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Shoulder Dislocation on Ultrasound

Cook County EM Blog

You suspect a shoulder dislocation. Radiology is called to conduct bedside x-ray prior to reduction. So, you reach for your ultrasound… Why It Matters : Shoulder dislocations are a common presentation to the emergency department and account for approximately 200,000 visits annually [1].

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Traumatic Lens Dislocation Identified on Ocular Ultrasound

Cook County EM Blog

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).

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SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

The Skeptics' Guide to EM

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.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

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.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

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 75
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

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. doi:10.1148/radiology.144.4.7111716 Ann Emerg Med. AJR Am J Roentgenol.

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

EMDocs

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 37.0Ëš C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. Figure 2: Open book pelvic fracture.