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4 07, 2018

SplintER Series: Common ED Splint Techniques | Splint Principles 104

2018-07-05T14:52:52+00:00

The SplintER series is back with its fourth installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize some of the most commonly deployed splints in the ED. Peer-reviewed by sports medicine experts (Dr. Kori Hudson and Dr. Anna Waterbrook), these injury-splint summary tables provide information on the origin, insertion, and positioning for each splint, along with the recommended number of layers of plaster.
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8 06, 2018

Trigger Point Injection for Musculoskeletal Pain in the ED

2018-06-07T20:29:26+00:00

Musculoskeletal pain is a common ED presentation and emergency providers can often manage it with NSAIDs alone.1 On the other hand, when patients present with small localized areas of intense muscle spasm called trigger points, NSAIDs won’t cut it. A trigger point injection (TPI), however, is a safe and easy way to treat the underlying cause of trigger point pain, and requires only basic equipment already available in most the EDs.

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28 05, 2018

Trick of the Trade: DIY Skyhook for Upper Extremity Swelling

2018-05-29T10:36:07+00:00

A 25 year-old male presents to the ED complaining of left upper extremity pain, redness, and swelling. His cat bit him 2 days ago and his symptoms started today. On exam he has impressive induration, erythema, and warmth to the dorsum of the hand and forearm. He is neurovascularly intact and able to range his joints freely. In addition to IV antibiotics, you would like to keep his arm elevated while in the hospital. What is an easy and simple way help ensure that this patient keeps his arm elevated?
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7 03, 2018

SplintER Series: Complications & Discharge Care Plans | Splint Principles 103

2018-03-07T09:39:55+00:00

complications of splintingThe SplintER Series is back with its third installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In SplintER 102, we reviewed the materials used in splinting and a general approach to applying a splint. Today’s post puts the spotlight on some of the potential complications of splinting, discharge care plans, and pharmacological adjuncts to aid in recovery.
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20 11, 2017

SplintER Series: Splint Application Principles 102

2018-03-07T20:09:08+00:00

The SplintER Series is back with its second installment! In the first post, Splint 101, we discussed the indications and relative contraindications to splinting. In this post, we focus on the materials used in splinting and some key steps in splint application.
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13 11, 2017

Pediatric Trick of the Trade: Finger Immobilization Technique

2017-11-13T10:18:47+00:00

A 3 year-old boy presents with a deep laceration of the distal phalanx, through the nail bed, after slamming his fingers in a car door. He is crying, anxious, and uncooperative. How do you make this situation easier to evaluate and repair?

Nail bed and finger laceration repairs can be challenging, and even more challenging in young patients. Preparation is key to getting a good outcome. Here we present a pediatric trick of the trade on immobilizing a finger for digit or nail bed procedures.

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