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Back Braces: Are They Really Needed?

The Trauma Pro

Many vertebral fractures can be treated non-operatively. So I would like to concentrate on some papers that examined the use of back braces on patients who underwent pedicle screw fixation of their thoracic and/or lumbar spine fractures. Int J Burns Trauma 12(4):168-174, 2022. First, the reviews. NCT03097081.

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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Grand Rounds 5.8.24

Taming the SRU

For mid-shaft femur fractures, traction appears to may reduce blood loss and pulmonary complications, but the available data is very scarce.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

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.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. You more often will see vertebral body and arch fractures as opposed to the growth plate fractures and ligamentous injuries in the younger children. Axial load can cause burst fracture, so someone that dives into a pool.

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Pediatric Pain

Pediatric Emergency Playbook

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

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CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. Pull straight any fractures & splint them. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later.

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