Remove Dislocations Remove Ultrasounds Remove Wellness
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Shoulder Dislocation Revisited

Ultrasound Gel

People have been using POCUS to diagnosis shoulder dislocation for a while now, although it is far from standard of care in most places. We have seen that it is really accurate compared to xray, but this well-done study adds some important information to the existing literature. link] [link]

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Grand Rounds Recap 2.7.24

Taming the SRU

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

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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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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. Respect, but do not rely upon, the mechanism. Range all joints.

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Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

ACEP Now

There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. An important pitfall is assuming no fracture if a hook-of-hamate fracture is suspected clinically and the standard wrist views as well as the hook-of-hamate or carpal tunnel view are negative.

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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? Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. doi:10.1111/acem.12154

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

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. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. The "lung point": an ultrasound sign specific to pneumothorax.