ALiEM

MARCH 1, 2024

Case Discussion Take-Home Points Whenever you have a two-pupil phenomenon consistent with traumatic iridodialysis, the differential should always include penetrating injury to the globe, globe rupture, scleral rupture, hyphema, and lens dislocation. McGraw Hill; 2021. References Knoop KJ, Palma JK. Iridodialysis. link] Gurwood AS.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

Taming the SRU

JANUARY 10, 2024

(ACEP, 2022 available at [link] ) In 2020, the Bureau of Labor Statistics found that health care workers make up for more than three quarters of all workplace violence nationwide, and are almost four times more likely to suffer a serious injury from workplace violence than workers in any other workplace setting Rates of violence against healthcare (..)

EKG/ECG 94

EKG/ECG Shock Fractures Dislocations 94

Don't Forget the Bubbles

FEBRUARY 21, 2024

NICE Guideline NG194 from 2021 covers in fine detail what should be done. If the hip is unstable, the femoral head will slip out of the acetabulum, producing the palpable sensation of the hip dislocating. Ortolani’s Test Used to confirm the hip dislocation. If the hip is dislocatable, then Barlow’s test is positive.

Dislocations 52

Dislocations Wellness Hospitals 52

Mind The Bleep

NOVEMBER 6, 2023

2021 Key aspects of management: Check eye pressure if confident and open globe injury ruled out (see information above) Shield the eye Raise the head of the bed to allow the blood to drain If the patient has a bleeding disorder, sickle cell disease or is anticoagulated discuss with haematology Analgesia – topical (0.5% 2021) Hyphema.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

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 98

EMS Dislocations Fractures Operations 98

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Published 2021 Jun 24. Penetrating wounds may allow air to flow into the pleural space from outside the body or from internal disruption of the visceral pleura. Respir Med. 1998;92(5):757-761. Eur Respir J. 2021;57(6):2003375. Respirology.

Fractures 97

Fractures COPD Hospitals Emergency Department 97

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. 2021 Aug 05;21:101558]. Assessment of pelvic stability with lateral and anterior compression should be done a maximum of one time so as to not exacerbate damage from the injury. 2023;158(1):63-71.

Fractures 65

Fractures Resuscitation Operations EMS 65

Taming the SRU

MAY 22, 2023

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.

Fractures 78

Fractures Dislocations Operations Radiology 78

Broome Docs

APRIL 30, 2024

A new technique for reduction of a posteriorly dislocated hip joint. 2021 Oct;38(10):446-448. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. 0000000000003554. PMID: 35343931 Zwank MD, Kumasaka PG. Am J Emerg Med. 2023 Feb 8:S0735-6757(23)00066-9. doi: 10.1016/j.ajem.2023.01.053. 2023.01.053.

Poisoning 69

Poisoning Dislocations Operations Ultrasounds 69

EMDocs

NOVEMBER 6, 2024

Published August 17, 2021. Temporomandibular dislocation: a complication of tetanus. tetani infection is also indicated. Case fatality of adult tetanus in Africa: Systematic review and meta-analysis. J Neurol Sci. 2016;368:292-299. doi:10.1016/j.jns.2016.07.025 2016.07.025 Pinkbook: Tetanus | CDC. Accessed April 27, 2022.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98