Dislocations, Emergency Department and EMS

Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

RebelEM

JANUARY 30, 2023

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PMID: 36181665 Clinical Question: In patients with acute anterior shoulder dislocations, how does IAL compare to PSA for closed reduction?

Dislocations

Dislocations Outcomes Emergency Department Research

EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

MARCH 30, 2024

We’ll keep it short, while you keep that EM brain sharp. 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.

EMS

EMS Fractures Emergency Department Dislocations

SAEM Clinical Images Series: Back Yard Football Injury

ALiEM

AUGUST 7, 2023

A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. Sternoclavicular (SC) joint dislocation SC joint dislocation can occur with anterior or posterior displacement of the medial clavicular head.

Dislocations

Dislocations Academics Fractures Emergency Department

Grand Rounds Recap 7.31.24

Taming the SRU

AUGUST 4, 2024

Capacity Management - Sports medicine grand rounds - introduction to bedside teaching - skin adhesives - hypertensive emergency - ultrasound qa review - how to give a presentation capacity management WITH Dr. lane Emergency Department flow can be characterized as Input - Throughput - Output In the ED, we do not have much control over patient input (..)

Emergency Department

Emergency Department Dislocations Documentation/Coding Burns

Foot Injuries in the ED

Taming the SRU

MAY 23, 2023

As an EM physician, it is important to have an understanding of the spectrum of foot injuries and how these are appropriately evaluated. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. In: EM Docs [Internet].

Fractures

Fractures Dislocations Operations EMS

Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

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

Fractures Dislocations EMS Emergency Department

Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Range all joints. 9(1):31-36.

Fractures

Fractures Dislocations Operations Radiology

Not Your Typical Wrist Pain

EM Curious

JULY 11, 2015

Case by Sean Dyer PGY-3 EM Resident; Peer Reviewed by Dr. Christopher Hogrefe, Assistant Professor in Emergency Medicine at Northwestern University Feinberg School of Medicine The Case A 32 y/o male presents with wrist pain after being involved in a motor vehicle collision this afternoon.

Dislocations

Dislocations Emergency Department Fractures Outcomes

Case Report: a High-Voltage Victim

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. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm.

Burns

Burns Fluid Resuscitation EKG/ECG EMS

#FOAMed Review 45th Edition

EM Curious

MAY 6, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read on here @ Rebel EM. Watch here.

Dislocations

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds

Grand Rounds Recap 2.7.24

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

Pediatrics Ultrasounds Fractures Wellness

The Femoral Nerve Block

EM Curious

JULY 24, 2015

EMS appears with a patient who just wiped out big time on the ice. 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. Maybe he's broken his hip?

Fractures

Fractures Ultrasounds Emergency Department Dislocations

Ultrasound Leadership Academy: Intro to Shoulder Evaluation

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

Leadership Ultrasounds Dislocations Fractures

Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

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. The post Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel appeared first on Pediatric EM Morsels. Indian J Orthop. 2018;52(5):489-500.

Pediatrics

Pediatrics Head Injuries Dislocations Research

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

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

Emergency Department Burns EKG/ECG Shock

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

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

Administration Emergency Department Dislocations Outcomes

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited. Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚

Fractures

Fractures Resuscitation Operations EMS

Emergency Care Today

Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

EM@3AM: Thoracic and Lumbar Spine Trauma

Trending Sources

SAEM Clinical Images Series: Back Yard Football Injury

Grand Rounds Recap 7.31.24

Foot Injuries in the ED

Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

Twisting and Turning - Ankle Injuries in the ED

Not Your Typical Wrist Pain

Case Report: a High-Voltage Victim

#FOAMed Review 45th Edition

Grand Rounds Recap 2.7.24

The Femoral Nerve Block

Ultrasound Leadership Academy: Intro to Shoulder Evaluation

Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

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