Pediatric Emergency Playbook

NOVEMBER 1, 2016

What am I seeing -- or not seeing -- here? First a refresher on radiographic anatomy of the elbow -- Images courtesy of Radioglypics (Open Access Radiology Education). If not, assume a fracture-dislocation. Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. 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. doi:10.1148/radiology.144.4.7111716 AJR Am J Roentgenol.

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 98

EMS Dislocations Fractures Operations 98

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. If thinking TA, share your concern with radiology, which improves sensitivity. A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs.

Soft Tissue Injuries 96

Soft Tissue Injuries Fractures Dislocations Radiology 96

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 66

Fractures Resuscitation Operations EMS 66

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

Take for example a patient having an xray in the radiology department. 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. Put simply its location and resources available that define prehospital care.

Dislocations 52

Dislocations Hospitals Radiology Radiology 52