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Consultant Corner: Acute Management of the Dislocated Knee

Taming the SRU

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%

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Grand Rounds Recap 7.31.24

Taming the SRU

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Most frequent reasons for emergency department visits, 2018.

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Top Blogs of 2021

Northwestern EM Blog

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.

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Foot Injuries in the ED

Taming the SRU

BACKGROUND Foot injuries are common and can have significant implications for a patient’s well-being, functional capacity, and finances. Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Gross deformities often suggest fracture or dislocation. Range all joints.

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The Femoral Nerve Block

EM Curious

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

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Grand Rounds Recap 2.7.24

Taming the SRU

Total RBC count (<500 RBCs in last tube), as well as clearance by the last tube (decrease in RBC count by at least 70% by the last tube), can be used to differentiate between traumatic taps and a SAH. Consider starting more goals of care discussions in the emergency department, not just for patients who are actively dying.