A 35-year-old right handed male with no significant past medical history presents with a deep hand laceration. The patient states they suffered a cut with a box cutter at a construction site. He presents to the ED with profound difficulty extending his middle and ring finger and a laceration over the extensor surface. What is the diagnosis?
EM@3AM: Extensor Tendon Laceration Read More »
A 41-year-old male with no significant past medical history presents with a deep hand laceration. The patient states they were cutting an avocado when the knife pierced through and punctured his hand. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger.
EM@3AM: Flexor Tendon Laceration Read More »
How should you evaluate the patient with a hand injury in the ED? This post provides what you need to know.
Evaluating Hand Injuries in the ED Read More »
Episode 80 of the emDOCs podcast covers traumatic arthrotomy, or open joint. What history and exam findings suggest the disease, what testing should you obtain, and what is the management?
emDOCs Podcast – Episode 80: Traumatic Arthrotomy Read More »
A 75-year-old male with a history of hypertension, osteoarthritis, and diabetes mellitus presents to the ED with a chief complaint of lower back pain. He states that he fell a few days ago and the pain is getting worse, particularly when he is sitting down. His vitals include blood pressure 150/95, heart rate 95, SPO2 99%, temperature 36.6C, and a glucose of 143. On examination, the pelvis is stable, but he endorses tenderness midline along his sacrum. He has a normal neurologic exam in all extremities. What’s the diagnosis?
EM@3AM: Sacral fractures Read More »
Walid Malki and Visual Wednesdays are back with Boxer’s Fracture!
Visual Wednesdays: Boxer’s Fracture Read More »
A 28-year-old male presents as a transfer from an urgent care with report of left-hand injury. He is a construction worker and was using a table saw when he injured his left hand. The amputated part is wrapped in a plastic bag. He is right-handed. He has extensive injuries to the left hand, including amputation. What’s the next step in your evaluation and treatment?
EM@3AM: Finger Amputation Read More »
How should you evaluate and manage the patient with spinal cord injury?
We Have Your Back: ED Presentations, Evaluation, and Management of Spinal Cord Injuries Read More »
Gout is common in the ED. How can we optimize the care of these patients?
Gout in the ED: Pearls and Pitfalls Read More »
Chuck Pilcher looks at the Ottawa Ankle/Foot Rules in this month’s Medical Malpractice Insights.
Medical Malpractice Insights: Ottawa Ankle/Foot Rule Read More »