article thumbnail

Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine.

Shock 304
article thumbnail

#FOAMed Review 45th Edition

EM Curious

ROCKET LAUNCHER- A NOVEL TECHNIQUE FOR POSTERIOR HIP DISLOCATION [ARTICLE]: The EMA Journal reviews literature regarding techniques for posterior hip dislocation and proposes a new approach that you may find useful. Read on here @ Rebel EM. Check it out here. Watch here.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Grand Rounds Recap 8.9.23

Taming the SRU

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

article thumbnail

The 87th Bubble Wrap

Don't Forget the Bubbles

Reviewed by: Frederick Smith Article 3: Does this infant have a dislocated hip? Does This Infant Have a Dislocated Hip? This is a systematic review to evaluate the diagnostic accuracy of clinical examination in identifying dislocated hips in infants. And how good are our tests at picking it up? 2024;331(18):15761585.

article thumbnail

ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. Temporomandibular dislocation: a complication of tetanus. tetani infection is also indicated. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512.