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Grand Rounds Recap 7.31.24

Taming the SRU

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

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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 Pain is the most common reason for presentation in the early post operative period. 5-7 Dislocation rate as high as 28% in revision THA. 10% of patients.

EMS 96
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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation [Image 2]. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology.

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The 87th Bubble Wrap

Don't Forget the Bubbles

They all used different ultrasound devices with varying levels of operator training. If a well-child had a sudden cardiac arrest with no downtime before good CPR was started, I’m sure everyone would be doing a fairly long resuscitation effort regardless of this research. Does This Infant Have a Dislocated Hip?