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Pericapsular Nerve Group Block (PENG block)

Mount Sinai EM

The AAOS states that “Multimodal analgesia incorporating pre-operative nerve blocks is recommended to treat pain after a hip fracture” The Pericapsular Nerve Group Bbock (PENG block) is a novel approach to provide analgesia to the hip joint without affecting the motor function of the quadriceps muscle or altering the sensory exam.

Fractures 100
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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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First10EM Journal Club: May 2024

Broome Docs

Don’t forget Justin has a stream on his Youtube channel that does include this podcast and his deeper dives into the data – HERE You can also check out some random ultrasound education and other goodies on the Broomedocs Youtube channel Avoiding calls to neurosurgery?! J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165.

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SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

The Skeptics' Guide to EM

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Do they need surgery, an ERCP or just analgesia and non-operative care?

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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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Laryngeal Injuries: An Introduction

ACEP Now

Flexible laryngoscopy, CT scan, direct laryngoscopy under general anesthesia, esophagoscopy, ultrasound, or chest X-ray may all be requested by the surgical consultant. She was transported to the operating suite where a tracheostomy was performed. An endotracheal tube (ETT) was placed over a bougie.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Common operator errors Failing to enter joint capsule before injecting STS. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out. Not injecting enough STS into the joint.