Tiny Tip: Is this a ‘CASE’ of an elbow fracture?

An elbow fracture is a common pediatric injury in emergency medicine. These fractures present challenges in diagnosis due to the maturing skeletal anatomy and the subtlety of these injuries.1 Plain radiographs are adequate to detect elbow fractures in most cases and a systematic approach can help learners diagnose these pathologies.2,3 An approach to reading elbow radiographs: After confirming patient identification and appropriate radiographic view, a mnemonic to help guide your approach to elbow ...

The post Tiny Tip: Is this a ‘CASE’ of an elbow fracture? appeared first on CanadiEM and was written by Graham Wilson.

IV Lipid emulsion for drug toxicity in the ED

What is the role of intravenous lipid emulsion in drug toxicity in the emergency department? A 32-year-old male with depression and chronic neuropathic pain presents to your ED after an intentional overdose of 50 x 75 mg tablets of amitriptyline one hour ago. On exam, his blood pressure is 92/54 mmHg and his heart rate is 128 bpm. He is somewhat somnolent and gets rushed to your resuscitation bay from triage. His initial ...

The post IV Lipid emulsion for drug toxicity in the ED appeared first on CanadiEM and was written by Jared Baylis.

CRACKCast E087 – Peripheral Arteriovascular Disease

This episode of CRACKCast covers Rosen’s Chapter 87, Peripheral Arteriovascular Disease. This episode covers the diagnosis and management of acute and chronic arterial insufficiency, differentiating between thrombotic and embolic insufficiency, as well as aneurysms, AV fistulae, and thoracic outlet syndrome. Shownotes – PDF Here Rosen’s In Perspective This chapter covers the diseases that affect the medium and small arteries in the body (ie. not the aorta, innominate, common carotid, subclavian, or pulmonary arteries). While ...

The post CRACKCast E087 – Peripheral Arteriovascular Disease appeared first on CanadiEM and was written by Chris Lipp.