It is much more common for children to break a finger than dislocate one. Why? Those darn growth plates. Nevertheless reducing a dislocated digit is one of the most common emergency procedures around and can generally be performed without much difficulty. However there are some situations where you shouldn’t just yank in the digit. Learn about these situations and more in this episode.
Reducing a dislocated patella is super satisfying - both for the clinician and the patient. This episode reviews management of this common orthopedic concern so that you can perform a reduction maneuver without needing to call Orthopedics.
Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia - because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should.
Do you routinely pack all of your abscesses following incision and drainage? Have you ever considered whether or not you actually need to do this? Learn more in this procedure-focused post.
Early stylet removal is a technique that results in a greater success rate on lumbar punctures performed on infants.
There's a 1% lidocaine with epinephrine shortage right now. Of course there are alternatives for local anesthetics. I answer a few select questions in this post.
File this one under "Do I need to take my kid to the ED for this during a global pandemic?" This post details why most tongue lacerations don't need to be sutured.
Do you need to do an LP if a child has a complex febrile seizure? Probably not. Why not? Read this post to learn about the evidence, where the guidelines are lacking and more.
This post from Cincinnati Children's Pediatric Resident Jodie Odame reviews the proper technique to do a local anesthetic field block.
This edition of Facts on the Ground looks at whether or not ultrasound-guided peripheral IVs last longer.