IDEA Series: Big Screen Ultrasound in Resuscitation Bays

By |Categories: IDEA series, Medical Education, Ultrasound|

Bedside ultrasound (US) often plays a crucial role in medical and trauma resuscitations in the emergency department (ED) [1]. Performing and interpreting bedside US studies such as the Extended Focused Assessment with Sonography for Trauma (E-FAST) during traumas or echocardiography during medical resuscitations are key skills for emergency medicine residents to learn during their training and adopt into clinical practice [2]. During trauma resuscitations timely and efficient dissemination of critical information is paramount. Information obtained via bedside US can be critical in determining further clinical actions (need for urgent thoracostomy for a pneumothorax, need for urgent exploratory laparotomy in a [...]

  • normal pediatric elbow

SplintER Series: Pediatric Elbow Pain

By |Categories: Expert Peer Reviewed (Clinical), Orthopedic, Pediatrics, SplintER|Tags: , , |

A 9-year-old male presents with right elbow pain after a fall onto the elbow. What is your diagnosis? What common pediatric elbow findings are you looking for? What is your management and disposition in the ED? (Image 1: Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 47354) […]

PEM Pearls: Intranasal Medications in the Pediatric ER

By |Categories: PEM Pearls, Tox & Medications|

Fiona is a 6 year old female who presents to your emergency department after falling onto her left hand while racing on the playground. X-ray of the left upper extremity reveals a distal radius fracture with minimal displacement and angulation. You plan to place her arm in a splint and arrange for close orthopedic follow-up. The only problem: Fiona is in a lot of pain, especially with any manipulation of her arm, and Dad is worried that she will not be able to tolerate having a splint placed. You consider reaching for an intranasal medication to help Fiona feel more [...]

Little Big Med Podcast: Gender Equity in Medicine

By |Categories: Pediatrics, Podcasts, Professional Development, Social Media & Tech|

It’s time to talk about gender equity in medicine. Significant gender disparities exist in both healthcare institutions and professional societies. These disparities persist even in fields that are predominantly female, such as pediatrics. In fact, although women comprise 72.3% of active pediatricians, only 27.5% of pediatric department chairs across US medical schools are women. Why does this disparity exist? What can we do to address it? In this episode of the Little Big Med podcast, host Dr. Jason Woods discusses these questions with Dr. Nancy Spector, Professor of Pediatrics at Drexel University College of Medicine and Executive Director of the [...]

  • Normal knee radiology AP

IDEA Series: Homemade Escharotomy Kit

By |Categories: IDEA series, Trauma|

Although escharotomy is rarely performed by emergency physicians during the initial management of burns, it is a life and limb-sparing skill important to know as a trainee and provider in emergency medicine [1,2]. There are few models made to accommodate procedural training, and the ones available are often cost-prohibitive. It is critical to have a method for learning and practicing this important procedure [3,4]. […]

  • posterior shoulder dislocation xray

SplintER Series: Finger pain

By |Categories: Expert Peer Reviewed (Clinical), Orthopedic, SplintER|Tags: , |

A 45-year-old male presents to the emergency department (ED) with right hand pain after an e-bike accident. Physical exam shows deformity and tenderness at the 5th proximal phalanx. Radiographs are shown above (Image 1: Plain radiography of right hand with AP and oblique views. Author’s own images). What is the most likely diagnosis? What are the important aspects of the associated physical examination? What is the management in ED, including pain management? When do you consult orthopedics? […]

  • Look out for your brethren

IDEA Series: An asynchronous EMS curriculum implemented during COVID-19

By |Categories: COVID19, EMS, IDEA series, Medical Education|

The novel coronavirus pandemic (COVID-19) resulted in the cancellation of educational experiences for emergency medicine (EM) residents at many institutions, including emergency medical services (EMS) ambulance ride alongs. The Accreditation for the Council of Graduate Medical Education (ACGME) requires that residents have educational experiences related to EMS, emergency preparedness, and disaster medicine. EMS experiences must include ground unit runs, direct medical oversight, and participation in multi-casualty incident drills [1]. There are few dedicated EMS curricula published in the literature, and those in existence incorporate physical ride-alongs [2]. […]