Musculoskeletal Ultrasound – More Techniques
Up your game with MSK ultrasound instruction from Rob Ferre at Vanderbilt. Watch now.
From VanderbiltEM.com
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Does Vapocoolant Spray Work When Used Before Digital Block?
June 9, 2022 June 19, 2022 / Orthopedics, Pain/Sedation/Procedure, Pharmacy/Pharmacology
Spoon FeedVapocoolant spray improved pain from digital blocks for repair of finger injuries. SourceEvaluation of vapocoolant spray effect on pain reduction during digital nerve block: A randomized clinical trial. Am J Emerg Med. 2021 Dec;50:260-263. doi: 10.1016/j.ajem.2021.08.001. Epub 2021 Aug 6.
How to Manage Spinal Stenosis | Spoon-Feed Version
June 8, 2022 June 17, 2022 / Medicine/Geriatrics, Orthopedics
Spoon FeedLumbar spinal stenosis affects more than 1 in 10 U.S. citizens and over 100 million patients worldwide. This painful condition is diagnosed clinically with confirmatory imaging. Firstline treatment is activity modification, analgesia, and physical therapy, and careful selection of surgical candidates should be done only if conservative management fails. SourceDiagnosis and Management of Lumbar Spinal Stenosis: A Review. JAMA.…
The Achilles’ Heals…Without Surgery? Non-op vs Operative Management RCT
May 12, 2022 May 10, 2022 / Orthopedics
Spoon FeedPatients with Achilles’ tendon rupture undergoing surgical repair, either open or minimally-invasive, did not have better outcomes at 12 months compared to non-operative treatment. However, those managed nonoperatively had a higher rate of tendon rerupture. SourceNonoperative or Surgical Treatment of Acute Achilles' Tendon Rupture. N Engl J Med. 2022 Apr 14;386(15):1409-1420. doi: 10.1056/NEJMoa2108447.
POCUS – We Can…But Should We?
May 11, 2022 May 18, 2022 / Imaging, Ultrasound
Spoon FeedPOCUS in the ED can lead to clinically useful information, although research has not yet demonstrated patient-centered improvements in care. While this modality shouldn’t be used for routine screening in the ED, it performs well with a focused clinical question. Sources - PoCUS: Just because we can doesn't mean we should. Acad Emerg Med. 2022 Apr;29(4):515-517. doi: 10.1111/acem.14474. Epub…