The Skeptics' Guide to EM

MARCH 25, 2023

Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. He is also now a fully-fledged “sonologist”.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

ACEP Now

MARCH 15, 2024

There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. Lunate ligamentous injuries lie on a morbidity spectrum ranging from scapholunate sprains to dissociation and dislocation. The pizza sign or piece of sign is the triangular appearance of the lunate on the AP view, suggesting a lunate dislocation.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Don't Forget the Bubbles

FEBRUARY 21, 2024

This includes checking the discharge letter from the hospital for any complications during pregnancy or birth. If the hip is unstable, the femoral head will slip out of the acetabulum, producing the palpable sensation of the hip dislocating. Ortolani’s Test Used to confirm the hip dislocation.

Dislocations 52

Dislocations Wellness Hospitals 52

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. May be considered first line in the future however results may be dependent upon provider training and hospital resources [17]. Stil, absence of lung sliding is the most sensitive finding (see video), whereas a lung point is the most specific [26].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

OCTOBER 15, 2023

Laryngotracheal trauma has been cited as accounting for less than one in 100,000 hospital admissions. Patients with small lacerations or abrasions of the larynx or trachea may be managed conservatively with close observation, steroids, and serial endoscopy. Laryngeal trauma occurs in one in 14,000 to one in 30,000 ED visits.

Fractures 52

Fractures Dislocations Airway Management Operations 52

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. Dr. Koo is faculty and an emergency physician at MedStar Washington Hospital Center in Washington, D.C., Mary’s Hospital in Leonardtown, Maryland.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

ACEP Now

AUGUST 15, 2023

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. I was recently hospitalized for a fever of unknown origin at a well-respected teaching hospital. I continue to go to this hospital for my medical care.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

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 94

EMS Dislocations Fractures Operations 94

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

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 108

Dislocations Emergency Department Fractures Operations 108

EB Medicine

NOVEMBER 1, 2018

It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. In at least one study, the incidence of DVT in hospitalized burn patients was as high as 23%. Schieche from the Oklahoma University School of Community Medicine. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

The Skeptics' Guide to EM

DECEMBER 30, 2023

McG) presents to your emergency department (ED) after being found by family on the […] The post SGEM#424: Ooh-Ooh, I Can’t Wait – To Be Admitted to Hospital first appeared on The Skeptics Guide to Emergency Medicine. Case: An 85-year-old patient (Ms. Reference: Roussel et al.

Hospitals 111

Hospitals Emergency Department Fractures Dislocations 111

RebelEM

MAY 22, 2023

For instance, while pain resulting from extremity fractures and dislocations can often be relieved after reduction and splinting, abdominal pain poses a more elusive and complex scenario involving multiple contributing factors. The Canadian Journal of Hospital Pharmacy. 2015;68(3).

Emergency Department 82

Emergency Department Administration Dislocations Hospitals 82

The Skeptics' Guide to EM

MARCH 22, 2019

She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. She is a clinical researcher at Cabrini Hospital and an Adjunct Clinical Associate Professor at Monash University. Date: March 20th, 2019 Guest Skeptic: Dr.Katie Walker is an emergency physician in Melbourne, Australia.

Emergency Department 52

Emergency Department Dislocations Documentation/Coding Research 52

EMDocs

JUNE 3, 2023

Her Glasgow Coma Scale (GCS) is 14 (3E-5V-6M), and she arrives in a cervical collar placed pre-hospital. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Her airway is intact, and she has equal bilateral breath sounds. J Clin Orthop Trauma.

Fractures 60

Fractures Resuscitation Operations EMS 60

PHARM

MAY 12, 2023

By definition it is not hospital care. WHilst some regard the ability to deliver hospital based interventions in a prehospital setting as a form of prehospital care this will always be an approximation. The location can even be within an hospital. I think prehospital care as being any care outside of a hospital setting.

Dislocations 52

Dislocations Hospitals Radiology Radiology 52

ACEP Now

MARCH 5, 2025

Our residents like to say that they are doers and not callers because our hospital does not have residencies in ortho, ophthalmology, ENT, and so on. 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.

Dislocations 52

Dislocations Academics Pediatrics Research 52

Mind The Bleep

JANUARY 24, 2025

Upper limb fractures and dislocations can lead to associated arterial and nerve damage. First aid such as irrigation, tourniquet use, reduction and splinting of fractures/dislocations. Pre-hospital management including intubation, IV fluids, cardiac monitoring, analgesia etc. Absence of distal pulses or signs of ischemia.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Mind The Bleep

NOVEMBER 2, 2024

Every baby has a NIPE performed, either in hospital before discharge or at home by a community midwife. Hips The main condition that is screened for in the NIPE is Developmental Dysplasia of the Hip (DDH) in which the hip joint is abnormally formed increasing the risk of hip dislocation.

Dislocations 52

Dislocations Documentation/Coding Ultrasounds Wellness 52