Lever Sign – A Better ACL Exam Technique
Prehospital Patella Dislocation Reduction Protocol
RCT – Ibuprofen + Acetaminophen for Low Back Pain
RCT – APAP Only vs APAP-Ibuprofen-Codeine Combo
For acute musculoskeletal injuries, the combination of oral paracetamol (aka acetaminophen), ibuprofen, and codeine was not superior to paracetamol alone in regards to pain reduction at 60 minutes or need for rescue analgesia. The combo group had more adverse effects.
Video on Hand and Wrist Exam – DeQuervain, Dupuytren, Durkan, Digitorum
Examining the hand and wrist is challenging. Watch this video on NEJM to learn proper techniques and how to diagnose 9 common hand/wrist problems.
Do Muscle Relaxers Help Back Pain?
There was no benefit in functional outcome or pain at one week by using ibuprofen + either baclofen, metaxolone, or tizanidine over ibuprofen + placebo.
Exercise to Treat Concussion?
Light aerobic activity that doesn’t evoke concussion symptoms speeds recovery vs rest.
New Shoulder Reduction – The “Elbow” Technique
The “elbow technique” is a simple and effective way to reduce anterior shoulder dislocations in this study.
Concussion – Reasonable Estimates for Recovery
Most younger children 5-7 years old recover from concussion within 2 weeks. More than 80% of children 8-12 years old and boys 13-18 years old recover within 4 weeks. Most teen girls had not recovered by week 12.
Pediatric TBI Guidelines from the CDC
Taking care of children with mild traumatic brain injury is not easy. This guideline states clearly, based on compiled evidence, what you should and should not do. It’s helpful.