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 55

Dislocations Outcomes Emergency Department Research 55

Taming the SRU

MARCH 11, 2024

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). Knee dislocations make up less than 0.5% Knee dislocations make up less than 0.5%

Dislocations 106

Dislocations Emergency Department Fractures Operations 106

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

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 52

Taming the SRU

MAY 22, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.

Fractures 75

Fractures Dislocations Operations Radiology 75

Taming the SRU

MAY 23, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.

Fractures 57

Fractures Dislocations Operations EMS 57

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

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. As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11].

Fractures 94

Fractures COPD Hospitals Emergency Department 94