A TAE occurs when a lesion extends into the joint capsule of the elbow, contaminating the articular space of a joint and increasing risk of infection. Patients typically present to the ED as a trauma (such as an motor vehicle collision or gunshot wound). Early identification of TAEs allows for timely washout and debridement. Inadequately identified and managed TAEs increase patients’ risks of septic arthritis, decreased mobility, chronic pain, and mortality [1]…
Read MoreTrauma affects an estimated 8% of all pregnancies and is the leading cause of non-obstetric maternal morbidity and mortality. Pregnancy can complicate the evaluation of a trauma patient, and we must be aware of the normal anatomic and physiologic changes that occur during pregnancy, as well as the adjustments that must be made to our trauma algorithm. This post will review the keys to managing a pregnant trauma patient, as well as injuries and interventions specific to pregnancy…
Read MoreA 21-year-old male presents with pain, swelling, and obvious deformity to his right elbow after falling on his outstretched right hand while taking a turn too sharply on his motorcycle…
Read MoreA 17-year-old male with a past medical history of major depressive disorder, anxiety, and obsessive-compulsive disorder presented to a pediatric emergency department with two days of a frontal headache and nonradiating, aching left sided chest pain. He was accompanied by his mother. The patient had received a third dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior…
Read MoreA seven-day old male presented to the Emergency Department (ED) with twelve hours of increased work of breathing. His mother reported a healthy pregnancy and spontaneous vaginal delivery. She noted they had been home for 5 days from the newborn nursery. However, overnight she found the patient had increased work of breathing and difficulty with feeds. She noted he was no longer able to finish a full feed…
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