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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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