Remove 2022 Remove Dislocations Remove Emergency Department
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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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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). As ED physicians we often must determine whether the shoulder is fractured, dislocated, or both. TamingtheSRU.

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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?

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SGEM#381: Put Your Hand on My Shoulder and Reduce It

The Skeptics' Guide to EM

Date: October 27th, 2022 Reference: Hayashi et al. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. Date: October 27th, 2022 Reference: Hayashi et al. This makes it very useful and very susceptible being dislocated.

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Temporomandibular Joint Pathology 

Mind The Bleep

If there is no improvement in 6-8 weeks in primary care, an unclear diagnosis, severe dysfunction, a history of trauma, markedly reduced mouth opening, locking of the jaw or recurrent dislocations the patient should be referred to OMFS. TMJ dislocation TMJ dislocation is a common presentation to Emergency Departments.

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Grand Rounds Recap 1.3.24

Taming the SRU

89% agree that violence in the emergency department has harmed patient care. None of the physicians in the study believe that the rate of violence has decreased at all. Additionally, ED boarding is a now a larger factor than in 2018.

EKG/ECG 93
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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed. J Emerg Med. Diagnosis includes imaging.

EMS 105