41 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
held in slight abduction ... procedural sedation and reduction ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... , 80% of elbow dislocations ... procedural sedation and reduction ... Posterior long arm • Ortho ... Simple, DC with ortho
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... In perilunate dislocation ... summary: • Dorsal dislocation ... sedation and emergent reduction ... Sugar tong • Ortho
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint Dislocation ... Interphalangeal joint dislocations ... involved and the dislocation ... Digital block and reduction ... Finger splint • Ortho
Management of Polycystic Ovary Syndrome (PCOS)
Hyperandrogenism, Family Planning, Endometrial cancer prevention, Cardiovascular risk factor management
→ Weight
Polycystic Ovary Syndrome ... management → Weight Reduction ... No FDA approved treatments ... Pregnancy - Ovulation induction ... Polycystic #Ovary #Syndrome
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... ), compartment syndrome ... I or Ill) • Ortho ... • If stable reduction
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Shoulder: • Abduction ... (axillary) • Adduction ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Hyperviscosity Syndrome ... - Causes and Treatment ... transformation (CML) / Induction ... Hyperviscosity #Syndrome ... Differential #Diagnosis #Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... for 10-25% BP reduction ... Encephalopathy #Syndrome ... #Treatment #Management
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Specific, Pain Syndrome-Targeted ... Reduction in Utilization ... Medication Assisted Treatment ... (MAT) and Harm Reduction