Taming the SRU

JANUARY 10, 2024

Phenobarbital has been proven to be equivalent to benzodiazepines with regard to clinical, pharmacologic and utilization outcomes. The treatment of alcohol withdrawal should be proactive as opposed to reactive with consideration of which patients are at the highest risk. Phenobarbital should be dosed based on IBW and patient risk factors.

EKG/ECG 93

EKG/ECG Shock Fractures Emergency Department 93

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

EMDocs

JUNE 3, 2023

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. Due to the round shape of the pelvic ring, multiple fractures typically occur concurrently. 2 Vertical shear fractures are also unstable.

Fractures 54

Fractures Resuscitation Operations EMS 54

EM Curious

JULY 11, 2015

His x-ray imaging is seen below: View fullsize View fullsize Click on images above to enlarge Diagnosis: Volar Lunate Dislocation Lunate dislocation is an uncommon traumatic wrist injury that is often a result of high energy trauma from loading of a dorsiflexed wrist along with forced ulnar deviation (i.e References: Sherman, S.

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 52

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Pediatric Elbow Films: Putting It All Together Watch this dynamic video by Dr Jeremy Jone s from Radiopaedia : Fracture Saviors: Fat Pads and Drawn Lines These three things can save us: fat pads, the anterior humeral line, and the radiocapitellar line. If not, assume a fracture-dislocation.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 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 68

EMS Dislocations Fractures Operations 68

Taming the SRU

OCTOBER 1, 2023

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Chest XR: Sensitivity 44-47%, Specificity 100% [24-25].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

AUGUST 15, 2023

Some of the care has been excellent, but unfortunately there have been some distressingly bad outcomes. 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

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. In pediatrics- consult orthopedics.

Soft Tissue Injuries 68

Soft Tissue Injuries Fractures Dislocations Radiology 68

RebelEM

MAY 22, 2023

saline Outcomes: Primary: Improvement in pain, measured on a 0 to 10 pain scale from baseline to 60 minutes later Secondary: Use of additional medication for the treatment of pain at any time during the ED course Percentage of patients who failed to achieve clinically important improvement in pain (<1.3)

Administration 97

Administration Emergency Department Dislocations Outcomes 97