Remove Emergency Department Remove Operations Remove Soft Tissue Injuries
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Elbow Dislocations

RebelEM

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. 2018.02.011.

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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. On exam he was found to have swelling and tenderness to the dorsal aspect of his right hand.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

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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 Management of extensor tendon injuries.

EMS 77
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Pediatric Pain

Pediatric Emergency Playbook

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

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Hand Examination & Pathology

Don't Forget the Bubbles

Soft tissue injuries are also very common and can also occur as children explore the world in younger years often trapping digits in doors and through accidents during play and sporting activities. We will focus on the most important structures when assessing paediatric hands in the emergency department.