Dislocations, Hospitals and Outcomes

Back Braces: Are They Really Needed?

The Trauma Pro

OCTOBER 3, 2023

There was no difference in pain, return to work, functional outcome, or instrumentation failure. I have seen several patients in follow-up who basically stopped wearing their brace as soon as they were out of the hospital. A total of 76 studies were included. The average wear time for the braces was just over three months.

Fractures

Fractures Dislocations Operations Burns

Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

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. In addition, many hospitals are still reeling from the COVID-19 pandemic and face crippling staff shortages, and sparing a nurse for PSA will be difficult.

Dislocations

Dislocations Emergency Department Outcomes Research

Grand Rounds Recap 1.3.24

Taming the SRU

JANUARY 10, 2024

There are 38 states where it currently is a felony of some level to assault a healthcare worker BUT there is currently no federal law that protects hospital employees from assault or intimidation. Phenobarbital has been proven to be equivalent to benzodiazepines with regard to clinical, pharmacologic and utilization outcomes.

EKG/ECG

EKG/ECG Shock Fractures Dislocations

Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

OCTOBER 1, 2023

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. If pigtail is unsuccessful, tube thoracostomy should be performed.

Fractures

Fractures COPD Hospitals Emergency Department

A Doctor’s Reflections on Being a Patient and Patient Advocate

ACEP Now

AUGUST 15, 2023

Some of the care has been excellent, but unfortunately there have been some distressingly bad outcomes. 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 continue to go to this hospital for my medical care.

Hospitals

Hospitals Documentation/Coding Fractures Dislocations

Grand Rounds Recap 3.8.23

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 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

Seizures Fractures Burns Pediatrics

EM@3AM: Total Hip Arthroplasty Complications

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

EMS Dislocations Fractures Operations

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

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

RebelEM

MAY 22, 2023

saline Outcomes: Primary: Improvement in pain, measured on a 0 to 10 pain scale from baseline to 60 minutes later Secondary: Use of additional medication for the treatment of pain at any time during the ED course Percentage of patients who failed to achieve clinically important improvement in pain (<1.3) 2015;68(3).

Emergency Department

Emergency Department Administration Dislocations Hospitals

SGEM#250: Scribes – I Want to Break Free (from the EMR)

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

Emergency Department Dislocations Documentation/Coding Research

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

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. Management and outcomes of open pelvic fractures: An update. J Clin Orthop Trauma.

Fractures

Fractures Resuscitation Operations EMS

What is Prehospital care?

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

Dislocations Hospitals Radiology Radiology

Upper Limb Arterial and Nerve Injuries: An Introductory Guide

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

Dislocations Fractures Soft Tissue Injuries Infectious Diseases

The 87th Bubble Wrap

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

Dislocations CPR Ultrasounds Resuscitation

Emergency Care Today

Back Braces: Are They Really Needed?

Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

Trending Sources

Grand Rounds Recap 1.3.24

Diagnostics and Therapeutics: Managing Pneumothorax

A Doctor’s Reflections on Being a Patient and Patient Advocate

Grand Rounds Recap 3.8.23

EM@3AM: Total Hip Arthroplasty Complications

Consultant Corner: Acute Management of the Dislocated Knee

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

SGEM#250: Scribes – I Want to Break Free (from the EMR)

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

What is Prehospital care?

Upper Limb Arterial and Nerve Injuries: An Introductory Guide

The 87th Bubble Wrap

Stay Connected