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Elbow Dislocations

RebelEM

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 (..)

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Ortho Pearls: Metacarpal Fracture Management

Cook County EM Blog

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. The patient’s injuries included a blow to the back of his right hand. Metacarpal fractures: treatment and complications. Hand (N Y). 2014;9(1):16-23.

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Facial Trauma

Mind The Bleep

Facial trauma commonly presents in Emergency Departments and in primary care. Due to the proximity to vital structures, it is essential to be able to assess these injuries appropriately and escalate accordingly. Patients with orbital fractures will present with swelling and periorbital bruising.

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Mastering Minor Care: Paronychia and Felon

Taming the SRU

These patients may be discharged with close outpatient follow-up, and should be instructed to return to the Emergency Department if they develop worsening and/or spreading pain and swelling, as this may be indicative of an infectious process. Tintinalli’s emergency medicine: A comprehensive study guide (Ninth edition.).

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EM@3AM: Extensor Tendon Laceration

EMDocs

Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2 Medicine (Baltimore). 2019;98(44):e17823.

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Pediatric Non-Accidental Trauma (NAT)

EM Guide Wire

Sentinel Injuries Subtle Findings of Physical Abuse. Delayed Identification of Pediatric Abuse-Related Fractures. Sentinel Injuries in Infants Evaluate for Child Physical Abuse. Journal of Emergency Nursing. Pediatric Clinics of North America. 2014; 61(5): 923-935. Ravichandiran N, Schuh S, Bejuk M, et al. PEDIATRICS.

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Pediatric Pain

Pediatric Emergency Playbook

Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Long-bone injuries Fracture pain should be addressed immediately with splinting and analgesia. Acad Emerg Med.