Taming the SRU

JANUARY 1, 2024

Contraindications to placing an IO include a prior attempt at the same site, known orthopedic fracture or local hardware, overlying skin infection, and structural bone disease such as osteogenesis imperfecta (6). Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department. J Emerg Med.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

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 118

Dislocations Fractures Soft Tissue Injuries Outcomes 118

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Seymour Fracture Nellans et al. Pediatric Hand Fractures. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures.

Fractures 52

Fractures Pediatrics Emergency Department 52

PHARM

JUNE 11, 2024

Identification and Management of Pelvic Fractures in Prehospital and Emergency Department Settings – Journal of Surgical Research — Read on www.journalofsurgicalresearch.com/article/S0022-4804(24)00261-0/fulltext

Emergency Department 40

Emergency Department Fractures Research 40

The Skeptics' Guide to EM

AUGUST 24, 2024

Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. JAMA Surg 2024 Guest Skeptic: Dr. Sean Baldwin is an Emergency Physician practising in Sydney, Australia in both a large tertiary emergency department and a small regional emergency department.

Fractures 51

Fractures Emergency Department Ultrasounds Radiology 51

Ultrasound Gel

APRIL 15, 2019

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Ultrasound is great for finding fractures, but what about being able to guide the reduction? link] Fractures of the distal radius are pretty common among people who choose not to break their fall with their face.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

Cook County EM Blog

JUNE 2, 2022

The Case: A 40-year-old male with no past medical history presented to the emergency department after he was assaulted with closed fists just prior to arrival. Patient Course: Radiographs demonstrated a displaced, comminuted midshaft fracture of the fourth metacarpal. Metacarpal fractures: treatment and complications.

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. Displaced proximal humeral fractures: part I. 2014(5):CD007121.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

The Trauma Pro

DECEMBER 12, 2023

The practice at many centers is to bring all transfer patients in through the emergency department. Bringing Patients To Your Emergency Department Patients can be reassessed to see if they meet any of your trauma activation criteria. Access to certain critical services may be more rapid from the emergency department.

Emergency Department 124

Emergency Department Operations Hospitals Radiology 124

AENJ: Current Issue

JULY 31, 2024

Hamate fractures are uncommon, but early and accurate diagnosis is critical to prevent negative outcomes. Hamate fractures may present initially to emergency departments, and diagnosis can be challenging.

Fractures 40

Fractures Emergency Department Outcomes 40

Taming the SRU

OCTOBER 27, 2023

Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). BACKGROUND Shoulder injury and dislocations are common reasons for patients to present to the emergency department (ED) for evaluation. Biancardi, M.

Dislocations 95

Dislocations Fractures Ultrasounds Emergency Department 95

ALiEM

JUNE 10, 2024

A 10-year-old boy presents to the emergency department (ED) after a high-speed motor vehicle collision. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do? He complains of neck pain and is reluctant to move his head.

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

EB Medicine

MARCH 31, 2017

This month, we’ll be talking “Maxillofacial Trauma in the Emergency Department.” This month, we’ll be talking “Maxillofacial Trauma in the Emergency Department.” This episode’s content was curated by Drs. Devjani Das, MD, RDMS, FACEP, and Lea Salazar, MD. Don’t miss it! This episode’s content was curated by Drs.

Emergency Department 40

Emergency Department Fractures Hospitals 40

Taming the SRU

MARCH 11, 2024

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). Knee dislocations make up less than 0.5%

Dislocations 107

Dislocations Emergency Department Fractures Operations 107

AENJ: Featured Articles

JUNE 30, 2011

A middle-aged unrestrained driver involved in a minor motor vehicle crash arrived in the emergency department in complete spinal immobilization. Central cord syndrome (CCS) should be included in the differential diagnosis for spinal cord injuries, even with a minor hyperextension injury without a cervical spine fracture.

Fractures 52

Fractures Emergency Department 52

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? and get 20% of all orders at [link] Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?*

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

ACEP Now

MAY 9, 2024

Complications of Gluteal AFT The pale, prone patient with multiple surgical drains and a constrictive faja has become a common site in the Jackson Memorial Hospital Emergency Department. Nearly half of all post-AFT patients presenting to our emergency departments required admission and six percent required ICU admission.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Don't Forget the Bubbles

NOVEMBER 29, 2023

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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 113

Documentation/Coding Fractures Emergency Department Wellness 113

Canadian EM

OCTOBER 24, 2023

A 72-year-old male presents to the emergency department (ED) with severe chest pain and difficulty breathing after an MVC. Physical examination reveals tenderness and localized swelling over the left lateral chest wall, with X-ray confirming multiple rib fractures. first appeared on CanadiEM.

Fractures 52

Fractures Ultrasounds Emergency Department 52

The Skeptics' Guide to EM

DECEMBER 10, 2022

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. Case: A 32-year-old male construction worker presents to the emergency department (ED) after falling on his right dominant hand.

Operations 52

Operations Fractures Military Emergency Department 52

The Skeptics' Guide to EM

DECEMBER 8, 2017

A Prospective Randomized, Double-Dummy Trial Comparing Intravenous Push Dose of Low Dose Ketamine to Short Infusion of Low Dose Ketamine for Treatment of Moderate to Severe Pain in the Emergency Department. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas.

Emergency Department 52

Emergency Department Fractures EMS 52

EMDocs

MARCH 30, 2024

Answer : Thoracic and Lumbar Spine Trauma Epidemiology: Approximately half of the vertebral injuries that are seen in the emergency department are thoracic and lumbar injuries. 3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures.

EMS 90

EMS Fractures Emergency Department Dislocations 90

The Skeptics' Guide to EM

AUGUST 17, 2019

Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. AEM August 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain.

Emergency Department 52

Emergency Department Academics Fractures Outcomes 52

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 52

Emergency Department Fractures Best Practices Documentation/Coding 52

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. X-ray (radiography) is the standard imaging technique used in emergency departments. N Engl J Med.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Taming the SRU

OCTOBER 1, 2024

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. The most common type of fractures seen in children are distal forearm fractures.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

Pediatric EM Morsels

MAY 24, 2024

Ann Emerg Med. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Incorrect interpretation of the recommendations would lead to a very high number of CT scans. 2013;62:107-116. doi:10.1016/j.annemergmed.2012.11.009.

Pediatrics 161

Pediatrics Blood Transfusions EMS Fractures 161

Emergency Medicine Journal

NOVEMBER 28, 2023

Background During closed reduction of displaced distal radius fractures, physical examination is used to determine the need for further manipulation before radiographic confirmation and cast application. In total, 105 patients were randomised to standard treatment and 106 patients to PoCUS-guided fracture reduction. to 6.45).

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

Don't Forget the Bubbles

SEPTEMBER 30, 2024

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Emergency department overcrowding is a complex issue with multiple contributing factors. Learning about international trends sparked our curiosity about our own department.

Emergency Department 89

Emergency Department Research Hospitals Pediatrics 89

The Skeptics' Guide to EM

NOVEMBER 2, 2019

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? Annals of EM 2019 Guest Skeptic: Martha Roberts is a critical and emergency care, triple certified nurse practitioner, currently living and working in western Massachusetts. A Randomized Controlled Trial.

Fractures 40

Fractures EMS Outcomes Emergency Department 40

Don't Forget the Bubbles

DECEMBER 2, 2024

This single-centre prospective study focused on a quality improvement (QI) project to reduce the overuse of chest X-rays (CXR) in paediatric patients with acute asthma exacerbations (AAE) arriving at the emergency department (ED ). Arch Acad Emerg Med. Pediatric Emergency Medical Journal 2023;10(4):109-117.

Documentation/Coding 94

Documentation/Coding Pediatrics Emergency Department Fractures 94

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. Among patients with multiple rib fractures, the mortality rate can reach a staggering 33%, and this risk doubles for individuals above the age of 65. ED Physicians are already well-versed in the use of ultrasound.

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 98

EMS Ultrasounds Academics Fractures 98

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

OCTOBER 20, 2023

Higher sensitivity with the lever sign test for diagnosis of anterior cruciate ligament rupture in the emergency department. Guiraud, K. Trauma Surg. 142, 1979–1983 (2022). Clinical Question: Does the lever sign provide improved sensitivity to the diagnosis of acute ACL tear in the ED?

Fractures 95

Fractures Dislocations Emergency Department 95