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Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Pediatric EM Morsels

We collected data directly from the bedside clinician which enabled us to gather pertinent patient symptoms and physical examination findings that may not be well documented in the medical record, but more accurately identify the child’s injuries.” Cervical spine injuries in children associated with sports and recreational activities.

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Grand Rounds Recap 7.31.24

Taming the SRU

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

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The Femoral Nerve Block

EM Curious

Maybe it's dislocated? Identify the triangle shaped femoral nerve, lateral to the femoral artery, as well as the iliopsoas muscle and the fascia illiaca running over its surface. Get your tip as close as possible to the nerve, and under the fascia illiaca, then inject (well, after aspirating first, of course).

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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. This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Agency for Healthcare Research and Quality. 12): e0244291.

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The 87th Bubble Wrap

Don't Forget the Bubbles

If a well-child had a sudden cardiac arrest with no downtime before good CPR was started, I’m sure everyone would be doing a fairly long resuscitation effort regardless of this research. Reviewed by: Frederick Smith Article 3: Does this infant have a dislocated hip? Does This Infant Have a Dislocated Hip?

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NIPE

Mind The Bleep

Babies in the neonatal unit will typically wait until they are well enough for the examination e.g. NIPE is not performed for baby’s who are ventilated, on CPAP or have lots of different lines inserted. Other important questions to ask: Have they been feeding well? Was the baby head down presentation from 36 weeks onwards?