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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. Orenstein JB, Klein BL, Gotschall CS, Ochsenschlager DW, Klatzko MD, Eichelberger MR. Age and outcome in pediatric cervical spine injury: 11-year experience. References Coleman-Satterfield, TT. 5 th Edition.

Shock 304
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SGEM#250: Scribes – I Want to Break Free (from the EMR)

The Skeptics' Guide to EM

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University.

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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. Published 2019 Dec 3. Can Respir J. 2019;2019:5271982.

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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. US : under studied but not routinely recommended A 2019 study evaluating use of US in cadavers found a sensitivity of 65% and specificity of 75%. 2019 Sep;57(3):362-366. 2019 Jun;23(2):59-61.

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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. 2019 Dec;38(6):695-696]. Figure 2: Open book pelvic fracture. Note the significant diastasis of the pubic symphysis. Radiopaedia.org.