11 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... microvascular injury ... perform provocative tests ... in cath lab Treatment ... #management
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... dislocations (posterior ... shoulder - AC), ... Evaluation #Diagnosis #Management ... #Emergency #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
with Stable Angina ... Stress Test ... coronary syndrome (ACS ... #Algorithm #Cardiology ... #EBM #Trial
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
artery injury ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Axillary nerve injury ... MH/CCF/CWRU EM ... Dislocation #Anterior #Radiology ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
carpal bones should ... • Due to injury ... Scaphoid #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
pads (anterior & posterior ... (LCL > MCL), coronoid ... MH/CCF/CWRU EM ... Fracture #Elbow #Radiology ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
syndrome, ligamentous injury ... (LCL) • ED Management ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... Orthopedics #Proximal #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... algorithm to determine ... if stress test ... Unstable Angina ... medical and surgical management