32 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate "apple" does ... Ortho consult: Yes ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Orthopedics #Sports #MSK
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Management #Seizure #Algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... POCUS ECHO performed ... - MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Electrical #Alternans #POCUS
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Ortho consult: Yes ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Ortho consult: Yes ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Orthopedics #Proximal #MSK
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
that the vein does ... Clinical #Diagnosis #EM ... Radiology #Vasc #POCUS
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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reduce; Yes ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Ortho consult: Yes ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a
An Algorithm for ... active seizures is algorithmic ... and bag-valve mask ... detailed in the algorithm ... The focus is on