Pediatric Emergency Playbook

NOVEMBER 1, 2016

If not, assume a fracture-dislocation. Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. The radiocapetellar line runs along the radial neck through the radial head and should line up nicely with the capitellum. Ann R Coll Surg Engl. 2013 Mar; 95(2): e36–e37. Kanj WW et al.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

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. 2023;78(Suppl 3):s1-s42. Respir Med. 1998;92(5):757-761. Qatar Med J.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

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 94

EMS Dislocations Fractures Operations 94

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

Seizures 40

Seizures Fractures Burns Pediatrics 40

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.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

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 108

Dislocations Emergency Department Fractures Operations 108

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)

Emergency Department 82

Emergency Department Administration Dislocations Hospitals 82

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

The Skeptics' Guide to EM

MARCH 22, 2019

You are frustrated that whilst you frantically fill in data in the Electronic Medical Record (EMR) from your last consultation, your neighbor is in your waiting room with a dislocated shoulder and you haven’t been able to get to her yet. Is there a better way of working than this way?

Emergency Department 52

Emergency Department Dislocations Documentation/Coding Research 52

EMDocs

JUNE 3, 2023

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. Examples of radiographs indicative of pelvic fractures that EM physicians should be familiar with are below in Figures 2, 3, and 4.

Fractures 60

Fractures Resuscitation Operations EMS 60

Taming the SRU

MAY 22, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.

Fractures 77

Fractures Dislocations Operations Radiology 77

PHARM

MAY 12, 2023

An example of this is an acute shoulder dislocation on a ship in middle of ocean. If the patient is by themselves then reducing the dislocation may be vital for their very survival. If they are with a first responder then if they can reduce the dislocation, the emergency is often definitively resolved.

Dislocations 52

Dislocations Hospitals Radiology Radiology 52

Taming the SRU

MAY 23, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures.

Fractures 57

Fractures Dislocations Operations EMS 57

Taming the SRU

AUGUST 25, 2023

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?

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

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. Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

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 59

Dislocations CPR Ultrasounds Resuscitation 59