About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

Poll: How would manage a metacarpal fracture in the ED?

Metacarpal5fracture

I am in the process of creating a PV card on metacarpal fractures, divided into anatomical areas (base, shaft, neck, head), and am realizing that the EM and orthopedic literature don’t quite agree. Actually they are quite vague on whether reductions should occur in the ED vs orthopedics clinic in the next few days.

  • Do you need to close-reduce all angulated fractures in the ED, which are outside of “acceptable” angulations?
  • What exactly are “acceptable” angulations? Some sources say that angulations of 10, 20, 30, and 40 degrees are acceptable for MC neck fractures and only 10, 10, 20, and 20 degrees are acceptable for MC shaft fractures. These numbers, though, vary from reference to reference.

(more…)

By |2016-11-11T18:43:07-08:00Dec 5, 2012|Orthopedic|

Patwari Academy videos: ACLS (parts 4-6)

Below are the next 3 video installments of Dr. Rahul Patwari’s digital whiteboard talks on ACLS. These videos cover:

  • Cardiac arrest (Vfib and Vtach)
  • Cardiac arrest (More of Vfib and Vtach)
  • Cardiac arrest (Asystole and PEA)

I love that each video is less than 15 minutes long. Also, even if you aren’t a medical student, these are great refreshers. For instance, don’t forget that atropine is no longer on the 2010 ACLS algorithm for asystole.

(more…)

By |2019-01-28T22:10:29-08:00Dec 2, 2012|Patwari Videos|
Go to Top