17 results
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Algorithm Opioid ... Naive vs Opioid ... Combinations of Non-Pharmacologic ... #Stewardship #Algorithm ... #Management #Pain
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... • ED Management ... follow-up with orthopedics ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
Opioid Use Disorder ... affinity, and a slow dissociation ... abstinent from short-acting ... margin of safety in pharmacology ... Comparison #Table #Pharmacology
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Differential Diagnosis Algorithm ... Syphilis (light-near dissociation ... ) • Pharmacologic ... (e.g Opioids, Alcohol ... • Botulism Pharmacologic
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... Complex, involve orthopedics ... Complex, pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Patient has an opioid ... Time since last opioid ... >12hr (short acting ... #Withdrawal #Algorithm ... #Management #Addiction
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... fractures • ED Management ... Discharge with orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Anterior Shoulder Dislocation ... - ED Management ... common major joint dislocation ... glenoid) • ED Management ... #Orthopedics #Sports