The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Ultrasonography or radiography for suspected pediatric distal forearm fractures. Casey currently splits his time […] The post SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures first appeared on The Skeptics Guide to Emergency Medicine. Reference: Snelling et al. He is also a fully-fledged ultrasonographer.

Fractures 122

Fractures Ultrasounds Pediatrics Outcomes 122

St. Emlyn

MAY 24, 2024

stemlyns #FOAMed The post JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St.Emlyn's - Emergency Medicine #FOAMed JC: Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care? St Emlyn’s appeared first on St.Emlyn's.

Fractures 122

Fractures Emergency Department 122

University of Maryland Department of Emergency Med

JULY 8, 2023

Pelvic fractures can be a major source of life threatening hemorrhage. Suspect fracture with significant force/mechanism. Signs are pelvic tendern. Click to view the rest

Fractures 83

Fractures 83

PEMBlog

NOVEMBER 17, 2023

The foot X-Ray taken of the foot of the patient with the foot problem The Diagnosis She has a fracture at the base of the 5th metatarsal (Jones fracture). I like to think of these injuries as the scaphoid fracture of the foot, as this location of the metatarsal in particular has relatively poor blood supply. Am J Sports Med.

Fractures 96

Fractures 96

Taming the SRU

SEPTEMBER 25, 2023

This places a significant responsibility on the EM physician to diagnose and treat fractures. Specifically, EM physicians should be able to recognize fractures that will likely require operative management and facilitate close follow up, such as a Maisonneuve fracture. 2) It is a specific type of a Weber C ankle fracture.

Fractures 101

Fractures Operations Emergency Department EMS 101

St. Emlyn

JULY 22, 2024

You may be shocked to […] The post JC: Evaluation of Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study appeared first on St.Emlyn's.

Fractures 112

Fractures Shock 112

Emergency Medicine Journal

AUGUST 21, 2024

Background Lidocaine patches, applied over rib fractures, may reduce pulmonary complications in older patients. We aimed to establish whether a definitive randomised controlled trial (RCT) evaluating lidocaine patches in older patients with rib fracture(s) was feasible.

Fractures 97

Fractures Research Outcomes Hospitals 97

Canadian EM

JULY 11, 2024

She has pain on the radial aspect of her left wrist and anatomical snuffbox.However, the X-rays do not indicate an obvious scaphoid fracture. Clinical question: What are the predictive clinical features for occult scaphoid fractures in patients with normal initial radiographs in the ED?

Fractures 83

Fractures Emergency Department 83

The Trauma Pro

OCTOBER 3, 2023

Many vertebral fractures can be treated non-operatively. So I would like to concentrate on some papers that examined the use of back braces on patients who underwent pedicle screw fixation of their thoracic and/or lumbar spine fractures. Is postoperative bracing after pedicle screw fixation of spine fractures necessary?

Fractures 203

Fractures Dislocations Operations Burns 203

The Trauma Pro

OCTOBER 29, 2024

Here are the factoids: Only 110 patients had a postop CT scan; 73 had scans within the first 24 hours, the other 37 were scanned later The rationale for early scan was to investigate retroperitoneal injury in half of patients, but frequently no indication was given (41%) The rationale for late scan was for workup of ileus in one-third or for evaluation (..)

Operations 199

Operations Fractures Radiology Radiology 199

The Trauma Pro

FEBRUARY 27, 2024

Problems can also arise when the tibia is fractured, leading to leakage into the soft tissues. But complications are possible. The most common is an insertion “miss”, where the fluid then infuses into the knee joint or soft tissues of the leg. Infection is extremely rare.

Fractures 263

Fractures 263

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. Serratus Anterior Plane Blocks for Rib Fractures in the ED.

Fractures 98

Fractures Ultrasounds Outcomes Research 98

Emergency Medicine Cases

OCTOBER 22, 2024

Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: [link] The post EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How appeared first on Emergency Medicine Cases.

Fractures 93

Fractures EMS Resuscitation 93

The Skeptics' Guide to EM

NOVEMBER 11, 2023

Which clinical features best predict occult scaphoid fractures? 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? Which clinical features best predict occult scaphoid fractures? Emerg Med J. Emerg Med J. Emerg Med J.

Fractures 96

Fractures Military Radiology Radiology 96

St. Emlyn

JULY 22, 2024

You may be shocked to hear that an Emergency Medicine doctor such […] The post Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study appeared first on St.Emlyn's. St.Emlyn's - Emergency Medicine #FOAMed Background I spend some of my time as a major trauma consultant on the major trauma ward (MTW).

Fractures 82

Fractures Shock 82

Mind The Bleep

MARCH 22, 2023

Introduction Clinical Definition An open fracture is when the broken bone breaks through the skin or any other body cavity that is open to the outside, including those through the rectum or vagina. This is especially vital when addressing the issue of a fracture, adequate soft tissue coverage or blood vessel injury.

Fractures 59

Fractures Documentation/Coding Operations Hospitals 59

Life in the Fast Lane

AUGUST 15, 2024

Danny McGurgan and Mike Cadogan Galeazzi fracture Galeazzi fracture (1934). Fracture of the distal third of the radius with associated Distal radio-ulna joint (DRUJ) disruption.

Fractures 52

Fractures 52

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. His imaging shows mildly displaced rib fractures of ribs four through seven. Reference: Ramesh S, Ayyan SM, Rath DP, Sadanandan DM.

Fractures 83

Fractures Ultrasounds Emergency Department CDC 83

The Trauma Pro

APRIL 26, 2024

In this series, I will review the two major techniques for addressing troublesome bleeding from pelvic fractures. A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. As I continue to preach, going anywhere but the OR is dangerous for the patient.

Fractures 147

Fractures Head Injuries Radiology Radiology 147

Mind The Bleep

MAY 1, 2024

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Examination of a fractured limb Most patients will be in a lot of pain. If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately.

Fractures 52

Fractures Documentation/Coding Head Injuries Dislocations 52

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 EM Morsels

JANUARY 19, 2024

[Pereira 2017] If pathologic fractures occur, may be misdiagnosed as non-accidental trauma. [Li The initiation of antibiotic therapy in some infants can lead to a Jarisch–Herxheimer reaction (fevers, chills, hypotension, and possibly fetal death) due to the intense inflammatory reaction of the body to dying spirochetes.

Infectious Diseases 269

Infectious Diseases CDC Pediatrics Fractures 269

The Trauma Pro

OCTOBER 23, 2023

The trauma group at Stanford paired up with the Chang Gung Memorial Hospital in Taiwan to test the use of AI for interpreting images to identify a specific set of common pelvic fractures. The algorithms generated a “heat map” that showed the areas that were suspicious for fracture. All were handily identified by the AI.

Fractures 147

Fractures EKG/ECG Hospitals Wellness 147

University of Maryland Department of Emergency Med

JUNE 24, 2023

Use of intravenous lidocaine has been proposed as an adjunct/replacement for opioids in trauma patients with rib fractures. These small st. Click to view the rest

Fractures 71

Fractures 71

SCGH ED

MAY 6, 2024

Here are the updated basic fracture management guidelines for SCGH ED. A big thank you to Nuria for all her efforts.

Fractures 52

Fractures 52

The Trauma Pro

JANUARY 11, 2024

Specific ones that come to mind are shock, long bone or spine fractures, and TBI. Similarly, was there a relationship between the number of units of whole blood and possible “protection” from VTE? Did you examine other physiologic or anatomic variables and their relationship with VTE?

Resuscitation 264

Resuscitation Fractures Shock 264

Ziqitza HealthCare Ltd

JANUARY 2, 2024

What is a Hairline Fracture? A common cause of sports injuries, hairline fracture is a type of fracture that begins as a minor inflammation on the surface of a bone and manifests as a tiny thin hair-like crack on the bone. It is also known as a stress fracture or a fissure fracture.

Fractures 52

Fractures Ambulance Services Shock 52

Board Bombs

NOVEMBER 19, 2023

Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. Let's review some high yield aspects of rib fractures and the most simplified approach you will ever hear. Rib fractures: T-giving football. Cite this podcast as: Briggs, Blake.

Fractures 52

Fractures 52

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

ETM Course

JULY 31, 2024

In this episode of the ETM Course Podcast we talk to Dr Chris Partyka, Emergency Physician and Prehospital and Retrieval Specialist from Sydney and lead author for the recently published SABRE trial which compared Serratus Anterior Plane Blocks to a standard analgesia package for patients with rib fractures.

Fractures 119

Fractures Wellness 119

The Skeptics' Guide to EM

AUGUST 24, 2024

Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. He has three left-sided rib fractures on imaging without underlying complications. Background: Rib fractures are a common injury, particularly for those over 65. We have covered rib fractures twice on the SGEM.

Fractures 51

Fractures Emergency Department Ultrasounds Radiology 51

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Board Bombs

MAY 22, 2023

We cover all wrist fractures, what you need to know, how to manage, and why you almost never need to consult Orthopedics. We cover all wrist fractures, what you need to know, how to manage, and why you almost never need to consult Orthopedics. Marlena and Iltifat are LIVE from SAEM’23. This is their recording from the conference.

Fractures 52

Fractures 52

Broome Docs

SEPTEMBER 9, 2023

In this episode we do a deep dive into the BUCKLED trial that looked at the use of bedside ultrasound vs. plain film X-rays for the initial investigation of paediatric forearm fractures. This is a really neat Australian trial run by my friend Dr Peter Snelling and friends in Queensland. This […]

Fractures 114

Fractures Ultrasounds Outcomes 114

The Trauma Pro

MAY 28, 2024

This is typically a problem that arises in head-injured patients with extremity or pelvic fixators for concomitant fractures. I’ve covered the problem of performing MRI on patients with external fixators. MRI is an indispensable tool for the evaluation of head, spine, and soft tissue trauma.

Fractures 261

Fractures Hospitals 261

Ultrasound Gel

FEBRUARY 26, 2024

What's the deal with using ultrasound for forearm fractures in kids? What's the deal with using ultrasound for forearm fractures in kids? The GEL Jr. team is back and they have a bone to pick. They examine a recent article on this topic from the New England Journal of Medicine. link] [link] The GEL Jr.

Fractures 40

Fractures Ultrasounds 40

Pediatric EM Morsels

MARCH 31, 2023

Loss of cervical lordosis Concerning mechanism Remember: CT will help identify bony injury, however MRI is the better test to assess for ligamentous injury as well as spinal cord injury Below is an example of a Hangman’s Fracture (See Cervical Spine Fractures ). Moral of the Morsel You eyes may deceive you!

Fractures 130

Fractures Dislocations Pediatrics Radiology 130