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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

This one can be thought of as being akin to the radial head subluxation (ie, Nursemaid’s Elbow) of the knee – Proximal Tibiofibular Joint Dislocation : Proximal Tibiofibular Joint Dislocation in Children: Basics Proximal Tibiofibular Joint (PTF) dislocations are relatively rare. MANAGE PAIN!

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Sound Waves for Shoulder Dislocations

Taming the SRU

Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). 39, 655–661 (2022). BACKGROUND Shoulder injury and dislocations are common reasons for patients to present to the emergency department (ED) for evaluation.

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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. Updated 2022 Feb 10]. Updated 2022 Mar 3]. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. This leads to descending sympathetic tracts being disrupted. 5 th Edition. 5 th Edition.

Shock 304
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Lisfranc Injury

Mount Sinai EM

Illustration by Yvonne Chow The Lisfranc Injury The lisfranc injury is any disruption of the joint and is a spectrum including ligamentous injury, dislocations and fractures. High energy mechanisms, such as MVCs or falls, are more likely to cause fracture-dislocations. Normal Lisfranc joint and ligament. Lisfranc injury.

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Back Braces: Are They Really Needed?

The Trauma Pro

Int J Burns Trauma 12(4):168-174, 2022. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study. J Clin Neurosci 45:33-39, 2017. Evaluation of postoperative bracing on unstable traumatic lumbar fractures after pedicle screw fixation. NCT03097081.

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Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

RebelEM

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?