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Back Braces: Are They Really Needed?

The Trauma Pro

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 202
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Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

RebelEM

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.

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Grand Rounds Recap 1.3.24

Taming the SRU

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 93
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

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.

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

ACEP Now

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.

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Grand Rounds Recap 3.8.23

Taming the SRU

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

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

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