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From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

ALiEM

JUNE 10, 2024

High Risk (>12.1% risk of injury) -> Consider CT Altered mental status (GCS 3-8 or AVPU = U) Abnormal airway Breathing Circulation findings Focal neurological deficits Intermediate Risk (2.8% sensitivity and 99.9%

Pediatrics

Pediatrics Emergency Department Research Fractures

SGEM Xtra: Dogmalysis 2021

The Skeptics' Guide to EM

FEBRUARY 20, 2021

The presentation is available to listen to on iTunes and GooglePlay and all the slides can be downloaded […] The post SGEM Xtra: Dogmalysis 2021 first appeared on The Skeptics Guide to Emergency Medicine. Non-union is defined as “a failure of the fracture-healing process” and occurs in up to 1 in 10 fractures.

Fractures

Fractures Outcomes Hospitals

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

AUGUST 30, 2023

REBEL Core Cast 107.0 – Vertebral Osteomyelitis Click here for Direct Download of the Podcast Definition Inflammation of the vertebrae due to a pyogenic, fungal or mycobacterial organism. The initiation of empiric antibiotics in hemodynamically stable, neurologically intact patients should be done on a case-by-case basis.

Infectious Diseases

Infectious Diseases Fractures Radiology Radiology

Critical Care 3 – Spinal Cord Injury

EM SIM Cases

DECEMBER 15, 2023

Clinical Vignette A 46-year-old woman pinned between truck and car has been resuscitated in ED and multiple injuries were identified, including bilateral rib fractures with flail chest, liver laceration and unstable T5-6 fractures with reduction of canal diameter. Download Case Here Crit Care 3- Spinal cord injury Download

Fractures

Fractures Resuscitation Academics Shock

Multi-case Resuscitation

EM SIM Cases

NOVEMBER 12, 2022

The trauma will be an open book pelvic fracture with hypotension and a positive FAST. The patient will need a pelvic binder, blood products, and go immediately to the OR. At this time, the resident will need to follow up on the stroke and hyperkalemia patients before evaluating the patient presenting with depression.

Resuscitation

Resuscitation Stroke EKG/ECG Fractures

REBEL Core Cast 86.0 – Hand Nerve Blocks

RebelEM

SEPTEMBER 21, 2022

REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Ultrasounds

Ultrasounds EMS Fractures

REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

JANUARY 29, 2024

Click here for Direct Download of the Podcast Paper: Aykan AC et al. Because the lungs receive 100% of cardiac output, it has been hypothesized that a lower dose of thrombolytic therapy may still be effective with a better safety profile [3][4]. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

Stroke

Stroke Outcomes Hospitals Administration

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

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All deaths involving hip fractures if the attending physician believes the fracture caused or contributed to the cause of death. If the fracture is to appear anywhere on the death certificate, the certificate must be completed by the Department of Medical Examiner-Coroner and not by the attending physician. ·

Documentation/Coding

Documentation/Coding Forensics CDC Fractures

CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

AUGUST 30, 2013

Imagine being able to stream or access a downloaded 60 sec video file on how to perform a critical procedure – not a tool for novices, but a useful aide memoire for rural clinicians who may only do this stuff once in a blue moon. Pull straight any fractures & splint them. Remember to apply splints to skin!

Burns

Burns Hospitals Ambulance Services Wellness

REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

JANUARY 24, 2024

REBEL Core Cast 116.0 – Achilles Tendon Rupture Click here for Direct Download of the Podcast Achilles Tendon Rupture Exam (www.lfaclinic.co.uk) Physical Exam May have palpable gap or deformity in region of tendon. Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols.

Operations

Operations Ultrasounds Fractures Outcomes

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. The resulting injuries include crush injuries, fractures, avulsions, lacerations and amputations. No bone is exposed.

Fractures

Fractures Soft Tissue Injuries Emergency Department Operations

REBEL Core Cast 131.0 – Traumatic Arthrotomy

RebelEM

NOVEMBER 13, 2024

Obtain emergency orthopedics consultation for all open joints and administer antibiotics and update tetanus in all patients REBEL Core Cast 131.0 – Traumatic Arthrotomy Click here for Direct Download of the Podcast. cefazolin or cefuroxime) If risk factors for MRSA present, use agent with activity against MRSA (i.e.

Soft Tissue Injuries

Soft Tissue Injuries Fractures EMS

REBEL Core Cast 133.0 – TMJ Dislocation

RebelEM

DECEMBER 18, 2024

Anterior dislocations: palpation of the TMJ can reveal one or both of the condyles to be anteriorly displaced in front of the articular eminence.

Dislocations

Dislocations Fractures Operations EMS

NIPE

Mind The Bleep

NOVEMBER 2, 2024

Download Scientific Diagram (researchgate.net) ) Assess the shape of the head, specifically looking for: Cephalohematoma: build up of blood vessels ruptured during a vaginal or instrumental delivery which does not cross the suture lines and feels soft rather than boggy on palpation. Place the tape measure above the ears and the eyebrows.

Dislocations

Dislocations Documentation/Coding Ultrasounds Wellness

Emergency Care Today

From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

SGEM Xtra: Dogmalysis 2021

Trending Sources

REBEL Core Cast 107.0 – Vertebral Osteomyelitis

Critical Care 3 – Spinal Cord Injury

Multi-case Resuscitation

REBEL Core Cast 86.0 – Hand Nerve Blocks

REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

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

CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

REBEL Core Cast 116.0 – Achilles Tendon Rupture

Hand Examination & Pathology

REBEL Core Cast 131.0 – Traumatic Arthrotomy

REBEL Core Cast 133.0 – TMJ Dislocation

NIPE

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