Dislocations Fractures Pediatrics 
RebelEM
NOVEMBER 6, 2024
Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)
Pediatric EM Morsels
JULY 7, 2023
Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). Mechanism of dislocation : [ Horan, 2006 ] Typically, the injury occurs when: The Knee is in Flexion and The Foot is rotated and plantar flexed.
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Pediatric EM Morsels
SEPTEMBER 22, 2023
To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Unfortunately, there are numerous other pitfalls that can be encountered during the management of pediatric trauma patients.
Pediatric EM Morsels
MARCH 31, 2023
Let’s recall one important morsel that deserves a Rebake – Pseudosubluxation of the pediatric cervical spine : Pseudosubluxation: Basics Refers to the normal mobility of the cervical vertebrae, IN FLEXION , which may look to be pathologic but is not. Pediatric spinal injuries- current concepts. PMID: 841068. 2023.102122.
Pediatric Emergency Playbook
NOVEMBER 1, 2016
Elbow Interpretation Roadmap: CRITOE More pragmatic and utilitarian than a prosaic mnemonic, CRITOE helps us to remember the order of ossification of the pediatric elbow. Secondary ossification centers then develop around the ends of our long bones, and make interpretation of films in the context of suspected injury difficult.
RebelEM
JANUARY 30, 2023
Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PMID: 36181665 Clinical Question: In patients with acute anterior shoulder dislocations, how does IAL compare to PSA for closed reduction?
Taming the SRU
JANUARY 24, 2024
Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management? reduction, elbow cast, +/- ORIF Monteggia Fracture How? fracture of proximal 1/3 of ulna w/ radial head dislocation Management? FOOSH What? FOOSH What?
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