Now

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia. 2018 Nov;20(11):1-20.

Burns 52
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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 Pain is the most common reason for presentation in the early post operative period. 5-7 Dislocation rate as high as 28% in revision THA. 10% of patients.

EMS 94
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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Common operator errors Failing to enter joint capsule before injecting STS. 2018 Jun;39(6):736-740. 2018 Jun;39(6):736-740. When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out. Not injecting enough STS into the joint. Foot Ankle Int.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. Figure 2: Open book pelvic fracture.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation [Image 2]. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology.