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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Yes, we’re talking about your clavicular , proximal humeral, supracondylar, lateral condylar , scaphoid and metacarpal fractures. Today, we want to focus on a couple of our good friends, buckle and greenstick forearm fractures. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature.

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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

His CT scan showed extensive cranial fractures, traumatic subarachnoid haemorrhage, and intraparenchymal haemorrhage. Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations. A 12-year-old boy presents with a significant head injury following a road traffic accident.

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Elder and Domestic Violence Abuse Reporting Training

American Medical Compliance

In this comprehensive Elder and Domestic Violence Abuse Reporting course, participants will learn about the different types of abuse, mandatory reporting laws, and best practices for supporting victims. This type of abuse can manifest as bruises, cuts, fractures, or even more subtle injuries that may be easily overlooked.

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Caring for Patients with Duchenne Muscular Dystrophy in the Emergency Department: A Problem-Based Approach

PEMBlog

Below are key considerations based on current best practices. Orthopedic Risks: Watch for Fat Embolism DMD patients are prone to fat embolisms following fractures due to the fatty infiltration of their bone marrow. Steroid Use and Ambulation Steroids are a mainstay in DMD management, typically starting around ages 3 to 4.

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Can We Stop (Predict) The Drop? – April No Falls Month

The Injectable Orange

In the consistent form of Injectable Orange we have a not so hidden curriculum – critical appraisal and evidence based practice. The x-ray of her left shoulder is negative for any fracture. An appropriate physical exam is performed and reveals an isolated left shoulder injury.

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Grand Rounds Recap 3.8.23

Taming the SRU

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5%

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Pediatric Pain

Pediatric Emergency Playbook

Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Long-bone injuries Fracture pain should be addressed immediately with splinting and analgesia. Am J Emerg Med. 2015 Jun;33(6):791-5.