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<< Orthopedic Sports Injuries: Off The Sidelines And Into The Emergency Department

Cost-Effective Strategies For Orthopedic Sports Injuries

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Cost-Effective Strategies For Orthopedic Sports Injuries

Cost-Effective Strategies For Orthopedic Sports Injuries

  1. Don't x-ray every knee, ankle, or foot. The Ottawa knee, ankle, and foot criteria are sensitive and specific. Adherence to these criteria whenever possible will decrease the number of knee radiographs ordered.51
  2. Do not order an MRI from the ED for knee injuries. MRI is an outpatient study that should be ordered by the orthopedic consultant who will be managing the patient.
  3. Avoid the use of ketorolac for acute musculoskeletal injuries. Ibuprofen has been shown to be just as effective for acute pain and is significantly less expensive. If ibuprofen is ineffective in relieving the patient's pain, opioid narcotic analgesics should be prescribed.
  4. Learn to use intra-articular lidocaine to reduce shoulder dislocations. It is cheaper and faster than intravenous sedation and is just as efficacious.19,20

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