Document, Emergency Department and Fractures

Elbow Dislocations

RebelEM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

Dislocations

Dislocations Fractures Soft Tissue Injuries Outcomes

10 Things That Will Get You Sued – Part 3

The Trauma Pro

JULY 5, 2024

Uncontrolled pain is a huge patient dissatisfier, and can lead to unwelcome complications as well (think pneumonia after rib fractures). Improper care during an emergency This situation can occur in the emergency department when the emergency physician calls a specialist to assist with management.

Documentation/Coding

Documentation/Coding Fractures Emergency Department Wellness

Proning for ARDS

Northwestern EM Blog

MARCH 1, 2025

While a randomized control trial should be done to evaluate the effect of early proning in a controlled environment, these studies suggest that we should consider using this in our Emergency Department for patients who present with hypoxia and concern for mild to moderate ARDS without urgent need for intubation. 2020; Koulouras et.

Emergency Department

Emergency Department Fractures EKG/ECG Wellness

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Caring for Patients with Duchenne Muscular Dystrophy in the Emergency Department: A Problem-Based Approach

PEMBlog

OCTOBER 18, 2024

Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is essential for optimal management.

Emergency Department

Emergency Department Fractures Best Practices Documentation/Coding

Can We Stop (Predict) The Drop? – April No Falls Month

The Injectable Orange

APRIL 4, 2017

There is a wealth of information relating to best practice in preventing falls and harm from falls, however there is little to guide the accurate prediction of future falls for geriatric patients presenting to the Emergency Department. Predicting Geriatric Falls Following an Episode of Emergency Department Care: A Systematic Review.

Emergency Department

Emergency Department Evidence-Based Practice Academics Documentation/Coding

Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Post opiate hypotension in prehospital trauma patients is a rare but documented complication. Ann Emerg Med. Nachi: Definitely. Prospective; 333 patients) 73.*

Emergency Department

Emergency Department EKG/ECG Operations Fractures

How To Perform an Ultrasound-Guided Clavipectoral Block

ACEP Now

FEBRUARY 11, 2024

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. The clinician should note the fracture site (either via palpable landmark or ultrasound visualization). Epidemiology of clavicle fractures.

Ultrasounds

Ultrasounds Fractures Emergency Department Hospitals

Diagnostics and Therapeutics: Ear Emergencies in the Department

Taming the SRU

NOVEMBER 14, 2023

Chief complaints involving the ear are a common occurrence in Emergency Departments across the US and include presenting symptoms such as ear pain or fullness, hearing loss, redness, trauma, vertigo, and foreign bodies. A retrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011 identified 8.6

Emergency Department

Emergency Department Pediatrics Wellness Fractures

The 85th Bubble Wrap Bristol Royal Children’s ED Journal Club x DFTB

Don't Forget the Bubbles

OCTOBER 10, 2024

The study excluded complex nail bed injuries, including those with distal phalanx fractures, germinal matrix injury or pulp lacerations, meaning outcomes are only relevant to simple nail bed injuries. However, in the secondary outcome of parental assessment, nail discard patients had higher median scores. Arch Dis Child. Epub ahead of print.

Emergency Department

Emergency Department Outcomes Research Operations

Traumatic Lens Dislocation Identified on Ocular Ultrasound

Cook County EM Blog

MARCH 28, 2023

As the patient was also having facial pain and reported multiple episodes of blunt facial trauma over the past months, CT facial bones was completed which demonstrated chronic fracture deformities of the left inferior orbital wall, a communited chronic nasal bone fracture, and confirmed posterior lens dislocation.

Dislocations

Dislocations Ultrasounds Fractures Radiology

Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

MAY 6, 2023

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Clavicular and humeral fractures are more common in passengers than in drivers. He is completely amnestic to the events of the accident.

Forensics

Forensics Documentation/Coding Head Injuries Fractures

Managing the Patient with Alcohol Intoxication

RebelEM

MARCH 9, 2023

However, evaluating and managing patients with acute alcohol intoxication in the emergency department can be challenging. Assess for blood in the nares or signs of basal skull fracture, including battle signs, raccoon eyes, or hemotympanum. As always, document clinical sobriety before discharge. 2018 Mar;71(3):279-288.

Psychiatric

Psychiatric Emergency Department Fractures Documentation/Coding

emDOCs Podcast – Episode 81: Hemophilia

EMDocs

JULY 11, 2023

Fractures and dislocations are indications for full dose factor replacement. PMID: 7382250 MASAC Document 257 – Guidelines for Emergency Department Management of Individuals with Hemophilia and Other Bleeding Disorders. If LP is absolutely necessary, pretreat with clotting factors and speak with hematology.

Head Injuries

Head Injuries Pediatrics Dislocations CDC

Case Report: a High-Voltage Victim

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Electrical injuries in the emergency department: an evidence-based review. Emerg Med Pract.

Burns

Burns Fluid Resuscitation EKG/ECG EMS

"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner.

Documentation/Coding

Documentation/Coding Forensics CDC Fractures

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 5 CT if concern for occult fracture.

EMS

EMS Dislocations Fractures Operations

Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

JUNE 6, 2019

Jeff: Abdominal pain is the one of most frequent complaint in US emergency departments, representing 8% of all adult ED visits, with admission rates for all patients with abdominal pain ranging between 18-42% and reaching as high as 60% for the elderly. Emerg Med Clin North Am. Jeff: True. Talk to you next month! Abdom Imaging.

Ultrasounds

Ultrasounds Radiology Radiology Sepsis

Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance.

Seizures

Seizures Stroke Outcomes EMS

Grand Rounds Recap 8.16.23

Taming the SRU

SEPTEMBER 1, 2023

These were adult trauma patients with compromised vitals, clinical suspicion for life-threatening injuries, and/or presence of a severe injury Negative study for this primary outcome, but potentially an under-powered study Also, study involved mortality of all trauma patients, lumping together patients with polytrauma and those with TBI’s Secondary (..)

Sepsis

Sepsis Fractures Documentation/Coding Administration

Pretibial Lacerations

Mind The Bleep

JANUARY 28, 2025

per 1000 emergency department attendances in the UK (1). Enquire about any associated trauma such as head injuries and fractures. First Aid Measures : Document if any initial care has been done, such as cleaning or dressing the wound. The prevalence of these injuries is estimated at 5.2 fall, bump against an object).

Documentation/Coding

Documentation/Coding Head Injuries Fractures Emergency Department

Grand Rounds Recap 5.3.23

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding

Documentation/Coding Seizures Psychiatric Wellness

Hand Examination & Pathology

Don't Forget the Bubbles

AUGUST 10, 2023

This is partly because the hands (including fingers) of children & young people have a tendency to fracture without as much compressive force being applied to the bones when compared with adult hands. We will focus on the most important structures when assessing paediatric hands in the emergency department.

Fractures

Fractures Soft Tissue Injuries Emergency Department Operations

Animal Bites

Mind The Bleep

SEPTEMBER 17, 2024

Introduction Patients regularly present to the emergency department with animal bites. Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture.

Fractures

Fractures Infectious Diseases Documentation/Coding Hospitals