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

The Skeptics' Guide to EM

MARCH 25, 2023

Many small trials have compared the accuracy of POCUS to the “gold standard” of “Radiology-performed ultrasound”. Background: The SGEM has reviewed the use of point of care ultrasound (POCUS) for a variety of conditions in the ED. The literature on POCUS for diagnosing acute biliary disease tends to compare th.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

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. Position of comfort, analgesia, xrays, and now what? Used with permission.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

ALiEM

DECEMBER 22, 2023

Laboratory Data Complete blood count (CBC) : Within normal limits Comprehensive metabolic panel (CMP) : Within normal limits AP Pelvis Radiograph (Figure 1) : “Osteopenia with no acute fractures or dislocation” Case Question: As this patient has osteopenia and is unable to bear weight on her right lower extremity, what injury must be ruled out?

Fractures 64

Fractures Dislocations Academics Radiology 64

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. doi:10.1148/radiology.144.4.7111716 Penetrating wounds may allow air to flow into the pleural space from outside the body or from internal disruption of the visceral pleura. AJR Am J Roentgenol. 1995;165(5):1127-1130. doi:10.2214/ajr.165.5.7572489

Fractures 95

Fractures COPD Hospitals Emergency Department 95

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. Assessment of pelvic stability with lateral and anterior compression should be done a maximum of one time so as to not exacerbate damage from the injury. Figure 2: Open book pelvic fracture.

Fractures 54

Fractures Resuscitation Operations EMS 54

Life in the Fast Lane

MAY 16, 2024

Michael Gibbs MD Adult Ortho Cases 003 Sternal. Adult Orthopedic case interpretation with Carrie Bissell, Aaron Fox, Stephanie Jensen, Kendrick Lim and Olivia Rice

Dislocations 52

Dislocations Radiology Radiology Fractures 52

Life in the Fast Lane

DECEMBER 10, 2023

Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries. Pediatric Orthopedic case interpretation with Haley Dusek, Danielle Sutton, and Virginia Casey

Pediatrics 52

Pediatrics Dislocations Radiology Radiology 52

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 77

EMS Dislocations Fractures Operations 77

EMDocs

JUNE 21, 2023

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. Based on the data, a normal x-ray couldn’t rule it out.

Soft Tissue Injuries 69

Soft Tissue Injuries Fractures Dislocations Radiology 69