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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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.”

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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 ).

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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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Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

ACEP Now

3 Tenderness over the distal radial metaphysis after wrist injury is strongly suggestive of a distal radius fracture despite normal plain radiographs and fluoroscopic images. Children and older adults have weaker long bones than young adults and are more likely to sustain a distal radius fracture after a FOOSH than a carpal bone injury.

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Grand Rounds Recap 10.30.24

Taming the SRU

jarrell, leenellett and lafollette Our workforce is changing and our interactions with our colleagues are changing as well. Beyde, artiga, and vaishnav Shoulder Dislocations Shoulder dislocations are easily diagnosed via ultrasound, with high sensitivity and specificity.