Archive for category: Orthopedics

Performing Procedures Like a Boss, in the ED Without an IV

24 Oct
October 24, 2018

Background: Establishing IV access has become the norm for patients presenting to the ED.  However with increasing patient volumes, difficulty and delays in acquiring IV access, it seems that anything that could expedite care, reduce pain and suffering, and improve patient care would be welcomed in the ED.  There are several tricks I have learned along […]

Clinical Pearls from ACEP 2017 – Washington D.C.

09 Nov
November 9, 2017

This year ACEP 2017 took place in Washington D.C. from Oct. 29th – Nov 1st, 2017.   There were lots of amazing speakers and topics as was evidenced by the eruption of everyone’s twitter feeds with the #ACEP17 hashtag.  I was fortunate enough to attend this amazing conference and approached by several attendees if I would […]

Acetaminophen vs. Diclofenac vs. Combo for Acute MSK Pain

02 Nov
November 2, 2017

Background: Acute, minor musculoskeletal injuries (i.e. non-fracture or dislocations) are frequently seen in the Emergency Department. Aside from ruling out a more severe injury, management often focuses on pain relief or mitigation of pain. Though many analgesic agents exist, acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for this indication. Both have important side […]

Pediatric Septic Hip

06 Mar
March 6, 2017

Pediatric Septic Hip Definition: Bacterial infection of the hip joint space and synovial fluid Background: Causes Hematogenous spread in bacteremia Local spread (i.e. from osteomyelitis) Direct inoculation (traumatic or surgical) High-Risk Subgroups Age < 2 years (peak incidence 6 – 24 months) Immunocompromised state (i.e. AIDS, active cancer, etc) Functional asplenia (i.e. sickle cell disease) Complications […]

What Is the Role of Muscle Relaxants or Opiates in the Treatment of Acute Non-Traumatic LBP?

07 Dec
December 7, 2015

Background: Acute, non-traumatic low back pain (LBP) is a common chief complaint and has been estimated to lead to more than 2.7 million ED visits annually nationwide. It affects a broad range of individuals and can be painful and debilitating long after an initial ED visit. Often times in clinical practice, evidence based decisions on […]