The Skeptics' Guide to EM

MARCH 25, 2023

Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. He is also now a fully-fledged “sonologist”.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

ACEP Now

AUGUST 15, 2023

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. I was recently hospitalized for a fever of unknown origin at a well-respected teaching hospital. My doctors were wonderful.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

ACEP Now

MARCH 14, 2024

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. Dr. Koo is faculty and an emergency physician at MedStar Washington Hospital Center in Washington, D.C., Mary’s Hospital in Leonardtown, Maryland.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

EMDocs

NOVEMBER 16, 2024

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 94

EMS Dislocations Fractures Operations 94

EB Medicine

NOVEMBER 1, 2018

It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. In at least one study, the incidence of DVT in hospitalized burn patients was as high as 23%. Schieche from the Oklahoma University School of Community Medicine. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

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 108

Dislocations Emergency Department Fractures Operations 108

The Skeptics' Guide to EM

DECEMBER 30, 2023

McG) presents to your emergency department (ED) after being found by family on the […] The post SGEM#424: Ooh-Ooh, I Can’t Wait – To Be Admitted to Hospital first appeared on The Skeptics Guide to Emergency Medicine. Suspecting an occult fracture, you consult Orthopedic surgery for admission, but they wanted to wait for the CT the next day.

Hospitals 111

Hospitals Emergency Department Fractures Dislocations 111

EMDocs

JUNE 3, 2023

Her Glasgow Coma Scale (GCS) is 14 (3E-5V-6M), and she arrives in a cervical collar placed pre-hospital. How should pelvic fractures be identified in unstable trauma patients? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. 2 Vertical shear fractures are also unstable.

Fractures 60

Fractures Resuscitation Operations EMS 60

RebelEM

MAY 22, 2023

For instance, while pain resulting from extremity fractures and dislocations can often be relieved after reduction and splinting, abdominal pain poses a more elusive and complex scenario involving multiple contributing factors. The Canadian Journal of Hospital Pharmacy. 2015;68(3).

Emergency Department 82

Emergency Department Administration Dislocations Hospitals 82

Mind The Bleep

JANUARY 24, 2025

Upper limb fractures and dislocations can lead to associated arterial and nerve damage. First aid such as irrigation, tourniquet use, reduction and splinting of fractures/dislocations. Pre-hospital management including intubation, IV fluids, cardiac monitoring, analgesia etc. Any motor or sensory deficits.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

ACEP Now

MARCH 5, 2025

Our residents like to say that they are doers and not callers because our hospital does not have residencies in ortho, ophthalmology, ENT, and so on. This means that we get so much hands-on experience doing procedures like fracture/dislocation reductions, complex laceration repairs, ENT procedures, and advanced eye exams.

Dislocations 52

Dislocations Academics Pediatrics Research 52

Mind The Bleep

NOVEMBER 2, 2024

Every baby has a NIPE performed, either in hospital before discharge or at home by a community midwife. If you are concerned that the clavicle may be fractured then arrange an x-ray and discuss the findings with the orthopaedics team. Barlow Test: This checks for a hip that can be dislocated.

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52