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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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Traumatic Lens Dislocation Identified on Ocular Ultrasound

Cook County EM Blog

On point-of-care ocular ultrasound of the affected eye using the linear probe a round, mobile structure was noted in the posterior chamber with an absence of the lens in its typical position, consistent with posterior lens dislocation. In this case, ophthalmology was consulted for lens dislocation. and a sensitivity of 96.8% (2).

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Basic Fracture Management

Mind The Bleep

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Examination of a fractured limb Most patients will be in a lot of pain. If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately.

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emDOCs Podcast – Episode 81: Hemophilia

EMDocs

Fractures and dislocations are indications for full dose factor replacement. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders. If LP is absolutely necessary, pretreat with clotting factors and speak with hematology. PMID: 23968747.

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A Doctor’s Reflections on Being a Patient and Patient Advocate

ACEP Now

The AMA Code of Medical Ethics’ Opinion on Physicians Treating Family Members advises against it. When I fracture-dislocated my ankle on Mount Rainier, there was no one to do the emergency reduction; so, aided by a rush of endorphins and the lack of swelling, I did it myself. Many of these occurred at “world class” institutions.

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Case Report: a High-Voltage Victim

ACEP Now

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. Documentation with coronary arteriography within 12 1/2 hours of the onset of symptoms in two cases (three episodes). His ECG was unremarkable. Emerg Med Pract.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Answer : Posterior dislocation of a periprosthetic hip Epidemiology: Total Hip Arthroplasty (THA) is the 4 th most common surgical procedures in the United States (2.3% 4 Dislocation is the most common complication after THA occurring at a rate of 0.2-10% 5-7 Dislocation rate as high as 28% in revision THA. 10% of patients.

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