Cook County EM Blog

MARCH 28, 2023

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).

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. Eur J Trauma Emerg Surg. Eur J Trauma Emerg Surg.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

Taming the SRU

OCTOBER 1, 2024

Anterior fat pads can be normal Galeazzi injuries are a radial shaft fracture with an ulna dislocation whereas Monteggia injuries are ulna fractures with radial dislocations Scaphoids injuries are prone to avascular necrosis due to variable blood supply r2 cpc: Acute Salicylate toxicity WITH drs. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

EM Curious

JULY 11, 2015

His x-ray imaging is seen below: View fullsize View fullsize Click on images above to enlarge Diagnosis: Volar Lunate Dislocation Lunate dislocation is an uncommon traumatic wrist injury that is often a result of high energy trauma from loading of a dorsiflexed wrist along with forced ulnar deviation (i.e Emergency Orthopedics 7th Ed.

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 52

Mind The Bleep

AUGUST 18, 2024

If there is no improvement in 6-8 weeks in primary care, an unclear diagnosis, severe dysfunction, a history of trauma, markedly reduced mouth opening, locking of the jaw or recurrent dislocations the patient should be referred to OMFS. TMJ dislocation TMJ dislocation is a common presentation to Emergency Departments.

Dislocations 52

Dislocations Emergency Department 52

Pediatric EM Morsels

JULY 5, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Indian J Orthop. 2018;52(5):489-500. PMID: 30237606. Leonard JC, Harding M, Cook LJ, et al. Lancet Child Adolesc Health. 2024; Published online June 4, 2024.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis. Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis.

Dislocations 47

Dislocations Ultrasounds Emergency Department 47

Taming the SRU

JANUARY 10, 2024

89% agree that violence in the emergency department has harmed patient care. None of the physicians in the study believe that the rate of violence has decreased at all.

EKG/ECG 93

EKG/ECG Shock Fractures Emergency Department 93

Emergency Medicine Journal

OCTOBER 26, 2023

Clinical introduction A 46-year-old woman presented to the emergency department with right elbow pain after falling down on an outstretched hand while descending the stairs. Radial head dislocation in adults with no other associated injuries is very rare and mostly posterior. Plain radiographs were obtained ( figure 1 ).

Dislocations 40

Dislocations Fractures Emergency Department 40

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Emergency Department 85

Emergency Department Dislocations Documentation/Coding Burns 85

Taming the SRU

MAY 22, 2023

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation [Image 2]. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology.

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

OCTOBER 20, 2023

Higher sensitivity with the lever sign test for diagnosis of anterior cruciate ligament rupture in the emergency department. Guiraud, K. Trauma Surg. 142, 1979–1983 (2022). Clinical Question: Does the lever sign provide improved sensitivity to the diagnosis of acute ACL tear in the ED?

Fractures 95

Fractures Dislocations Emergency Department 95

EM Curious

MAY 6, 2015

IS IT TIME TO START USING THE HEART PATHWAY IN THE EMERGENCY DEPARTMENT? ROCKET LAUNCHER- A NOVEL TECHNIQUE FOR POSTERIOR HIP DISLOCATION [ARTICLE]: The EMA Journal reviews literature regarding techniques for posterior hip dislocation and proposes a new approach that you may find useful. Read on here @ Rebel EM.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

EB Medicine

NOVEMBER 1, 2018

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Jeff: Let’s move on to evaluation in the emergency department. Jeff: You’re right. Jeff: You’re right.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Northwestern EM Blog

DECEMBER 27, 2021

Despite previous black box warnings on droperidol causing it to fall out of favor, it is safe and well-tolerated at the doses typically used in an emergency department setting. NUEM's own emergency orthopedic guru, Dr. Matthew Levine, provides expert commentary. Dr. Seth Trueger, NUEM faculty, provides expert commentary.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

EMDocs

MARCH 30, 2024

Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. A 27-year-old man was brought into the emergency department via EMS after being stabbed. J Emerg Med. Diagnosis includes imaging.

EMS 90

EMS Fractures Emergency Department Dislocations 90

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Date: March 22, 2023 Reference: Hilsden et al.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Taming the SRU

MAY 23, 2023

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology. 2015 Apr 28].

Fractures 57

Fractures Dislocations Operations EMS 57

EMDocs

NOVEMBER 6, 2024

Temporomandibular dislocation: a complication of tetanus. He denies any past medical history other than polysubstance abuse and depression. tetani infection is also indicated. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(4):437-441. doi:10.1016/j.tripleo.2005.04.013 2005.04.013 Alfery DD, Rauscher LA. Tetanus: a review.

Poisoning 78

Poisoning Airway Management Dislocations Forensics 78

EM Curious

JULY 24, 2015

Maybe it's dislocated? A Comparison of Ultrasound-guided Three-in-one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial. Academic Emergency Medicine, 20(6), 584–591. Pediatric Emergency Care,30(4), 227–229.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

ACEP Now

MARCH 15, 2024

A 20-year-old man presents to the emergency department (ED) directly from the scene of a fall from a bicycle, where he lost balance and landed on his outstretched hand. There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. He complains of pain both in the palm of his hand and in the wrist.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

EM Curious

JULY 10, 2015

INTRODUCTION Evaluation of the shoulder with ultrasound may appear like a daunting task in the emergency department, however with a strong understanding of the anatomy and an organized approach, the technique will rapidly become more within your realm of comfort. The infraspinatus tendon will run just superior to these structures.

Leadership 52

Leadership Ultrasounds Dislocations Fractures 52

Pediatric Education

MARCH 17, 2024

A review of the reduction methods for RHS can be found here Unfortunately, the elbow is the most commonly dislocated joint and can have chronic instability although this is usually due to more significant trauma. J Emerg Med. Radial head subluxation in pediatric clinics and emergency departments in China.

Dislocations 40

Dislocations Fractures Pediatrics Urgent Care 40

ACEP Now

OCTOBER 15, 2023

On arrival to the emergency department (ED) she was awake and breathing with stridor. They were called to the scene to find her with a blood pressure of 135/85, pulse of 110 beats per minute, and respiratory rate of 26 per minute. The major injury was to her face and neck, with lacerations and bites to her legs.

Fractures 52

Fractures Dislocations Airway Management Operations 52

Taming the SRU

FEBRUARY 23, 2024

Consider starting more goals of care discussions in the emergency department, not just for patients who are actively dying. Consider alternative pathways that can facilitate a quicker disposition such as utilizing CCTAs for chest pain patients. The intensity of the care plan while inpatient tends to follow that started in the ED.

Pediatrics 74

Pediatrics Ultrasounds Fractures Wellness 74

Taming the SRU

OCTOBER 1, 2023

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. Ann Emerg Med. Clin Pract Cases Emerg Med. J Trauma Acute Care Surg.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Electrical injuries in the emergency department: an evidence-based review. Emerg Med Pract.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Mind The Bleep

NOVEMBER 6, 2023

Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. Sight Threatening Conditions in the Emergency Department Open globe injury Key signs without needing a slit lamp: Prolapse of intraocular contents (e.g. UpToDate. <

Emergency Department 52

Emergency Department Dislocations Burns Fractures 52

EMDocs

JULY 11, 2023

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.

Head Injuries 62

Head Injuries Pediatrics Dislocations CDC 62

ACEP Now

AUGUST 15, 2023

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. Dr. Schwam was previously the director of quality assurance for the emergency department at Sturdy Memorial Hospital in Attleboro, Mass.,

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

EMDocs

JUNE 3, 2023

Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. Figure 2: Open book pelvic fracture.

Fractures 54

Fractures Resuscitation Operations EMS 54

EMDocs

NOVEMBER 16, 2024

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.

EMS 76

EMS Dislocations Fractures Operations 76

The Skeptics' Guide to EM

MARCH 28, 2020

Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort. Ann Emerg Med Feb 2020 Guest Skeptic: Dr. Tony Zitek is an Emergency Medicine physician in Miami, Florida. Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort.

Dislocations 52

Dislocations Ultrasounds Research Administration 52

The Skeptics' Guide to EM

DECEMBER 30, 2023

Overnight stay in the emergency department and mortality in older patients, JAMA Intern Med 2023 Date: December 18, 2023 Guest Skeptic: Dr. Chris Carpenter, Vice Chair of Emergency Medicine at Mayo Clinic. Reference: Roussel et al. Case: An 85-year-old patient (Ms. Reference: Roussel et al. Case: An 85-year-old patient (Ms.

Hospitals 106

Hospitals Emergency Department Fractures Dislocations 106

RebelEM

MAY 22, 2023

For instance, while pain resulting from extremity fractures and dislocations can often be relieved after reduction and splinting, abdominal pain poses a more elusive and complex scenario involving multiple contributing factors. The quality of emergency department pain care for older adult patients. 2010;58(11):2122-2128.

Administration 97

Administration Emergency Department Dislocations Outcomes 97

The Skeptics' Guide to EM

MARCH 22, 2019

Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia. Case: The emergency department is backing up. Your medical team is great, but you […] The post SGEM#250: Scribes – I Want to Break Free (from the EMR) first appeared on The Skeptics Guide to Emergency Medicine.

Emergency Department 52

Emergency Department Documentation/Coding Dislocations Research 52

RebelEM

DECEMBER 18, 2024

Temporomandibular (TMJ) Joint Dislocation Definition: Displacement of the mandibular condyle from the temporomandibular fossa. Epidemiology: Anterior dislocations are most common Mechanism Atraumatic (most common) from extreme mouth opening (yawning, eating, dental procedure, etc).

Dislocations 52

Dislocations Fractures Operations EMS 52