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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

Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). Mechanism of dislocation : [ Horan, 2006 ] Typically, the injury occurs when: The Knee is in Flexion and The Foot is rotated and plantar flexed.

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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. 5 th Edition.

Shock 304
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The Ankle Radiograph

Mount Sinai EM

Accessed January 04, 2023. Reference article, Radiopaedia.org (Accessed on 04 Jan 2023) [link] Gorton S, Jones J, Bell D, et al. Reference article, Radiopaedia.org (Accessed on 04 Jan 2023) [link] Gorton S, Jones J, Bell D, et al. Reference article, Radiopaedia.org (Accessed on 04 Jan 2023) [link] Gorton S, Bell D, Er A, et al.

Radiology 130
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Pseudosubluxation: Rebaked Morsel

Pediatric EM Morsels

Loss of cervical lordosis Concerning mechanism Remember: CT will help identify bony injury, however MRI is the better test to assess for ligamentous injury as well as spinal cord injury Below is an example of a Hangman’s Fracture (See Cervical Spine Fractures ). 2023 Feb 4;38:102122. Moral of the Morsel You eyes may deceive you!

Fractures 130
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SGEM#424: Ooh-Ooh, I Can’t Wait – To Be Admitted to Hospital

The Skeptics' Guide to EM

Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Suspecting an occult fracture, you consult Orthopedic surgery for admission, but they wanted to wait for the CT the next day.

Hospitals 111
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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

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. Accessed June 23, 2023. September 30, 2017.

EMS 105