Remove Fractures Remove Soft Tissue Injuries Remove Wellness
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Facial Trauma

Mind The Bleep

Patients with orbital fractures will present with swelling and periorbital bruising. Examination of possible orbital floor fracture: Presence of proptosis/exophthalmos, enophthalmos or hypoglobus Visual acuity in both eyes Check eye movements Presence of diplopia and in which gaze? This normally resolves once the swelling improves.

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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 Plast Reconstr Surg. 2013;132(4):560e-566e.

EMS 78
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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

A more detailed but voluntary reporting of medical care indicated (note only a quarter of rescues had this information gathered) that 32% were suspected lower limb fractures (the casualty can no longer mobilise hence the callout), and soft tissue injuries making up the rest of lower limb issues.

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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 ).