Remove 2020 Remove Dislocations Remove Fractures
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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: Thoracic and Lumbar Spine Trauma

EMDocs

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. 10 Spinal Fracture Classification 11 There are multiple different classification systems available. Spine fracture. Published 2020 Jul 29. September 30, 2017.

EMS 104
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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.

EKG/ECG 93
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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. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. Published 2020 Jul 23. Published 2020 Jan 21. doi:10.1183/13993003.03375-2020 Light RW. Cochrane Database Syst Rev.

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Basics of eye trauma with emergency pathologies

Mind The Bleep

Importance: the medial wall is thin and most easily fractured. 2020) Red Eye. Bony orbit Seven bones form the lateral and medial walls, orbital roof and floor. Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. Mind the Bleep.

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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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EM @3AM: Phalanx Dislocation

EMDocs

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%