9 results
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... prophylactic antibiotic treatment ... provide wound care ... MH/CCF/CWRU EM ... #Fracture #Thumb
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... that are inadequately ... onto outstretched hand ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... immobilize • Splint: Thumb ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... [cannot extend thumb ... Splint: Posterior long ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... associated injuries: Rare ... • ED Management ... Splint: Posterior long ... MH/CCF/CWRU EM
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
proximal phalanx of thumb ... Used acutely in management ... exsanguinating pelvic trauma ... employed in the treatment ... of fractured bones
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
globules in the lung ... Surgical Care - ... H/O antecedent trauma ... including DM • Treatment ... #treatment
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This post will focus ... #Radiology #CTChest ... #Lung #Pulmonary
Langerhans Cell Histiocytosis (LCH)

Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
, skin, lungs, and ... long bones ... Birbeck granules (EM ... • Supportive Care ... Histiocytosis #Diagnosis #Management