Don't Forget the Bubbles

NOVEMBER 11, 2024

His CT scan showed extensive cranial fractures, traumatic subarachnoid haemorrhage, and intraparenchymal haemorrhage. in a 2023 systematic review and meta-analysis. Treasure Island (FL): StatPearls Publishing; June 25, 2023. 2023; 173:158-166.e2. At the scene, his lowest GCS was 5 (E1V2M2). Kochanek et al.

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. Serratus Anterior Plane Blocks for Rib Fractures in the ED.

Fractures 98

Fractures Ultrasounds Research Outcomes 98

Mount Sinai EM

JANUARY 11, 2023

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

Radiology Radiology Fractures Dislocations 130

Don't Forget the Bubbles

MAY 17, 2023

2023 Apr 17. 2023 Apr 25;329(16):1386-1398. 2023 Apr 29. 2023 Apr 24. 2023 Apr 12. 2023 Apr 28. 2023 Apr 25. 2023 Apr 25. 2023 Apr 25. 2023 Apr 24. 2023 Apr 18:S0890-8567(23)00185-5. 2023 Apr 24. 2023 Apr 21. 2023 Apr 20:fetalneonatal-2022-324835.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Pediatric EM Morsels

MARCH 31, 2023

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

Fractures Dislocations Pediatrics Radiology 130

EMDocs

JUNE 24, 2023

2023 Mar-Apr;21(2):172-179. 2: Can We Predict Occult Scaphoid Fracture on Exam? Spoon Feed In a meta-analysis of 1,685 patients with suspected scaphoid fracture after negative plain radiographs, no clinical feature adequately rules out occult fracture. Source Which clinical features best predict occult scaphoid fractures?

Dehydration 98

Dehydration Fractures CDC Pediatrics 98

The Skeptics' Guide to EM

DECEMBER 30, 2023

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

Hospitals Emergency Department Fractures Dislocations 111

Board Bombs

NOVEMBER 19, 2023

Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. November 20th, 2023. Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football.

Fractures 52

Fractures 52

Board Bombs

NOVEMBER 19, 2023

Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. November 20th, 2023. Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football.

Fractures 52

Fractures 52

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

EMDocs

MARCH 2, 2024

A 3 cm scalp laceration is noted, and a CT scan of the head shows a linear nondepressed skull fracture in the area of the laceration without evidence of intracranial hemorrhage. This is considered an open fracture. Patients with open skull fractures should be evaluated by neurosurgery and admitted for observation.

EMS 119

EMS Fractures Seizures Head Injuries 119

The Trauma Pro

SEPTEMBER 12, 2023

AAST 2023 Plenary Paper 3. Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture. N Engl J Med 2023; 388:203-213.

Fractures 113

Fractures Head Injuries Research Outcomes 113

EMDocs

AUGUST 12, 2023

Accessed June 24, 2023. Treasure Island (FL): StatPearls Publishing; February 5, 2023. Accessed June 10, 2023. January 29, 2023) Isolated Flexor Digitorum Profundus Injuries in Flexor Zone II of the Hand: A Report of Five Cases. The value of ultrasound for detecting hand fractures: A meta-analysis. In: StatPearls.

EMS 96

EMS Fractures Operations Ultrasounds 96

Dr. Smith's ECG Blog

AUGUST 18, 2024

The patient was found to have a fractured lead, which was replaced successfully without complications and with resolution of symptoms. No P wave and no QRS ever follows any of the regular pacing spikes ( a result of the fractured pacing lead ). He did well. Smith: this can usually be seen on chest x-ray.

EKG/ECG 110

EKG/ECG Fractures Burns Wellness 110

Broome Docs

APRIL 6, 2023

2023 Jan 21. 2023 Feb;64:206.e1-206.e3. 2023 Jan 30. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. 2023 Jan 13;76(2):185-191. 2023 Feb 03;: PMID: 36367144 Justin’s excellent critical appraisal and Full write up here. 2022.21805.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

ALiEM

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. 2023 Aug 1;89(2):231. 2023 [book].

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

Pediatric EM Morsels

JUNE 16, 2023

Available at: [link] (Accessed: 12 June 2023). Available at: [link] (Accessed: 12 June 2023). Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Arch Gen Med. 1863;1:20-38, 172-200, 300-332 Sharareh, B. and Taylor, B. 2021) Morel-Lavallee lesion , Orthobullets.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

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

EMS 105

EMS Fractures Emergency Department Dislocations 105

RebelEM

FEBRUARY 24, 2025

just be careful with pelvic fractures or any femoral arterial punctures/ devices. Mar 2023; PMID: 36983218 Feissel M, et al. Apr 2023; PMID: 37009935. There is evidence that pulmonary artery wedge pressures and central venous pressures fail to predict response to volume infusion. Mar 2024; D erangedphysiology.com. J Clin Med.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

First 10 EM

APRIL 10, 2023

Apparently this paper was entirely fictional (or perhaps the […] The post Research Roundup (April 2023) appeared first on First10EM. Obviously the study was satire, and did an excellent job in making us laugh, but most satire studies (like those in the Christmas edition of the BMJ) are real studies.

Research 52

Research Sepsis Fractures EMS 52

ALiEM

DECEMBER 22, 2023

The patient reported a history of falls resulting in shoulder, rib, and left hip fractures in the past. Occult femur fracture Occult fractures are defined as fractures that cannot be detected by standard radiographic examination until weeks after the injury either due to lack of displacement or limitations of the imaging study.

Fractures 64

Fractures Dislocations Academics Radiology 64

The Trauma Pro

SEPTEMBER 15, 2023

Typical ones include hemorrhagic injuries to the brain, pelvic and spine fractures, and solid organ injuries. AAST 2023, Plenary paper #23. These guidelines typically recognize specific injuries that increase the risk of bleeding if anticoagulants are given. Typically, VTE prophylaxis starts immediately upon admission.

Administration 113

Administration Fractures Wellness 113

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. Among patients with multiple rib fractures, the mortality rate can reach a staggering 33%, and this risk doubles for individuals above the age of 65. Abstract 2268 Table 1 Rib-fracture Data Set March 2022 – June 2023

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures. 2023 Jun 1;388(22):2049-2057.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. This post is part of the PEM Adventure at NEPTUNE 2023, hosted by Dani, Kat, Costas and Sarah. 2023 Jun 14. Two IVs go in, one in each antecubital fossa.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. Diagnostic accuracy of point-of-care ultrasound versus radiographic imaging for pediatric distal forearm fractures: A randomized controlled trial.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 98

EMS Ultrasounds Fractures Academics 98

RebelEM

SEPTEMBER 18, 2023

Triquetral fractures overview. Triquetral fracture – pooping duck sign. Accessed June 22, 2023. Axillary Median Radial Ulnar FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Guo RC, Cardenas JM, Wu CH. Curr Rev Musculoskelet Med. 2021;14(2):101–106. link] Skalski M. Radiopaedia website.

EMS 58

EMS Fractures 58

Taming the SRU

OCTOBER 20, 2023

October 20, 2023 Study Design A prospective study from a single ED in Belgium enrolled adults presenting to the ED within eight days after an acute injury with negative X-ray findings and a positive lever sign, Lachman test, or anterior drawer test, thus indicating clinical suspicion of ACL injury. Cite As: Glenn, C. TamingtheSRU.

Fractures 95

Fractures Dislocations Emergency Department 95

PulmCCM

FEBRUARY 8, 2024

ATS and ESICM each separately issued its own updated ARDS guideline in 2023, and SCCM did not lend its name to either. This looks like the major fracture between the two expert panels. 2023 ATS guideline on ARDS 2023 ESICM guideline on ARDS That consensus seems to have frayed over the intervening 7 years.

Research 52

Research Documentation/Coding Fractures Outcomes 52

Board Bombs

FEBRUARY 5, 2023

It's all in the hips- fractures and dislocations. February 6th, 2023. It's all in the hips- fractures and dislocations. February 6th, 2023. As Shakira says, the hips don't lie. So we've packed a lot of truthful information into this podcast. We'll set the record straight. Episode 164. As Shakira says, the hips don't lie.

Dislocations 52

Dislocations Fractures 52

Board Bombs

FEBRUARY 5, 2023

It's all in the hips- fractures and dislocations. February 6th, 2023. It's all in the hips- fractures and dislocations. February 6th, 2023. As Shakira says, the hips don't lie. So we've packed a lot of truthful information into this podcast. We'll set the record straight. Episode 164. As Shakira says, the hips don't lie.

Dislocations 52

Dislocations Fractures 52

Pediatric EM Morsels

JULY 7, 2023

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 ). Some of those causes are benign (ex, Osgood Schlatter’s Disease ) while others are scary (ex, osteosarcoma ).

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

RebelEM

AUGUST 17, 2023

A femur fracture A high-riding patella A noncompressible right femoral vein with decreased color flow on Doppler An avulsion fracture of the anterolateral tibial plateau Calcification and bone formation within the thigh muscle FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Abraham MK, Bond MC. Von Fange TJ.

EMS 52

EMS Fractures Emergency Department 52

ALiEM

SEPTEMBER 13, 2024

Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. 2023, March 23). Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Extraocular movements intact.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

ACEP Now

OCTOBER 15, 2023

Fracturing the larynx requires considerable force, and the great majority of fractures are from blunt high-velocity trauma. Is there an open neck wound or palpable cartilage fracture? Reconstructive computed tomography can assess the laryngeal framework to avoid missing laryngeal fracture and, hopefully, long-term comorbidities.

Fractures 52

Fractures Dislocations Airway Management Operations 52

Taming the SRU

NOVEMBER 27, 2023

unported, accessed Oct 2023. international, accessed Oct 2023. international, accessed oct 2023. unported, accessed oct 2023. Deep to the proximal nail fold is the nail root surrounded by the germinal matrix, which is extends proximally to the lunula and is responsible for the majority of nail growth [1]. original image.

Soft Tissue Injuries 95

Soft Tissue Injuries Emergency Department EMS Fractures 95