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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 27-year-old man was brought into the emergency department via EMS after being stabbed. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Published 2020 Jul 29. Diagnosis includes imaging.

EMS 104
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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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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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% 10% of patients.

EMS 94
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EM @3AM: Phalanx Dislocation

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 17-year-old right hand dominant male with no past medical history comes in complaining that he broke his right finger after being tackled at football practice. He has full ROM at the wrist, elbow, and shoulder. What is the diagnosis?

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

EMDocs

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Published 2020 Dec 4. C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. 2020 Apr 15;28(8):309-315.

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ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

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.