Remove Dislocations Remove Documentation/Coding Remove Wellness
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Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Pediatric EM Morsels

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.”

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Grand Rounds Recap 7.31.24

Taming the SRU

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift. It is better to finish early than rushing through your presentation

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Basic Fracture Management

Mind The Bleep

If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately. The aim is to prevent displacement and dislocation/subluxation. Neurovascular compromise – always check before and after any reduction manoeuvre. Use minimal cotton/padding.

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

ACEP Now

Friends are getting joint replacements, cancer, and other illnesses, and I am now having some of those same ailments as well. The AMA Code of Medical Ethics’ Opinion on Physicians Treating Family Members advises against it. I was recently hospitalized for a fever of unknown origin at a well-respected teaching hospital.

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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). Emerg Med Pract. 2018 Nov;20(11):1-20.

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NIPE

Mind The Bleep

Babies in the neonatal unit will typically wait until they are well enough for the examination e.g. NIPE is not performed for baby’s who are ventilated, on CPAP or have lots of different lines inserted. Other important questions to ask: Have they been feeding well? Was the baby head down presentation from 36 weeks onwards?