EMDocs

MARCH 9, 2025

2020 Jun;8(6):e19.00202-e19.00202. A) Factor VIII deficiency B) Hereditary spherocytosis C) Recently reduced closed long bone fracture D) Sickle cell disease Correct answer: D Osteomyelitis is a bacterial infection of the bone typically caused by hematogenous spread of a bloodborne bacteria. C) is seen in 76.3% CRP >1.0

Pediatrics 52

Pediatrics EMS Infectious Diseases Fractures 52

JournalFeed

DECEMBER 26, 2020

It’s the JournalFeed Podcast for the week of Dec 21-25, 2020. We cover the pros and cons of NSAIDs for adult fractures, the accuracy of COVID-19 antibody testing, angiotensin II for refractory shock, and a Merry Christmas song!

Fractures 52

Fractures Shock 52

EMDocs

MARCH 30, 2024

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

EMS Fractures Emergency Department Dislocations 104

JournalFeed

MARCH 28, 2020

Here is the JournalFeed Podcast for the week of March 23-27, 2020. We cover cast vs walking boot for Achilles tendon rupture; treating toddler's fracture - boot, cast, or nothing; digital distractors for painful pediatric procedures; WEST’s c-spine clearance algorithm; and RAFF2 - drug-shock or just shock a-fib.

Shock 52

Shock Fractures Pediatrics 52

The Skeptics' Guide to EM

MARCH 27, 2021

He has a passion for FOAMed and is the creator of the […] The post SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures first appeared on The Skeptics Guide to Emergency Medicine. Spirometry not pain level predicts outcomes in geriatric patients with isolated rib fractures.

Fractures 40

Fractures Outcomes Hospitals Emergency Department 40

Emergency Medicine Journal

NOVEMBER 28, 2023

Background There is a high rate of surgical fixation of displaced Colles’ type distal radial wrist fractures despite fracture manipulation in the ED. Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

RebelEM

FEBRUARY 24, 2025

just be careful with pelvic fractures or any femoral arterial punctures/ devices. Nov 2020; PMID: 33140173 Hanson J, et al. There is evidence that pulmonary artery wedge pressures and central venous pressures fail to predict response to volume infusion. This has a pooled sensitivity of 89% and specificity of 91%.just Malar J.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

JournalFeed

JULY 25, 2020

Here is the JournalFeed Podcast for the week of July 20-24, 2020. We cover norepinephrine and the immune response, ondansetron and pediatric bouncebacks, scaphoid fractures, geriatric rib fractures, and pediatric bradycardia with poor perfusion vs PEA.

Fractures 52

Fractures Pediatrics 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background During closed reduction of displaced distal radius fractures, physical examination is used to determine the need for further manipulation before radiographic confirmation and cast application. In total, 105 patients were randomised to standard treatment and 106 patients to PoCUS-guided fracture reduction. to 6.45).

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

JournalFeed

JULY 11, 2020

Here is the JournalFeed Podcast for the week of July 6-10, 2020. We cover awake proning; PPE works; NSAIDs, COX-2 and fracture non-union; CAR-T for the ED; and penetrating trauma to the cardiac box.

PPE 52

PPE Fractures 52

JournalFeed

JUNE 13, 2020

Here is the JournalFeed Podcast for the week of June 8-12, 2020. We cover false negative SARS-CoV-2, overdoing pediatric radius fracture reduction, crystalloid harm for pediatric hemorrhage, hyperangulated vs. standard-geometry laryngoscopy, and early ECG warning of RV strain prior to PEA/asystole.

EKG/ECG 52

EKG/ECG Fractures Pediatrics 52

JournalFeed

OCTOBER 31, 2020

It’s the JournalFeed Podcast for the week of Oct 26-30, 2020. We cover influenza and COVID-19 co-infection, best tests for septic arthritis, EAST AF-NET4 early rhythm control for atrial fibrillation, what fractures at what ages should increase concern for child abuse, and a trial of droperidol vs. ziprasidone, vs. lorazepam for agitation.

Fractures 52

Fractures 52

EMDocs

DECEMBER 19, 2023

McGraw Hill; 2020. 2020, September 26) EM@3AM: Marine Animal Bites and Stings. Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. link] Edward OJ.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

Mind The Bleep

NOVEMBER 6, 2023

In this injury, there is a fracture of the orbital floor and the inferior orbital rim remains intact. The “teardrop sign” is a radiological sign of inferior orbital wall fractures in which intraorbital fat +/- inferior rectus muscle herniates through the fracture. Teardrop sign (inferior orbital wall fracture).

Fractures 52

Fractures Radiology Radiology Emergency Department 52

The Skeptics' Guide to EM

FEBRUARY 20, 2021

Myth #1: The use of non-selective NSAIDs will cause a nonunion in long bone fractures When bones break, they usually heal with either surgical or non-surgical management. Non-union is defined as “a failure of the fracture-healing process” and occurs in up to 1 in 10 fractures. J Bone Joint Surg Am.

Fractures 52

Fractures Outcomes Hospitals 52

Taming the SRU

JANUARY 10, 2024

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

EKG/ECG Shock Fractures Dislocations 93

Taming the SRU

OCTOBER 1, 2023

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. Ann Emerg Med.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Sensible Medicine

NOVEMBER 21, 2023

Like Dr. Järvinen’s piece on the prevention of fractures in older people published here a couple of weeks ago, his submission highlights how difficult it can be to express opinions that challenge mainstream thinking these days. The text of Reede’s lecture and my comment were published in the ACS Bulletin March 2019.

Leadership 128

Leadership Fractures Wellness 128

RebelEM

MAY 25, 2023

Pelvic Fracture A score ≥2 present, consider MTP Clinical Take Home Point: Use of balanced transfusion (including PRBCs and clotting factors) helps avoid dilutional coagulopathy WHOLE BLOOD VS COMPONENT THERAPY Kronstedt S et al. Intensive Care Med 2020. [13] Intensive Care Med 2020. PMID: 25991760 Badsaas-Aasen K et al.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

RebelEM

APRIL 29, 2024

Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation. Resuscitation. 2012 PMID: 21893125. 9 Zhang W et al. Medicine (Baltimore). PMID: 33350794 10 Meilandt C. Resusc Plus.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

ALiEM

FEBRUARY 28, 2024

The American Medical Association (AMA) Manual of Style released its 11th edition in 2020. Both bone forearm fracture with dorsal displacement AP. Oxford University Press, 2020. We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. Video Title. Publication Title.

Radiology 52

Radiology Radiology Academics Fractures 52

Dr. Smith's ECG Blog

APRIL 18, 2024

The ECG is just a test: a Bayesian approach to acute coronary occlusion If a patient with a recent femur fracture has sudden onset of pleuritic chest pain, shortness of breath, and hemoptysis, the D-dimer doesn’t matter: the patient’s pre-test likelihood for PE is so high that they need a CT. But does this matter?

EKG/ECG 122

EKG/ECG Documentation/Coding Fractures Emergency Department 122

EMDocs

JUNE 8, 2024

Orbital wall fractures: palpate bony structures surrounding the eye, check extra ocular muscle movements to rule out entrapment, obtain CT imaging if suspected [7]. McGraw Hill, 2020. Complications : injuries to assess for when evaluating a patient with suspected traumatic iritis. High risk of re-bleeding and vision loss [7].

EMS 96

EMS Allergic Reactions Poisoning Emergency Department 96

ACEP Now

OCTOBER 30, 2023

Remove all braces, prosthetics, and clothing, check the undersurfaces and intertriginous areas, look for bruising or fractures, evaluate all indwelling devices (tracheostomy sites, gastrostomy-jejunostomy tubes, foleys, peripherally-inserted central catheter lines and ports), and inspect nail beds, ears, and teeth. Accessed October 10, 2023.

Sexual Assault 98

Sexual Assault Teamwork Dehydration Outcomes 98

PEMBlog

OCTOBER 18, 2024

Orthopedic Risks: Watch for Fat Embolism DMD patients are prone to fat embolisms following fractures due to the fatty infiltration of their bone marrow. Any trauma that results in fractures should raise immediate concern for fat embolism syndrome, which can present rapidly and lead to respiratory and cardiovascular complications.

Emergency Department 52

Emergency Department Fractures Best Practices Documentation/Coding 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

The objective was to pilot new and existing measures to capture the perceived needs and expectations of young people attending ED following SH compared with those attending with suspected fractures (SFs). Methods Young people were approached to complete a questionnaire as they arrived in ED and again before they left.

Fractures 40

Fractures Research Wellness 40

ACEP Now

MAY 6, 2023

million ED visits for injuries from motor vehicle accidents (MVAs) in 2020. Clavicular and humeral fractures are more common in passengers than in drivers. Drivers frequently sustain hand, wrist, and elbow injuries, while passengers rarely have hand fractures. Click to enlarge.) Discussion There were over 2.1

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

Dr. Smith's ECG Blog

AUGUST 17, 2022

She had some fractures. The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). In this case, the ischemia is NOT OMI; it only mimics OMI because of the atrial fib.

EKG/ECG 52

EKG/ECG Fractures 52

Taming the SRU

JANUARY 1, 2024

Contraindications to placing an IO include a prior attempt at the same site, known orthopedic fracture or local hardware, overlying skin infection, and structural bone disease such as osteogenesis imperfecta (6). 2020 Aug;76(2):134–42. Bahl A, Hijazi M, Chen N-W, Lachapelle-Clavette L, Price J. Ann Emerg Med. Int J Emerg Med.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

ACEP Now

MAY 9, 2024

JHS’ chart review project, which identified 163 patients presenting to the ED with gluteal AFT complications in a 30-month period between 2020 and 2023, provides one of the most comprehensive and informative datasets on the breadth of AFT complications as they are currently being performed. Accessed March 6, 2024. Aesthet Surg J.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

Taming the SRU

JANUARY 29, 2024

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. Epub 2020 Nov 25. The remainder of the physical examination is unremarkable. Phlebology. 2021 Jun;36(5):392-400. doi: 10.1177/0268355520975581.

Emergency Department 94

Emergency Department Fractures Hospitals Operations 94

Dr. Smith's ECG Blog

JULY 3, 2020

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. It presents on the ECG as a long ST segment with resultant long QT == MY Comment by K EN G RAUER, MD ( 7/3/2020 ): == The patient in today’s case is a middle-aged woman who was brought to the ED following a motor vehicle accident.

Blood Transfusions 52

Blood Transfusions EKG/ECG Shock Fractures 52

Taming the SRU

AUGUST 30, 2023

Pneumonia A 2020 meta-analysis of 8 studies including 2,215 adults with confirmed community acquired pneumonia in different settings found PCT with a cutoff of 0.5 2020 Nov 20;99(47):e23315. Identifying serious causes of back pain: cancer, infection, fracture. J Med Virol. 2021; 93: 4358–4369. Medicine (Baltimore).

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Northwestern EM Blog

APRIL 25, 2022

X - ray : Many times, next step will be to get an X-ray to look for associated fractures. 2020; [link] Konda SR, Howard D, Davidovitch RI, Egol KA. It provides additional information about any associated fractures. It is important to note that the absence of these findings does not rule out a traumatic arthrotomy.

Soft Tissue Injuries 52

Soft Tissue Injuries Fractures Sepsis Documentation/Coding 52

Taming the SRU

NOVEMBER 14, 2023

A thorough trauma history and physical exam should be performed including evaluation for bony fracture in the surrounding structures of the face. You can also refer to Taming the SRU’s Mastering Minor Care post by Dr. Ijaz from 2020 for the review of auricular ring blocks, hematoma evacuation, and techniques to prevent re-accumulation.

Emergency Department 94

Emergency Department Pediatrics Wellness Fractures 94

Taming the SRU

FEBRUARY 5, 2024

Pay close attention to the head and cervical spine for evidence of injuries that necessitate imaging, such as midline spinal tenderness and/or signs of basilar skull fracture (Table 3). 4, 2020, pp. Assessment of mental status is also critical in the concussed patient. Annals of Emergency Medicine , vol. 5, 2023, pp. 3, 2019, pp.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

RebelEM

JANUARY 30, 2023

vs. 91.4%; RR 0.93; 95% CI 0.86–1.01, 1.01, I2 = 69%, low certainty) Fewer adverse events occurred in the IAL group compared to the PSA group. vs. 20.8%; RR 0.16; 95% CI 0.07–0.33, 0.33, I2 = 0, moderate certainty) Mean ED length of stay was signifficantly shorter in the IAL group compared to the PSA group. vs. 91.4%; RR 0.93; 95% CI 0.86–1.01,

Dislocations 58

Dislocations Emergency Department Outcomes Research 58