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Shoulder Dislocation on Ultrasound

Cook County EM Blog

You suspect a shoulder dislocation. So, you reach for your ultrasound… Why It Matters : Shoulder dislocations are a common presentation to the emergency department and account for approximately 200,000 visits annually [1]. Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A Prospective Cohort. Epub 2020 Feb 25.

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Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

RebelEM

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PMID: 36181665 Clinical Question: In patients with acute anterior shoulder dislocations, how does IAL compare to PSA for closed reduction?

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ACEP Opioid | PERT and COVID | SMART for Sepsis | AHA Rx-Induced Rhythm | POCUS Shoulder Dislocation

JournalFeed

28- Oct 2, 2020. We cover the new ACEP opioid policy statement, PE response teams during COVID-19, a SMART balanced fluid trial spin-off in septic shock, an AHA statement on drug-induced arrhythmia, and use of POCUS for shoulder dislocation. It’s the JournalFeed Podcast for the week of Sept.

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Corneal Abrasion Pain | Peripheral & Personalized Pressors | PE & Arrest | Intra-articular Lidocaine

JournalFeed

It’s the JournalFeed Podcast for the week of Dec 7-11, 2020. We cover tetracaine for corneal abrasion, peripheral vasopressor safety, personalized vasopressor management, cardiac arrest survival with PE, and intra-articular lidocaine for shoulder dislocation.

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Grand Rounds Recap 1.3.24

Taming the SRU

Physicians believe the biggest factors contributing to ED violence are a lack of adequate punitive consequences toward the attacker and the absence of adequate protective mechanisms for staff. Additionally, ED boarding is a now a larger factor than in 2018.

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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Published 2020 Jul 29. Orthop Traumatol Surg Res. 2015;101(1 Suppl):S31-S40. doi:10.1016/j.otsr.2014.06.024 2014.06.024 Kumar S, Kumar P, Patralekh MK, Srinivasan R, Agarwal A, Boruah T. Spinal Cord Ser Cases.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Published 2020 Jul 23. Published 2020 Jan 21. doi:10.1183/13993003.03375-2020 Light RW. Published 2020 Mar 16. Cochrane Database Syst Rev. 2020;7(7):CD013031. doi:10.1002/14651858.CD013031.pub2 Ann Emerg Med. 2014;64(3):222-228.