EM Curious

JULY 24, 2015

Maybe it's dislocated? Identify the triangle shaped femoral nerve, lateral to the femoral artery, as well as the iliopsoas muscle and the fascia illiaca running over its surface. Get your tip as close as possible to the nerve, and under the fascia illiaca, then inject (well, after aspirating first, of course). doi:10.1111/acem.12154

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 1, 2023

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. 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.

Fractures 94

Fractures COPD Hospitals Emergency Department 94

ACEP Now

AUGUST 15, 2023

Friends are getting joint replacements, cancer, and other illnesses, and I am now having some of those same ailments as well. 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.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

Pediatric EM Morsels

JULY 5, 2024

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” Indian J Orthop. 2018;52(5):489-500. PMID: 30237606. Leonard JC, Harding M, Cook LJ, et al.

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

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: Vascular injuries include coagulation necrosis as well as thrombosis. 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.

Dislocations 52

Dislocations Emergency Department Burns Shock 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. 23 Pelvic binding remains a critical resuscitation step well within the purview of the ED physician, and can be reviewed here: [link]. Figure 2: Open book pelvic fracture.

Fractures 54

Fractures Resuscitation Operations EMS 54