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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 Pain is the most common reason for presentation in the early post operative period. 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%

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Common operator errors Failing to enter joint capsule before injecting STS. Curr Orthop Pract, 31 (5) (2020 Sept), pp. 2020 Sep;29(9):1869-1875. When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out. PMID: 8836059. Sleasman, et al.

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

EMDocs

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. Figure 2: Open book pelvic fracture.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

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.

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Upper Limb Arterial and Nerve Injuries: An Introductory Guide

Mind The Bleep

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.