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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.
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?
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.
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.
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.
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.
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.
2020) Red Eye. Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. < [link] Huffman (2022) What is hyphema? American Academy of Ophthalmology. Mind the Bleep. Accessed on 27.09.22 < [link] > Lippincott. Moran Core.
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.
Answer : Proximal interphalangeal joint dislocation Epidemiology: Phalanx dislocations are common hand injuries that can occur at the proximal interphalangeal (PIP) joint or distal interphalangeal (DIP) joint 1 Dorsal PIP joint dislocation is the most common 1 Highest occurrence in males versus females (78.8%
Date: March 27th, 2020 Reference: Secko et al. Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort. Ann Emerg Med Feb 2020 Guest Skeptic: Dr. Tony Zitek is an Emergency Medicine physician in Miami, Florida. Date: March 27th, 2020 Reference: Secko et al. Reference: Secko et al.
Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Published 2020 Dec 4. Published 2020 Dec 30. Examples of radiographs indicative of pelvic fractures that EM physicians should be familiar with are below in Figures 2, 3, and 4. 2022;92(4):723-728.
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.
Upper limb fractures and dislocations can lead to associated arterial and nerve damage. First aid such as irrigation, tourniquet use, reduction and splinting of fractures/dislocations. Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain.
Temporomandibular dislocation: a complication of tetanus. 2020-0841 Lin TS, Chen LK, Lin TY, Wen SH, Chen MC, Jan RH. tetani infection is also indicated. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(4):437-441. doi:10.1016/j.tripleo.2005.04.013 2005.04.013 Alfery DD, Rauscher LA. Tetanus: a review. Crit Care Med.
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