Taming the SRU

MARCH 11, 2024

A careful skin examination is needed to assess for wounds suggestive of an open fracture or traumatic arthrotomy, skin necrosis, or any dimpling or puckering of the skin, as these can indicate an irreducible dislocation that must be reduced in the operating room. mri images from inpatient visit, pulled from ucmc pacs. JBJS Reviews.

Dislocations 107

Dislocations Emergency Department Fractures Operations 107

EMDocs

AUGUST 12, 2023

Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. Inoculation usually occurs by penetrating injury , which seeds the tendon sheath. Unrecognized or persistent infection can lead to necrosis of the tendon. There are no extensor tendon sheaths (A) in the hand.

EMS 70

EMS Fractures Operations Ultrasounds 70

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. RICE), and symptomatic management (e.g.,

Fractures 57

Fractures Dislocations Operations EMS 57

EMDocs

SEPTEMBER 9, 2023

Accessed June 24, 2023. Accessed June 8, 2023. Accessed June 6, 2023. Rosh Review Website Link References Park CW, Juliano ML, Woodhall D. Tendon Lacerations. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. link] Dy CJ, Rosenblatt L, Lee SK. 2013;29(2):261-268. Dec 21, 2022.

EMS 78

EMS Fractures Soft Tissue Injuries Ultrasounds 78

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 54

Fractures Resuscitation Operations EMS 54

ALiEM

SEPTEMBER 13, 2024

Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. An emergent ophthalmology consult is needed to plan for operative repair. 2023, March 23). Visual acuity: able to count fingers. Extraocular movements intact. Ocular pressure deferred. 1 mm superior eyelid laceration. The globes are grossly unremarkable.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. Healthcare. Resusc Plus.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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

ACEP Now

FEBRUARY 11, 2024

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. The clinician should note the fracture site (either via palpable landmark or ultrasound visualization). Click to enlarge.) for the ED clinician.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Don't Forget the Bubbles

OCTOBER 10, 2024

2023 Mar 30;110(4):432-438. The study excluded complex nail bed injuries, including those with distal phalanx fractures, germinal matrix injury or pulp lacerations, meaning outcomes are only relevant to simple nail bed injuries. 2024 Jul 10:archdischild-2023-326727. doi: 10.1136/archdischild-2023-326727. Arch Dis Child.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. Date: March 22, 2023 Reference: Hilsden et al. Do they need surgery, an ERCP or just analgesia and non-operative care? Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. He is also now a fully-fledged “sonologist”.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Mind The Bleep

SEPTEMBER 17, 2024

Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture. Comorbidities Diabetes and immunosuppression increase infection risk and severity 11. Regular medications.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

ACEP Now

MARCH 14, 2024

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Taming the SRU

AUGUST 30, 2023

Specific Evidence: Septic arthritis: According to the European Journal of Bone and Joint Infection’s 2023 guidelines for septic arthritis of native joints (SANJO), no blood tests have adequate sensitivity or specificity to either diagnose or exclude SANJO. 2023 Feb 2;388(5):439-452. Updated 2023 Apr 24]. 2023 Jul 10.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

Sensible Medicine

MARCH 14, 2024

These suspicions are not baseless as a 2023 Elsevier survey suggests a majority of trainees are struggling to imagine themselves shouldering a career in direct patient care. Gen X and Baby Boomers are questioning not only the younger generation’s commitment to medicine but also their confidence in medical training.

Hospitals 73

Hospitals Wellness Fractures Academics 73

Mind The Bleep

OCTOBER 17, 2024

Scottish Mountain Rescue (SMR) is an umbrella organisation, with teams the final decider of how they operate. Official statistics from 2023 from SMR tell us the majority of our callouts are trauma, with lower leg and ankle injuries accounting for 57% of callouts.

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 76

EMS Dislocations Fractures Operations 76

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

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. 2023 Aug 1;89(2):231.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

EMDocs

SEPTEMBER 21, 2024

7 See ALiEM for guide on this procedure Always obtain post-reduction imaging to evaluate for any underlying fractures and test for any joint, ligament or tendon injuries PIP dorsal : Apply traction, then hyperextend at the PIP joint while the other hand applies dorsal pressure to the proximal phalanx.

Dislocations 75

Dislocations EMS Fractures Operations 75

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Kidney transplant recipients are at higher risk of rickets and fractures. (13)

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. Batheja, V.;

Stroke 87

Stroke Radiology Radiology Emergency Department 87