A 20 year-old man with no PMH presents to the ED after skateboarding injury. He states he was skateboarding around a construction site when he felt a sharp object cut the back of his right leg. Vitals are within normal limits. References: Karadshes,M. Achilles Tendon Read more…
An epic stuntman known as Evel Knievel presents to the ER with intense finger pain. He noticed the pain start yesterday, a day after he nicked his index finger doing a flying motorcycle stunt. Although he’s broken 433 bones in his lifetime (true story- he’s in the Guinness book of World Read more…
Ultrasound-Guided Fascia Iliaca Block *Consider this as an adjunct for pain control in patients with hip fractures. Fascia Iliaca is located anterior to the iliacus muscle -Femoral and lateral cutaneous nerves lie under fascia iliaca -Injecting anesthetic under the fascia will allow the anesthetic to spread and reach Read more…
Here’s Dr. Alsup with today’s Morning Report! Hip Dislocations *Dislocations and fracture-dislocations are true orthopedic emergencies History: ABC’s: This injury is a red flag for multisystem injury Associated injury (95%) Assoc acetabular fracture 70% Knee fractures/ligamentous injury/ dislocation 30% Sciatic palsy 10% of patients (peroneal nerve branch) Read more…
Thanks to Dr. Wang for presenting today’s Morning Report! Nailbed Injuries Typically caused by crush injuries with hammer, in doorway, or car doors. Trauma by saws, knives, or drills can also cause these injuries Subungual hematoma: 50% have underlying nailbed laceration Nailbed injuries: nailbed lacerations Workup includes Read more…
Today’s Morning Report is presented by Dr. Adal! Shoulder dislocation The most common joint dislocation (approximately 50% of all joints) Mechanism Presentation Associated injuries Anterior Indirect blow with arm in abduction, extension, and external rotation Arm is held in abduction and slight external rotation with shoulder appearing “squared Read more…
Here’s Dr. Alsup with today’s Morning Report! Tendon Rupture Background: -Galen described in 130-201 CE. In which he described a young man injured during a wrestling match -Young people: trauma/sports -40-60 yo: chronic inflammation Sx: pain, swelling, loss of assoc muscle function. – frequently is an immediate ‘pop’ or Read more…
Today’s Morning Report is presented by Dr. Youn! OPEN FRACTURES Definition: any fx that communicates with an overlying disruption of skin and soft tissues Initial assessment: still the ABCs (including pulses, hemorrhage control) Key history: mechanism, time course of event Physical exam: neurovascular status of injury, degree of Read more…
Thanks to Dr. Youn for today’s Morning Report! Anterior Shoulder Joint Dislocation – Reduction Techniques