Thursday

#EMconf: Do Trigger Point Injections Improve Musculoskeletal Pain?

Have you ever attemped a trigger point injection to improve your patient's musculoskeletal pain?  Did it help?  This week for his Critically Appraised Topic, Dr. John Cafaro investigated some of the literature on the effectiveness of trigger point injections for patients suffering from musculoskeletal pain.  

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#EMconf: Are Trimester-Specific D-dimer Thresholds Ready for Prime Time?

Are you unsure if you can use D-dimer testing to aid in the diagnositic evaluation for DVT/PE in the pregnant patient?  This week's Critically Appraised Topic in conference discusses the use of trimester-specific D-dimer threshold testing in pregnant patients.  

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When Snow Blowers Attack: How to Use a Rongeur in Finger Amputations

Your patient in the Emergency Department has a Zone II or Zone III finger amputation which requires primary closure of the wound prior to discharge with appropriate outpatient follow up. However, a protruding piece of bone often prevents closure of the skin flap and requires trimming by using a rongeur. While this process is typically carried out by an orthopedic or hand surgical consultant, this post aims to introduce the use of a ronguer during management of finger amputation in the Emergency Department.

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Forget About Just Confirming Endotracheal Tube Placement! Ultrasound-Guided Tracheal Intubation Without Laryngoscopy?

This post aims to shine a light on a possibly emerging use of bedside ultrasound. While this is far from being recommended as a viable method of intubation during RSI in an Emergency Department, knowledge that ongoing research evaluating the use of ultrasound-guided tracheal intubation (UGTI) exists can only serve to enhance one's understanding of the progression of ultrasound in medicine.

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