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Medical Category: Orthopedics

Ottawa vs Pittsburgh Knee Rules title image comparing knee x-ray decision rules for acute knee injuries.

MDCalc Wars: Ottawa vs Pittsburgh — Which Knee Rule Should You Use?

Not every knee injury needs an x-ray. This post compares the Ottawa and Pittsburgh Knee Rules, highlighting when each rule applies, how they perform, and common pitfalls for ED clinicians.

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Orthopedics

Casting Doubt: The SUSPECT Trial — Bandaging Vs. Casting for Suspected Occult Scaphoid Fracture

Managing patients with suspected occult scaphoid fractures and normal X-rays presents a common clinical dilemma. About 1 in 10 of these patients will have an occult fracture, and roughly 10% of all scaphoid fractures result in nonunion. However, the risk ...

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Orthopedics

Sub-Dissociative IV vs Nebulized Ketamine to Treat Pain

Background: IV subdissociative ketamine at a dose of 0.1 to 0.3mg/kg is increasingly being used as an opioid sparing option for short-term acute pain relief. Alternatively, nebulized ketamine can be used for this indication and may have a benefit as ...

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OrthopedicsPediatricsProcedures and SkillsTrauma

REBEL Core Cast 116.0 – Achilles Tendon Rupture

Take Home Points Achilles tendon rupture is a clinical diagnosis. The Thompson Test should be applied in all suspected cases. Remember to brace or splint a rupture, even if suspected, in the resting equinus position for optimal healing and prevention ...

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Orthopedics

Rosh Review EM Scholar Monthly Question

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Orthopedics
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