RebelEM

JANUARY 30, 2023

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?

Dislocations 58

Dislocations Emergency Department Outcomes Research 58

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. The spinal canal houses the spinal cord. J Emerg Med.

EMS 105

EMS Fractures Emergency Department Dislocations 105

Taming the SRU

OCTOBER 20, 2023

142, 1979–1983 (2022). Guiraud, K. Higher sensitivity with the lever sign test for diagnosis of anterior cruciate ligament rupture in the emergency department. Trauma Surg. Clinical Question: Does the lever sign provide improved sensitivity to the diagnosis of acute ACL tear in the ED?

Fractures 95

Fractures Dislocations Emergency Department 95

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

The Skeptics' Guide to EM

MARCH 25, 2023

Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

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]. Treasure Island (FL): StatPearls Publishing; November 28, 2022. doi:10.1136/thorax-2022-219784 Chee CB, Abisheganaden J, Yeo JK, et al.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Mind The Bleep

NOVEMBER 6, 2023

Importance: the medial wall is thin and most easily fractured. RAPD Figure 3 – Stanford Medicine 2022 RAPD is a sign where pupils react differently when light is shone into one eye at a time using the swinging flashlight test. Accessed 11.10.22 < [link] > Gardiner (2022) Overview of eye injuries in the emergency department.

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

Life in the Fast Lane

DECEMBER 10, 2023

Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries. Pediatric Orthopedic case interpretation with Haley Dusek, Danielle Sutton, and Virginia Casey

Pediatrics 52

Pediatrics Dislocations Radiology Radiology 52

ACEP Now

MARCH 14, 2024

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. An unstable patient who is altered or with tenuous vital signs should consider trauma and cardiac causes. His ECG was unremarkable. Am J Emerg Med. 2008;26(4):413-418.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 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

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 66

Fractures Resuscitation Operations EMS 66

EMDocs

JUNE 21, 2023

Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. 2022 Jan 21;54:41-45. The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds. Am J Emerg Med.

Soft Tissue Injuries 96

Soft Tissue Injuries Fractures Dislocations Radiology 96

RebelEM

MAY 22, 2023

For instance, while pain resulting from extremity fractures and dislocations can often be relieved after reduction and splinting, abdominal pain poses a more elusive and complex scenario involving multiple contributing factors. Published online 2022:339-355. References: Montandon G. PMID: 35965031 Acetaminophen.

Emergency Department 94

Emergency Department Administration Dislocations Hospitals 94

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

MAY 23, 2023

fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Stress fractures are caused by repetitive microtrauma and stress on the bone, and therefore present with more subacute or chronic symptoms. Gross deformities often suggest fracture or dislocation. Range all joints.

Fractures 57

Fractures Dislocations Operations EMS 57

EMDocs

NOVEMBER 6, 2024

StatPearls Publishing; 2022. Accessed April 27, 2022. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Accessed April 27, 2022. Temporomandibular dislocation: a complication of tetanus. Accessed April 27, 2022. In: StatPearls.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98