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Grand Rounds Recap 7.31.24

Taming the SRU

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

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The Femoral Nerve Block

EM Curious

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Maybe it's dislocated? Do your research, and always be safe. Sorry we've been out of the loop lately.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. The "lung point": an ultrasound sign specific to pneumothorax. Published 2020 Jul 23.

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SGEM#288: Crazy Game of POCUS to Diagnose Shoulder Dislocations

The Skeptics' Guide to EM

Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort. Musculoskeletal Ultrasonography to Diagnose Dislocated Shoulders: A ProspectiveCohort. You suspect the patient may have a shoulder dislocation. He has no history of shoulder dislocations in the past.

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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

Article 1: Is lung ultrasound a viable alternative to chest x-ray in diagnosing community-acquired pneumonia? Diagnostic accuracy of point-of-care lung ultrasound for community-acquired pneumonia in children in ambulatory settings: A systematic review and meta-analysis. Ultrasound. Does This Infant Have a Dislocated Hip?

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NIPE

Mind The Bleep

Picture from Research Gate ( The Measuring of the Head Circumference of Children [17]. If both testis are impalpable bilaterally then ask a senior colleague to review the baby and request and urgent abdominal ultrasound and karyotype test. Barlow Test: This checks for a hip that can be dislocated.