Remove 2020 Remove Fractures Remove Wellness
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Tibial Tubercle Avulsion Fracture

Pediatric EM Morsels

We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ). Has undergone many modifications as well to include up to 5 types.

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Pelvic Fracture Intervention And Venous Thromboembolism Risk

The Trauma Pro

Earlier this year, I wrote a series of posts on the two commonly used pelvic fracture interventions: preperitoneal packing (PPP) and angioembolization (AE). Patients with pelvic fractures are already at high risk for it. Authors from several well-known trauma centers collaborated to re-analyze data from the CLOTT study.

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Proning for ARDS

Northwestern EM Blog

In this study, they found that prone positioning resulted in significant improvement in oxygenation, as well as a 50% decrease in mortality at 28 days (Guerin et. This leads to hyperinflation of anterior alveoli and increased atelectasis in the posterior alveoli (Maley, 2020; Malhotra, 2022).

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Serratus Anterior Plane Blocks for Rib Fractures in the ED

Taming the SRU

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. Ultrasound Med. 41, 2695–2701 (2022). Why do we care? SD 3.28) and 6.5,

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EM@3AM: Pediatric Osteomyelitis

EMDocs

Well keep it short, while you keep that EM brain sharp. 2020 Jun;8(6):e19.00202-e19.00202. Infectious disease expertise is useful as the optimum duration of treatment is not well established. A 2-year-old female with a past medical history of failure to thrive presents to the ED with her mother for evaluation of right arm pain.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Well, the established cutoff for the distensibility index is 18%. just be careful with pelvic fractures or any femoral arterial punctures/ devices. Nov 2020; PMID: 33140173 Hanson J, et al. Why does it matter? A cutoff of 18% has a positive predictive value (PPV) of 92% and NPV of 90% for fluid responsiveness. Malar J.

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SGEM#324: Blow Away, Blow Away, Blow Away – Spirometry for Discharging Older Patients with Rib Fractures

The Skeptics' Guide to EM

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.