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Best of AAST 2023 #2: Immediate Postoperative Prosthesis

The Trauma Pro

Unfortunately, losing any limb has a significant psychological impact on our patients’ physical and mental well-being. It does take some extra effort to apply a well-fitted early prosthesis. The prosthesis must be easy to remove for wound care and protect the stump from injury while weight-bearing.

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Facial Trauma

Mind The Bleep

They commonly present with a ‘flattened cheekbone’ and can involve orbital rim as well. Zygoma fractures Zygomatic arch and zygomatic complex fractures are very common, especially in sports. Again, these can normally be brought back to OMFS clinic in 5-7 days to decide if surgery is needed.

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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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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). The ramped position helps displace these soft tissues anteriorly, reducing the risk of obstruction during laryngoscopy.

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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

EMS 97
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Upper Limb Arterial and Nerve Injuries: An Introductory Guide

Mind The Bleep

CT Angiography: Detailed imaging of arterial injuries. Provides a clear picture of the vascular anatomy and the extent of injury. MRI: Can be used to assess soft tissue injuries, including nerve damage, especially when clinical findings are unclear. It is particularly useful in preoperative planning.