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 91

Fractures EMS Resuscitation 91

PEMBlog

JULY 14, 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 Fam Physician.

Fractures 98

Fractures Pediatrics 98

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

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

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

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

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

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

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

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 121

Fractures Emergency Department 121

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 124

Fractures Ultrasounds Pediatrics Outcomes 124

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 110

Fractures Shock 110

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 81

Fractures Shock 81

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

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

AENJ: Current Issue

DECEMBER 31, 2023

Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture.

Fractures 40

Fractures 40

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

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

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 97

Fractures Military Radiology Radiology 97

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

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

Emergency Medicine Journal

SEPTEMBER 25, 2024

Background Forearm fractures are a common ED presentation. This study aimed to compare the resource utilisation of three anaesthetic techniques used for closed forearm fracture reduction in the ED: haematoma block (HB), Bier’s block (BB) and procedural sedation (PS). Results A total of 226 forearm fractures were included.

Fractures 52

Fractures Hospitals 52

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

Core Ultrasound

FEBRUARY 21, 2023

In this intro video, we demonstrate the use of ultrasound imaging to identify fractures. Ultrasound-guided fracture identification is a minimally invasive technique that allows for quick and accurate diagnosis of fractures, without the need for radiation or contrast agents. Lrg Joint Tap Basic Knee Exam Shoulder Exam

Fractures 52

Fractures Ultrasounds 52

Emergency Medicine Journal

AUGUST 21, 2024

1 Acute pain following rib fractures leads to a number of potential pulmonary complications, as a result of reduced inspiratory effort, weak cough and immobility. In the older adult with rib fractures, reported side effects of oral analgesia include acute onset delirium, reduced respiratory drive and nausea, vomiting and constipation.

Fractures 52

Fractures Wellness 52

Pediatric Education

APRIL 7, 2024

The mother was counseled about how to manage the lip laceration, and was relieved to hear that a nasal fracture was very unlikely in his case. Nasal fractures are fewer in younger ages but increase in incidence as children age because of increased opportunity for trauma (e.g. playing, sports, car accidents, etc.).

Fractures 40

Fractures Head Injuries Pediatrics Wellness 40

Board Bombs

OCTOBER 31, 2021

Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com We’ve all had this problem before: trying to explain the difference between a fracture and a break is.Well don’t worry, we solve that problem in this podcast! Want to experience the greatest in board studying?

Fractures 52

Fractures 52

Emergency Medicine Journal

MAY 28, 2024

Hip fractures require prompt, effective analgesia. 3 Preoperative FIB for hip fractures is associated with reduced pain, opioid use, delirium and mortality. 2 3 As FIB can be undertaken safely by generalist clinicians, 4 it is now an established part of ED hip fracture management.

Fractures 52

Fractures Ultrasounds 52

Cook County EM Blog

JUNE 2, 2022

Patient Course: Radiographs demonstrated a displaced, comminuted midshaft fracture of the fourth metacarpal. Orthopedic surgery saw the patient in clinic two weeks later, and given the irreducible fracture, the patient underwent open reduction and percutaneous pinning the next day. Metacarpal fractures: treatment and complications.

Fractures 52

Fractures Soft Tissue Injuries Operations Emergency Department 52

The Trauma Pro

JULY 9, 2024

Patients with cervical fractures more commonly need a tracheostomy for ventilatory support and/or have a head injury , and these are well known culprits in dysphagia Normal soft tissue (<6mm at C2, <22mm at C6) A study in the Jan 2011 Journal of Trauma outlined the dysphagia problem seen with placement of a halo vest.

Head Injuries 254

Head Injuries Fractures Hospitals Wellness 254

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

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

Cook County EM Blog

APRIL 7, 2022

He initially presented to an outside hospital where he was told he had an “ankle” fracture and was splinted with a short leg posterior splint. Mildly displaced oblique fracture involving the proximal fibular metaphysis. Pathoanatomy and Injury Mechanism of Typical Maisonneuve Fracture. The patient was sent for radiographs.

Fractures 52

Fractures Operations Hospitals 52

Emergency Medicine Cases

JULY 18, 2023

He lives with autism spectrum disorder and is uncomfortable in X-ray rooms, and you wonder if there is a role for PoCUS to help exclude a fracture. The post Journal Club 4 PoCUS or X-ray for Distal Forearm Fractures appeared first on Emergency Medicine Cases.

Fractures 52

Fractures Research EMS 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Seymour Fracture Nellans et al. Pediatric Hand Fractures. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures. Pediatric Hand Fractures.

Fractures 52

Fractures Pediatrics Emergency Department 52

Board Bombs

NOVEMBER 27, 2022

This epic podcast covers the major facial fractures, when to call a surgeon, and who needs to be seen in emergently in the ED vs outpatient. Oh, and please don’t call for plastic surgery consult on nasal bridge fractures. Oh, and please don’t call for plastic surgery consult on nasal bridge fractures. Face it, its broken.

Fractures 52

Fractures 52

Emergency Medicine Cases

SEPTEMBER 7, 2021

In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractures and why? The post Ep 160 Geriatric Trauma 2 Rib Fractures, Pelvic Fractures, Prognostication, Elder Abuse, Discharge Planning appeared first on Emergency Medicine Cases.

Elder Abuse 52

Elder Abuse Fractures EMS 52