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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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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. 2018 Oct;14(2):47-54. Epub 2018 Oct 31. Orenstein JB, Klein BL, Gotschall CS, Ochsenschlager DW, Klatzko MD, Eichelberger MR. Age and outcome in pediatric cervical spine injury: 11-year experience. This leads to descending sympathetic tracts being disrupted.

Shock 304
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Grand Rounds Recap 1.3.24

Taming the SRU

Additionally, ED boarding is a now a larger factor than in 2018. 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.

EKG/ECG 93
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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 94
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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. 2018 Jun;39(6):736-740. 2018 Jun;39(6):736-740. Sensitivity of the Saline Load Test for Traumatic Arthrotomy of the Ankle With Ankle Arthroscopy Simulation. Foot Ankle Int. PMID: 29457483. Bohl DD, et al.

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

EMDocs

Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Management and outcomes of open pelvic fractures: An update. Published October 9, 2018. Figure 2: Open book pelvic fracture. Note the significant diastasis of the pubic symphysis. Radiopaedia.org.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.