23 results
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Sergey Motov @painfreeED ... Stewardship #Algorithm #Management ... #Pain #ED
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... un lymphatic Diagnostic ... peribronchial cuffing, Kerley ... #management #cardiology ... #pharmacology #
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
: Pain control, ... Disposition: Pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... : Pain control, ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... injury • ED Management ... : Pain control, ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box, pain ... : Pain control, ... follow-up with orthopedics ... #Management #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
: Pain control ... DC with orthopedic ... • Nonoperative managernent ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
: Pain control, ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... : Simple, pain control ... Complex, pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... dislocation • ED Management ... : Pain control, ... Radiology #XRay #Diagnosis ... #Management #Orthopedics