Remove COPD Remove Emergency Department Remove Fractures
article thumbnail

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.

article thumbnail

Diagnostics and Therapeutics: Pneumomediastinum

Taming the SRU

Most common triggers include respiratory conditions such as asthma, COPD, and pneumonia which can lead to forceful coughing -Other common triggers include forceful exertion, severe coughing or vomiting, asthma exacerbation, intense physical activity, or Valsalva maneuvers (e.g., West J Emerg Med. weightlifting, childbirth) [4].

COPD 78
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

There have been many “temporary” rural emergency department closures during the past last year. In Ontario alone there have been approximately 160 emergency departments (ED) temporarily closed since the beginning of 2022. It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

Stroke 55
article thumbnail

Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Types of Pneumothorax Spontaneous Pneumothorax : Occurs without preceding trauma.

article thumbnail

SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma

The Skeptics' Guide to EM

Case: An 85-year-old woman with a history of chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and type-2 diabetes (DM-2), and her 65-year-old otherwise healthy daughter present to the emergency department after a car accident. However, they were both unrestrained.