emergency medicine orthopedics

EM Quick Hits 60 Post-Tonsillectomy Hemorrhage, Post-CABG Infections, Bougie Tips, Pelvic Fracture Bleeds, Debriefing: Why, When & How

On this month's EM Quick Hits podcast: Kevin Wasko on post-tonsillectomy hemorrhage management, Brit Long on assessment and management of post-CABG surgical incision infections, Anand Swaminathan on evidence, pitfalls and tips on using Bougies, Leah Flannigan on when to suspect vascular injury in patients with low energy mechanism pelvic fractures, Andrew Petrosoniak on debriefing after cases: why, when and how... Do you learn a lot from EM Cases? Please consider a donation to ensure EM Cases continues to provide you high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/

By Anton Helman|2025-01-05T21:43:47-05:00October 22nd, 2024|Categories: Cardiology, Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Orthopaedics, Resuscitation|Tags: bougie, CABG complications, clinical debriefing, pelvic fracture, post-tonsillectomy hemorrhage|0 Comments

Ep 190 Carpal Bone Injuries – The Big 4

Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients. In this part 2 of our 2-part podcast series on wrist injuries we highlight the "Big 4" most commonly missed and mismanaged carpal bone injuries, elucidating the key historical, physical exam and x-ray findings, as well as management strategies...

By Anton Helman|2024-06-18T19:41:42-04:00January 2nd, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Orthopaedics|Tags: carpal tunnel view, clenched fist view, hook of hamate fracture, lunate dislocation, lunate injury, perilunate dislocation, scaphoid fracture, scapholunate dissociation, triquetrum fracture|2 Comments

Ep 189 Commonly Missed and Mismanaged Wrist Injuries

In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED? What are the 2 key x-ray signs we should look for on the AP and the 2 key x-ray signs we should look for on the lateral for every wrist injury? and many more...

By Anton Helman|2024-06-18T19:42:16-04:00December 19th, 2023|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Orthopaedics|Tags: Barton fracture, Colles fracture, Distal Radius Fracture, Galeazzi, Smith's fracture, TFC injury|0 Comments

EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients

On this month's EM Quick Hits podcast: Anand Swaminathan on the role of methylene blue in septic shock, Nour Khatib on jaw dislocation reduction techniques, Hans Rosenberg on a phenotypic approach to Crohn's disease emergencies, Gil Yehudaiff on evidence based analgesics in renal colic, Brit Long on the importance of inhaled steroids for asthma, and Andrew Petrosoniak on the "lethal diamond" in polytrauma patients and the current state of hypocalcemia in bleeding trauma patients... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Shaila Gunn|2024-09-27T20:28:09-04:00September 12th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Genitourinary, Medical Specialty, Orthopaedics, Respirology, Resuscitation, Trauma|Tags: asthma, colitis, Crohn's, hemorrhagic shock, hypocalcemia, inhaled corticosteroid, lethal diamond, methylene blue, NSAIDs, renal colic, sepsis, TMJ dislocation, trauma resuscitation, vasopressors|1 Comment

Journal Club 4 PoCUS or X-ray for Distal Forearm Fractures

You are working the ambulatory section of your ED and evaluating a 6-year boy with a possible distal radius injury. 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. With expert clinical commentary by Dr. Arun Sayal and Research Methodology Hot Take by Dr. Shelley Mcleod...

By Rohit Mohindra|2023-07-19T00:14:23-04:00July 18th, 2023|Categories: EM Cases, Emergency Medicine, Journal Club, Medical Specialty, Orthopaedics|Tags: distal forearm fracture, Distal Radius Fracture, Dr. Arun Sayal, EBM, non-inferiority trials, POCUS|0 Comments

Ep 176 Orthopedic X-rays Master Class – Pitfalls in Obtaining and Interpreting MSK X-rays

Do not let a negative X-ray rule the day! Like almost all medical tests X-rays are far from perfect and should be ordered and interpreted only in the context of a thorough history and physical exam. In this 2nd part of our 2-part series on orthopedic x-rays with Dr. Arun Sayal and Dr. Yatin Chadha we discuss the pitfalls of obtaining and interpreting orthopedic X-rays, when orthopedic X-ray decision tools lead us astray, how understanding the concept of central ray helps dictate how we should order X-rays and interpret them, how the ring structure concept of the forearm and lower leg can remind us where to look for a second injury, when we need 3 views vs 2 views, when extra views like the clenched fist view and weight bearing views are indicated, why we should always look at the lateral view first, the limitations of ultrasound and CT in long bone and joint injuries and more... Please support EM Cases by giving a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-07-11T15:35:05-04:00November 8th, 2022|Categories: EM Cases, Emergency Medicine, Medical Specialty, Orthopaedics|Tags: central ray, clenched fist view, Essex-Lopresti, Galeazzi, GRIMUS mnemonic, Lisfranc, Maisonneuve, Monteggia, skyline view|0 Comments

Ep 175 Emergency Orthopedics Differential: SCARED OF Mnemonic – When X-rays Lie

In this main episode podcast, Dr. Arun Sayal creator of the CASTED course and Dr. Yatin Chadha a radiologist with a fellowship in MSK radiology, join Anton for Part 1 of 2 podcasts on Emergency Orthopedic Injuries. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. It ensures we pick up all the “can’t miss” diagnoses that can be easily overlooked when we do not integrate a pointed history and physical exam with the X-ray in front of us. Essentially, we discuss ‘when X-rays lie’ and offer up a variety of clinical pearls and pitfalls in assessing patients in the ED with MSK presentations…

By Anton Helman|2024-07-11T15:35:03-04:00October 25th, 2022|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Orthopaedics|Tags: compartment syndrome, Dr. Arun Sayal, nonaccidental injury, occult fracture, SCARED OF mnemonic, septic arthritis, subluxation|2 Comments

EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines

In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for therapeutic hypothermia post-arrest and the TTM2 trial, Sarah Reid on HEADS-ED mental health screening tool for children, youth and young adults, Andrew Petrosoniak on pelvic trauma and pelvic binder tips and pitfalls, Michelle Klaiman on what we need to know about Kratom and Anand Swaminathan on why femoral lines are often a great central line choice...

By Anton Helman|2024-10-27T20:32:11-04:00July 13th, 2021|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Orthopaedics, Pediatrics, Psychiatry, Resuscitation, Trauma|Tags: central line, femoral line, HEADS-ED, Kratom, pediatric depression screen, pediatric suicide risk assessment, pelvic fracture, pelvic trauma, scaphoid fracture, therapeutic hypothermia, TTM2|1 Comment

EM Quick Hits 21 TXA in GI Bleed, Pediatric DKA, POCUS for Shoulder Dislocations, Lisfranc Injuries, Dexamethasone for COVID Pneumonia, Consultation Tips

Salim Rezaie on HALT-IT trial for TXA in unstable GI bleed, Sarah Reid on pediatric DKA update in fluid management and cerebral edema, Hans Rosenberg on POCUS in shoulder dislocations via CJEM, Arun Sayal on Lisfranc injury pearls and pitfalls, Justin Morgenstern on RECOVERY Trial for Dexamethasone in COVID pneumonia, Walter Himmel on getting what you need from consultants...

By Anton Helman|2024-11-30T13:52:23-05:00August 11th, 2020|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Hematology, Medical Specialty, Orthopaedics, Pediatrics, Respirology|Tags: consulting, COVID-19, dexamethasone, GI bleed, HALT-IT, Lisfranc, pediatric DKA, pneumonia, POCUS, shoulder dislocation, tranexamic acid, TXA|0 Comments

EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors

Justin Morgenstern on watchful waiting for large spontaneous pneumothoraces, Michelle Klaiman on mirco-dosing buprenorphine for opiate use disorder, Arun Sayal on the practical application of CRITOE in pediatric elbow fractures, Jeff Perry on The Canadian TIA Score, Sarah Reid on updated pediatric surviving sepsis guidelines, Salim Rezaie (Best of REBELEM) on safety of vasopressor administration through peripheral IVs...

By Anton Helman|2024-12-14T23:48:32-05:00May 5th, 2020|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Orthopaedics, Respirology, Special Populations|Tags: buprenorphine, Canadian TIA Score, CRITOE, elbow fracture, pediatric sepsis, peripheral vasopressors, pneumothorax, TIA|3 Comments