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Shoulder Dystocia

Deliveries in the ED are obviously a rare event, and dystocias are a rarity inside of this rarity (representing about 0.6% to 1.4% of deliveries), but they still happen, and you need to know what to do if you end up with the catcher's mitt.  
emcurious.com
almost 4 years ago
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Notes from the Liminal Space:  The Future of Teams

(From the EiC: The liminal space references the active transitional state of moving into a new reality or place.  It is from the Latin for “limen” or threshold.  Check out Teresa’s previous posts on her transition into becoming a Clinician Educator: First experiences Becoming a mentor Differences in generational perspectives Standing on the shoulders of…  
icenetblog.royalcollege.ca
almost 4 years ago
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Shoulder • AnatomyZone

3D video anatomy tutorials to help you revise the musculoskeletal structures of the shoulder.  
anatomyzone.com
almost 4 years ago
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Surgical interventions for treating fractures and non-union of the collarbone | Cochrane

Collarbone (middle third clavicle) fractures are a common injury and account for up to 4% of all fractures. Although the majority of acute (recent injury) fractures can be treated conservatively, for instance by using a sling, there are some types of fracture that need to be surgically treated. Non-union of the collarbone, which results from failed fracture healing, is usually treated surgically when a person has pain and difficulties in using their shoulder.  
cochrane.org
almost 4 years ago
Www.bmj
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Management of the unstable shoulder

Shoulder instability is characterised by abnormal movement of the humeral head resulting in pain, subluxation, or dislocation  
feeds.bmj.com
almost 4 years ago
Www.bmj
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Management of the unstable shoulder

Shoulder instability is characterised by abnormal movement of the humeral head resulting in pain, subluxation, or dislocation  
feeds.bmj.com
almost 4 years ago
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SGEM#121: Internal or External Shoulder Immobilization (It Don’t Matter to Me)

Guest Skeptics: Dagny Kane-Haas. Dagny is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy.  
thesgem.com
almost 4 years ago
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Ultrasound Leadership Academy: Intro to Shoulder Evaluation

Evaluation of the shoulder with ultrasound may appear like a daunting task in the emergency department, however with a strong understanding of the anatomy and an organized approach, the technique will rapidly become more within your realm of comfort.   
emcurious.com
over 3 years ago
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classconnection.s3.amazonaws.com
over 3 years ago
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Pain control using local anaesthetics to improve surgical results after shoulder, hip and knee replacement surgery | Cochrane

Doctors can use regional analgesia (injection of local anaesthetics near the nerves or the surgical site) rather than conventional pain control after surgery. Does this choice improve long-term function after elective major joint (knee, shoulder and hip) replacement? We conducted this systematic review to explore controversy about the use of regional analgesia amidst efforts to limit healthcare costs and demonstrate value for interventions.  
cochrane.org
over 3 years ago
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AVN Of The Shoulder - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing avascular necrosis of the shoulder / proximal humerus. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me...  
youtube.com
over 3 years ago
Sinaiem dark
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procedural-sedation-propofol-or-ketofol

It’s Caturday night and you have a young, healthy male in your ED who dislocates his shoulder for the first time just 30 minutes prior to arrival. He seems like the purrfect candidate to perform a reduction without sedation, and you are paws-itive you can get the joint back in its place. You give some morphine and go for it right meow. Unfortunately, no luck. He states there is too much pain. Ultrasound guru Phil Andrus is your attending so you inject lidocaine into his shoulder joint via an ultrasound-guided spinal needle. Still no success. You think to yourself: you have got to be kitten me!  
sinaiem.org
over 3 years ago
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10 Ways to Reduce a Dislocated Shoulder” in a single video

Finally, "10 Ways to Reduce a Dislocated Shoulder" in a single video...it's here! https://t.co/qeybwPBDw9 @EMNews pic.twitter.com/VBRfJNSUj7 — Larry Mellick (@Lmellick) August 14, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
over 3 years ago
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Polymyalgia rheumatica in primary care: managing diagnostic uncertainty

A 78 year old white woman presented with a six week history of bilateral shoulder stiffness and pain. Stiffness was the main symptom—it was so severe that she could not dress herself or brush her hair. She also had constitutional features including anorexia, weight loss, and profound lethargy. She was a smoker with a 30 pack year history. Initial blood tests showed markedly raised inflammatory markers, with an erythrocyte sedimentation rate of 98 mm in the first hour (reference range 0-12) and C reactive protein of 933 nmol/L (0-47.6). A diagnosis of polymyalgia rheumatica was considered.  
feeds.bmj.com
over 3 years ago
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Munchausen Syndrome Revealed By Subcutaneous Limb Emphysema

Was this 18-year-old patient's subcutaneous emphysema of the shoulder and arm self-inflicted?  
medscape.com
over 3 years ago
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A pretty rash

A 24 year old woman presented with a five day history of an itchy raised rash on her left shoulder. Two weeks earlier a temporary tattoo of a flower had been drawn in the exact distribution of the rash⇓. What is the diagnosis?  
feeds.bmj.com
over 3 years ago
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Lab Case 77

A 57 year old man presents to your ED with some spastic movements of his limbs. He has a history of chronic pain in his shoulders, back and nack for which he is on pain medication.  
emergucate.com
over 3 years ago
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Common Causes of Neck Pain

Source: http://jenniferessary.hubpages.com/hub/Common-Causes-of-Neck-and-Shoulder-Pain#  
Nicole Chalmers
over 3 years ago
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Interventions for treating shoulder fractures in adults | Cochrane

Fracture of the top end of the upper arm bone (proximal humerus) is a common injury in older people. It is often called a shoulder fracture. The bone typically fractures (breaks) just below the shoulder, usually after a fall. Most of these fractures occur without breaking the skin lying over the fracture. The injured arm is often supported in a sling until the fracture heals sufficiently to allow shoulder movement. More severe (displaced) fractures may be treated surgically. This may involve fixing the fracture fragments together by various means. Alternatively, the top of the fractured bone may be replaced (half 'shoulder' replacement: hemiarthroplasty). More rarely, the whole joint, thus including the joint socket, is replaced (total 'shoulder' replacement). Physiotherapy is often used to help restore function.  
cochrane.org
over 3 years ago
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Predictors of Clinically Significant Shoulder Pathology

Could certain factors predict clinically significant shoulder pain in the ED, thus negating the need for radiography in these patients?  
medscape.com
over 3 years ago