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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

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 120
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Preperitoneal Packing Vs Angioembolization: Part 3

The Trauma Pro

In the previous post in this series, I described an early review article summarizing several older studies comparing these two hemorrhage control techniques for pelvic fractures. They separated all patients with acetabular and pelvic ring fractures using ICD-10 codes. There is still room for research in this space.

Fractures 113
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Preperitoneal Packing Vs Angioembolization: Part 2

The Trauma Pro

Angioembolization requires the presence of a special interventional radiology team and a reasonably stable patient. Until we have better research to learn from, I suggest the following: Time is of the essence. Angioembolization has been a mainstay in the US for some time, and PPP has been more commonly used in Europe.

Radiology 113
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SGEM#451: I’ve Become So Numb – Serratus Anterior Plane Blocks for Rib Fractures

The Skeptics' Guide to EM

Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. Interests include information systems and digital health, research and education. He has three left-sided rib fractures on imaging without underlying complications. We have covered rib fractures twice on the SGEM.

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From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

ALiEM

Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children. For years, adult literature has provided clear guidelines for cervical spine imaging through the NEXUS and Canadian C-spine Rule (CCR) tools. High Risk (>12.1% sensitivity and 99.9%

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SGEM#274: Hocus POCUS for Appendicitis?

The Skeptics' Guide to EM

You do not have an ultrasound tech available at night and you are thinking of using your point of care ultrasound (POCUS) skills to look for a possible appendicitis, but you are unsure how accurate this test would be especially compared to other modalities such as radiology performed ultrasound.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.