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Season / Sit out Previous injury Other sports / activities Right or Left handed Team (school, club, or just for fun) Sanity Besides the usual how did it happen, where does it hurt, did you feel a pop, could you… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 10-year-old girl who was hit in the eye with a softball, causing her to fall to the ground. She has periorbital… Continue Reading →
Am I the only one that has trouble remembering inversion vs. eversion of the ankle? Just remember that the most common “rolling of the ankle injury” is inversion, i.e. that’s the most popular, or “in” version. The ankle sprain that… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 10-year-old girl who was unfortunately in the area of a terrorist act – a bomb went off near her.
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(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15 year old boy who was “jumped” by a group of boys at school today and hit in the head area…. Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 3 year old who was running in the house, tripped and fell, hitting his mouth on the coffee table. On exam,… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Happy Belated 4th of July!
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 9 year old African-American child who was hit in the eye with a baseball. On exam there is visible blood layering… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15 year old who sustained significant facial trauma. He complains of decreased vision in his right eye. On exam you note… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 6 year old child that was involved in a motor vehicle accident. He was belted in the rear left seat using… Continue Reading →
Asking Saves Kids: Firearms are now the leading cause of death for U.S. children aged 1-19 years. While school mass shootings make headlines, suicides make up the majority of these deaths. Accidental shootings by curious children who access unsecured firearms… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 14 year old boy involved in a helmet vs helmet football injury. Which of the following is true regarding his evaluation… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A 16 year old female involved in a motor vehicle accident is brought into your trauma bay; she is obviously gravid and states that she… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 17 year old boy who fell while skateboarding and sustained an axial loading force to his right thumb. He is exquisitely… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing an adolescent who slammed her finger in a door and has a subungual hematoma.
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 3 year old who sustained a 2cm laceration to the neck from a jagged edge on a piece of metal play… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 2yo who was being carried by a teenager who fell through a glass sliding door. The toddler has a 1.5 inch… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) You are caring for a 9 year old boy involved in a motor vehicle accident. He has a seatbelt sign on his left neck and… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) A 17yo girl presents with LUQ abdominal pain and vomiting x 2 days, and SOB x 1 day. Past medical history includes mild intermittent asthma,… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →
Patient won’t or can’t urinate for point-of-care pregnancy test, and quantitative hCG will take too long? Put a couple drops of whole blood on the POC cassette. Read more on ALiEM here, and below
(Click the link to comment and to vote – voting not working through email, sorry!) An 11 year old left-hand dominant boy is brought in after accidentally sustaining an injury from a paint injection gun while helping his father on… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A 16yo boy presents with chief complaint of a black “hole” in the center of his vision in his right eye 4 days after being… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Which of the following elbow radiography findings can be normal in a 2 year old that fell on an outstretched arm and has decreased use… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A 7 year old boy presents to the ED after falling off his bike and impacting his mouth against the handlebar and the ground. Bystanders… Continue Reading →
It is commonly taught that a patient’s palmar hand represents approximately 1% of his/her body surface area (BSA), a useful tool when estimating the BSA of burns. But does one use the palm including or excluding the fingers? Adult studies… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A new edition of ATLS (10th edition) was recently released. Which of the following is not a recommendation of the 10thedition of ATLS regarding the trauma… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) An 11 year old girl was sitting with lap belt only in the back seat of a minivan involved in a motor vehicle accident where… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are caring for a 4 year old child struck by a car. The child has significant maxillofacial trauma, a large parietal hematoma, and a… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) An 18 month old child has sustained an arm fracture. Per the parent, the 4 year old sibling was carrying the child and tripped.
(Click the link to comment and to vote – voting not working through email, sorry!) www.jems.com A 2 year old toddler comes in from the playground crying and rubbing at his right eye. Exam is as above.
(Click the link to comment and to vote – voting not working through email, sorry!) You are triaging patients from a multi-casualty incident. The following patients are seen: Patient A: Approximately 2 years old, ambulatory, crying, large 8cm parietal hematoma,… Continue Reading →
The SAMPLE mnemonic is typically used to remember the important brief history needed for trauma patients: Symptoms, Allergies, Meds, Past medical history, Last meal, and Events leading up to the trauma. Think of the mnemonic as SAMPLE-PT and add in… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You have sutured a 2cm forhead laceration on a 4yo boy using 6-0 nylon sutures.
Which of the following cervical spine findings would you expect to be less common in a young child as compared to an adolescent or adult? (Click the link to comment and to vote – voting not working through email, sorry!)… Continue Reading →
en.wikipedia.org (Click the link to comment and to vote – voting not working through email, sorry!)
A 3 year old comes in after falling 3 feet from the top of a kiddie slide onto cement, hitting his head. His only +PECARN symptom is 2 episodes of vomiting in the 2 hours since the fall. The medical… Continue Reading →
A 17yo boy comes in with complaint of inability to breathe from the right nares. He was seen 2 days ago by his PMD and prescribed amoxicillin for sinusitis, but is not improving. He denies placing any foreign body in… Continue Reading →
A 10yo girl is sitting lapbelted in the rear of an SUV that is involved in a rear-end collision at 40mph. She complains of abdominal pain, and has an ecchymosis from the lapbelt going across her lower abdomen. Of the… Continue Reading →
A 20kg child sustains a 15% body surface area burn. The best answer for the rate of IV fluids that should be administered over the first 8 hours is: A. 60 cc/hr B. 75 cc/hr C. 120 cc/hr D. 135… Continue Reading →
A 10yo was a rear seat passenger in a high-speed MVA, belted only with a lapbelt, and had a hyperflexion injury mechanism during impact. The patient cannot move his legs, and does not have lower extremity sensation to light touch… Continue Reading →
A child is brought in with a stab wound to the right neck just superior to the cricoid cartilage. What zone of the neck is this? What is the significance of the zones?
A 2 year old is brought in that has chewed on an electrical cord. He has a scab in the corner of his mouth and no active bleeding and is otherwise well appearing with no other trauma. What delayed complication… Continue Reading →
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