11 results
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a result of arterial ... dislocation • ED Management ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... motion • ED Management ... Thumb #Metacarpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... Exam: Swelling and ... motion • ED Management ... Thumb #Metacarpal #Radiology ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... • ED Management ... Dislocation #Posterior #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
- Observe and ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... Exam: Swollen and ... • ED Management ... Mallet #Finger #Radiology ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury with axial ... tendon) • ED Management ... Dislocation #IPJoint #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... surgical management