Pediatric Thoracolumbar Spine Fractures
Introduction ▪ Injuries to the thoracic and lumbar spine in pediatric patients are less frequent than injuries of the cervical spine, although they are not rare. ▪ Injuries are typically…
Administrative and Regulatory Issues Relating to Emergency Department Management of Musculoskeletal Emergencies
The local practice standards and guidelines that are in place to help deliver quality care represent a distillation of influences from many sources. These sources include federal and local legislative…
Pediatric Fractures of the Pelvis and Acetabulum
Introduction ▪ Although pelvic fractures are rare in children (<0.2%), they are associated with injury to numerous other organ systems because they are typically the result of high-energy mechanisms. ▪…
Hip and Thigh
Anatomy A good understanding of the femoroacetabular joint is necessary to appreciate hip pathology fully and help guide the physical examination. The hip is a diarthrodial joint consisting of bony…
Multiple Trauma
In 2007, the National Center for Health Statistics noted there were 182,479 injury-related deaths. Unintentional injuries ranked as the fifth most common cause of death. The leading causes of death…
Analgesia, Conscious Sedation, Regional Blocks, and Anesthesia
Musculoskeletal injuries and diseases can be extremely painful, and a compassionate and thoughtful approach is required to provide adequate pain and anxiety relief. Depending on the patient’s underlying illness and…
Perioperative Assessment
A preoperative evaluation is a comprehensive review of a patient. It is done to determine a patient’s stability for surgery and how to optimize existing medical conditions for the proposed…
General Principles of Initial Care
Orthopedic injuries are common presentations to the emergency department. Most injuries are traumatic in nature, resulting in pain and deformity. Emergency medicine physicians need to be able to recognize the…
