Identifying Fractures or Sutures in Pediatric Trauma Patients
October 13, 2021


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Skull sutures normally found in pediatric patients can make it difficult to differentiate a fracture from normal suture lines.⁷,⁹ CT with sagittal and coronal reformatted series as well as 3-dimensional shaded-surface volume-rendered images can accurately differentiate between fractures and sutures.⁹ Fractures have sharp borders and increase in diameter as they approach sutures. Fractures may cross sutures and can be associated with overlying soft-tissue swelling or hematomas and/or widening of the sutures (diastasis).⁹ In comparison, sutures are usually uniform in diameter, have a zigzag pattern with sclerotic borders, and join with (rather than cross) other sutures.⁹ read more

What’s Your Diagnosis? Emergency Department Management of Rib Fractures
October 12, 2021


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Emergency Department Management of Cervical Spine Injuries right. read more

Test Your Knowledge: Less-Lethal Law Enforcement Weapon Injuries
September 21, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

 Less-lethal weapons and tactics are being increasingly used by law enforcement to minimize the reliance on more-lethal force. While these methods are designated as “less-lethal,” they can cause morbidity and mortality when deployed. Knowledge of these weapons and tactics can help direct the workup and management of patients with injuries from these methods and can protect clinicians from secondary exposure and injuries. read more

What’s Your Diagnosis? Emergency Department Management of Cervical Spine Injuries
September 13, 2021


Posted by Andy Jagoda MD in: What's Your Diagnosis , 1 comment so far

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on High-Altitude Illness: Updates in Prevention, Identification, and Treatment right. read more

Test Your Knowledge: Pediatric Acute Mild Traumatic Brain Injury and Concussion
August 23, 2021


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Mild traumatic brain injury (mTBI) and concussion, a subtype of mTBI, commonly present to the emergency department and may present with symptoms identical to those associated with more severe TBI. The development and use of clinical decision rules, increased awareness of the risk of radiation associated with head computed tomography, and the potential for patient observation has allowed emergency clinicians to make well-informed decisions regarding the need for imaging for patients who present with mTBI. read more

What’s Your Diagnosis? Less-Lethal Law Enforcement Weapon Injuries
July 16, 2021


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Welcome to this month’s What’s Your Diagnosis Challenge!

Case Presentation: Less-Lethal Law Enforcement Weapons: Clinical Management of Associated Injuries in the Emergency Department read more

Risk Management Pitfalls in the Assessment and Treatment of Mild TBI and Sports-Related Concussion in Children
May 17, 2021


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Our recent issue Emergency Department Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion reviews the most recent literature on concussion and mild traumatic brain injury (mTBI) and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting. read more

Risk Management Pitfalls for Accidental Trauma in Infancy
March 3, 2021


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Our recent Extra supplement Accidental Trauma of Infancy: Emergency Department Evaluation and Management reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.

To help you with the decision-making process, we’ve created a list of risk management pitfalls for accidental trauma in infancy, which is also included in the issue. read more

Test Your Knowledge: Rhabdomyolysis
January 4, 2021


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Rhabdomyolysis is a life-threatening pathological process that must be treated as early as possible to avoid potentially life-threatening sequelae. Much of the evidence that informs the management of rhabdomyolysis is retrospective research, often reported from mass disasters, and many practices that have been implemented as standard treatment are based on small studies published more than 30 years ago. read more

What’s Your Diagnosis? Evidence-Based Management of Rhabdomyolysis in the ED
November 16, 2020


Posted by Andy Jagoda MD in: What's Your Diagnosis , 2 comments

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Traumatic Hemorrhagic Shock in the Emergency Department right. read more