RebelEM

JANUARY 30, 2023

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?

Dislocations 58

Dislocations Emergency Department Outcomes Research 58

Taming the SRU

JANUARY 10, 2024

Phenobarbital has been proven to be equivalent to benzodiazepines with regard to clinical, pharmacologic and utilization outcomes. 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.

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

Taming the SRU

OCTOBER 1, 2023

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Published 2020 Jul 23. Published 2020 Jan 21.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

EMDocs

NOVEMBER 16, 2024

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

EMS Dislocations Fractures Operations 94

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Curr Orthop Pract, 31 (5) (2020 Sept), pp. 2020 Sep;29(9):1869-1875. PMID: 8836059. Sleasman, et al. Konda SR, et al. J Orthop Trauma. 2013 Sep;27(9):509-14. J Emerg Med. 2019 Sep;57(3):362-366.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

EMDocs

JUNE 3, 2023

Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Management and outcomes of open pelvic fractures: An update. Published 2020 Dec 4. Published 2020 Dec 30. Figure 2: Open book pelvic fracture. Lateral compression 2 pelvic fracture.

Fractures 60

Fractures Resuscitation Operations EMS 60

Taming the SRU

MAY 22, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.

Fractures 77

Fractures Dislocations Operations Radiology 77