RebelEM

NOVEMBER 6, 2024

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 (..)

Dislocations 107

Dislocations Fractures Soft Tissue Injuries Outcomes 107

Pediatric EM Morsels

JULY 5, 2024

Predisposing conditions ( Down Syndrome , Klippel-Fleil, achondroplasia, etc.) — OR 1.5 – 15 Torticollis — OR 1.8 – 64 The sensitivity of C-Spine plain films in pediatric patients is good (85-95% in multiple studies), but keep in mind that nothing is 100%. Pediatr Emerg Care. High Risk (12.8% When in doubt, MRI. PMID: 27749628.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

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 58

Dislocations Emergency Department Outcomes Research 58

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.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

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. There are several guidelines outlining when to obtain a CT head prior to LP (but all agree that if suspecting acute bacterial meningitis you should empirically treat if delaying LP for CT).

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

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

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