Remove Dislocations Remove Fractures Remove Wellness
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Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

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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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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Neurogenic Shock in Children

Pediatric EM Morsels

” Children compensate for blood and volume loss very well… until they don’t. Most commonly caused by fracture or dislocation of vertebrae. As our fearless leader likes to say: “children are not aliens, but they are a special population with unique anatomy and physiology.”

Shock 300
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Pseudosubluxation: Rebaked Morsel

Pediatric EM Morsels

They like to pretend to be well when they are truly sick ( remember to check that Cap Refill and to never trust a Neonate! ) Children love to trick us! Sometimes it is all in good fun and other times it is quite serious! and they often show us “odd” findings that are really normal (ex, Growth Plates, Primitive Reflexes ).

Fractures 130
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Basic Fracture Management

Mind The Bleep

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.

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Grand Rounds Recap 1.17.24

Taming the SRU

The case highlights how we as providers can grieve the loss of our patients, as well as the profound relationships with can make with their family members. Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management?

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].