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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. They commonly present with a ‘flattened cheekbone’ and can involve orbital rim as well.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

These clinically challenging intubations prompted emergency clinicians to turn to a KOBI technique and forgoing the use of an NMBA, which are not without risk. Additionally, many if not most emergency physicians do not receive adequate training on topical awake intubations (TAI) (11). Int J Emerg Med. 2017 Dec;10(1):1.

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Pediatric Pain

Pediatric Emergency Playbook

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).

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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.

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