PHARM

MAY 12, 2023

He needs rescue , environmental protection AS well as emergency medical care. 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. One doesnt necessarily translate well to the other.

Dislocations 52

Dislocations Hospitals Radiology Radiology 52

Taming the SRU

MAY 23, 2023

BACKGROUND Foot injuries are common and can have significant implications for a patient’s well-being, functional capacity, and finances. Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Gross deformities often suggest fracture or dislocation. Range all joints.

Fractures 55

Fractures Dislocations Operations EMS 55

Taming the SRU

MAY 22, 2023

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.

Fractures 72

Fractures Dislocations Operations Radiology 72

Don't Forget the Bubbles

FEBRUARY 21, 2024

The eight-week baby check is an important child health surveillance milestone to ensure the well-being of the infant and detect any potential health issues that may have arisen since the initial newborn check. If the hip is unstable, the femoral head will slip out of the acetabulum, producing the palpable sensation of the hip dislocating.

Dislocations 52

Dislocations Wellness Hospitals 52

Taming the SRU

JANUARY 24, 2024

The case highlights how we as providers can grieve the loss of our patients, as well as the profound relationships with can make with their family members. fracture of proximal 1/3 of ulna w/ radial head dislocation Management? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management? FOOSH What?

Fractures 81

Fractures Leadership Dislocations Resuscitation 81

ACEP Now

MARCH 15, 2024

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.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Taming the SRU

AUGUST 4, 2024

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.

Emergency Department 78

Emergency Department Dislocations Documentation/Coding Burns 78

Taming the SRU

FEBRUARY 23, 2024

Total RBC count (<500 RBCs in last tube), as well as clearance by the last tube (decrease in RBC count by at least 70% by the last tube), can be used to differentiate between traumatic taps and a SAH. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 70

Pediatrics Ultrasounds Fractures Wellness 70

RCEM Learning

APRIL 9, 2024

Take care of your physical and mental well-being, and ensure you get adequate rest and relaxation. Stay Calm and Confident: Prior to the exam, maintain a calm and positive mindset. Build your confidence by regularly practicing SBA questions and reinforcing your knowledge.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Resuscitation 52

Mind The Bleep

MAY 1, 2024

If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately. The aim is to prevent displacement and dislocation/subluxation. Neurovascular compromise – always check before and after any reduction manoeuvre. Use minimal cotton/padding.

Fractures 52

Fractures Documentation/Coding Head Injuries Dislocations 52

Taming the SRU

JULY 13, 2023

F The patient was a well-appearing male who was awake, alert and oriented. Two cases of dislocation of the eyeball through the palpebral fissure. Cardiopulmonary, abdominal and neurologic examinations were normal. The head was atraumatic. The right eye appeared proptotic, with mild conjunctival injection. Roka N, Roka YB.

Dislocations 85

Dislocations Hospitals Wellness 85

Pediatric Education

APRIL 28, 2024

“I’m happy that she is continuing to progress and the physical therapist thinks she will do very well. The pediatrician asked if the parent had any questions about the cerebral palsy diagnosis and the mother said that she had thought she had a problem, but the neonatologist had confirmed it.

Seizures 40

Seizures Pediatrics Dislocations Stroke 40

Emergency Medicine Cases

JANUARY 2, 2024

In this part 2 of our 2-part podcast series on wrist injuries we highlight the "Big 4" most commonly missed and mismanaged carpal bone injuries, elucidating the key historical, physical exam and x-ray findings, as well as management strategies.

Fractures 52

Fractures Wellness Dislocations EMS 52

ACEP Now

MARCH 14, 2024

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. An unstable patient who is altered or with tenuous vital signs should consider trauma and cardiac causes.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Advanced Emergency Nursing from AENJ

MAY 14, 2017

Fractures and dislocations that are being reduced can produce a snap or click as the parts mesh again. We would rather hear the happy and efficient hum of a department that is running well, for the moment, and patients are doing OK, and are satisfied. There goes the chance to test for a startle reflex!

Dislocations 40

Dislocations Emergency Nursing Seizures Fractures 40

ACEP Now

AUGUST 15, 2023

Friends are getting joint replacements, cancer, and other illnesses, and I am now having some of those same ailments as well. When I fracture-dislocated my ankle on Mount Rainier, there was no one to do the emergency reduction; so, aided by a rush of endorphins and the lack of swelling, I did it myself. My doctors were wonderful.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

EM Curious

JULY 24, 2015

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).

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 1, 2023

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.

Fractures 89

Fractures COPD Hospitals Emergency Department 89

Pediatric EM Morsels

JULY 5, 2024

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.”

Pediatrics 161

Pediatrics Head Injuries Dislocations Research 161

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 69

Seizures Fractures EKG/ECG Resuscitation 69

Northwestern EM Blog

DECEMBER 27, 2021

Despite previous black box warnings on droperidol causing it to fall out of favor, it is safe and well-tolerated at the doses typically used in an emergency department setting. Take-Home Point: Knee dislocations are time-sensitive injuries that require rapid diagnosis and treatment because of the high rate of vascular complications.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

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. 23 Pelvic binding remains a critical resuscitation step well within the purview of the ED physician, and can be reviewed here: [link]. Figure 2: Open book pelvic fracture.

Fractures 54

Fractures Resuscitation Operations EMS 54

EB Medicine

NOVEMBER 1, 2018

Nachi: There is a school of thought out there that victims of electrical injury can have delayed onset arrhythmias and require prolonged cardiac monitoring – however several well-designed observational studies, including 1000s of patients, have demonstrated no such evidence. Let’s move on to treatment.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40