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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

The Skeptics' Guide to EM

He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture? first appeared on The Skeptics Guide to Emergency Medicine. Date: November 2, 2023 Reference: Coventry et al.

Fractures 131
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Episode 14: Thoracotomy

PHEM Cast

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

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SGEM#365: Stop! It’s Not Always Hammer Time

The Skeptics' Guide to EM

BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. It’s Not Always Hammer Time first appeared on The Skeptics Guide to Emergency Medicine. X-rays show severe, tri-compartment arthritis. Tricoci et al.

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SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures

The Skeptics' Guide to EM

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. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.

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Meet the Emergency Physicians Running for Congress

ACEP Now

Some groups and practices have explored the option, understand what they’re getting into and have concluded that that they’re going to work together to get better outcomes under a unionized model. There’s no hard line for how many hours you should be measured on in terms of boarding or in terms of how long you’re in the emergency department.

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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) was first used 50 years ago in the Korean War but was not mentioned in emergency medicine literature until 1986. Clinical Question: What are the outcomes of trauma patients after REBOA placement? The evidence for REBOA is conflicting. Reference: Joseph et al.

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ED Boarding

ACEP Now

In November 2022, the American College of Emergency Physicians sent a letter to President Biden on behalf of 34 organizations, asking to convene stakeholders to identify solutions to address the emergency department (ED) boarding crisis.1 military facilities. References American College of Emergency Physicians, et al.