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Grand Rounds Recap 9.25.2024

Taming the SRU

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

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Proning for ARDS

Northwestern EM Blog

Absolute contraindications of prone positioning are severely increased intracranial pressure as positioning of the head in prone position can partially obstruct cerebral venous drainage, as well as unstable spinal fractures because the manipulation while repositioning a patient may lead to further injury (Guerin et. 2020; Koulouras et.

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. Rib fractures on CXR predict pulmonary contusions.

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Critical Care 3 – Spinal Cord Injury

EM SIM Cases

Dominique Piquette, academic Intensivist at Sunnybrook Hospital in Toronto, Ontario with updates from Dr. Sameer Sharif (Hamilton Health Sciences, Hamilton, Ontario) and Dr. Sophie Ramsden (Emergency Medicine Resident, McMaster University, Hamilton, Ontario) Why it Matters Major trauma patients sometimes decompensate after initial resuscitation.

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The Most Important Trial in Modern Cardiology

Sensible Medicine

The primary endpoint was a composite of 5 bad things: death due to cardiovascular causes, MI, unstable angina, heart failure, or resuscitated cardiac arrest. Here is what Sanjay Kaul, Andrew Foy, and I wrote in an academic review. (Which eliminates the argument that the trial enrolled patients with mild disease.) Here was the result.

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The 84th Bubble Wrap

Don't Forget the Bubbles

In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. A recent systematic review found that children with obesity at school entry are more likely to experience back pain, slipped capital femoral epiphysis or fractures during childhood.

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Grand Rounds Recap 5.3.23

Taming the SRU

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,