Dislocations, Fractures and Resuscitation

Neurogenic Shock in Children

Pediatric EM Morsels

SEPTEMBER 22, 2023

Most commonly caused by fracture or dislocation of vertebrae. While we may allow permissive hypotension in damage control resuscitation of hemorrhagic shock, in neurogenic shock you should maintain an age-appropriate blood pressure. This leads to descending sympathetic tracts being disrupted.

Shock

Shock Pediatrics Hyperthermia / Hypothermia Dislocations

Basic Fracture Management

Mind The Bleep

MAY 1, 2024

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Examination of a fractured limb Most patients will be in a lot of pain. If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately.

Fractures

Fractures Head Injuries Documentation/Coding Dislocations

Grand Rounds Recap 9.25.2024

Taming the SRU

OCTOBER 1, 2024

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

Dislocations

Dislocations Fractures Poisoning Academics

Grand Rounds Recap 1.17.24

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?

Fractures

Fractures Leadership Dislocations Resuscitation

MRCEM SBA

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, clinical skills, critical care, resuscitation, and trauma management. Review the Exam Syllabus: Carefully go through the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases

Infectious Diseases Airway Management Dislocations Poisoning

Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Resuscitation. Ann Emerg Med. 1983;12(6):411-412.

Fractures

Fractures COPD Hospitals Emergency Department

Grand Rounds Recap 2.7.24

Taming the SRU

FEBRUARY 23, 2024

Broadstock and Ramachandran Nerve blocks should be a part of your multimodal analgesia toolbox in the ED Basic Equipment: antiseptic cleaner barrier protection needle (EchoBlock needs are specifically designed for regional anesthesia and available in our ED) anesthetic typically 0.5%

Pediatrics

Pediatrics Ultrasounds Fractures Wellness

Case Report: a High-Voltage Victim

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. Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc.

Burns

Burns Fluid Resuscitation EKG/ECG EMS

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: Additionally, for those with severe electrical injuries, an IV should be placed and fluid resuscitation should begin.

Emergency Department

Emergency Department Burns EKG/ECG Shock

Consultant Corner: Acute Management of the Dislocated Knee

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

Dislocations Emergency Department Fractures Operations

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

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

Fractures Resuscitation Operations EMS

Grand Rounds Recap 8.9.23

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

Seizures Fractures EKG/ECG Resuscitation

Residency Spotlight: MaineHealth Maine Medical Center

ACEP Now

MARCH 5, 2025

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. Another huge draw is our pediatric training. We get longitudinalexposure to pediatrics with the opportunity to see kids during each emergency department shift.

Dislocations

Dislocations Academics Pediatrics Research

Emergency Care Today

Neurogenic Shock in Children

Basic Fracture Management

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Grand Rounds Recap 9.25.2024

Grand Rounds Recap 1.17.24

MRCEM SBA

Diagnostics and Therapeutics: Managing Pneumothorax

Grand Rounds Recap 2.7.24

Case Report: a High-Voltage Victim

Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

Consultant Corner: Acute Management of the Dislocated Knee

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

Grand Rounds Recap 8.9.23

Residency Spotlight: MaineHealth Maine Medical Center

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