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. 

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Managing Pain in Sickle Cell Vaso-Occlusive Crises – PEM Currents: The Pediatric Emergency Medicine Podcast

Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective […]
  1. Managing Pain in Sickle Cell Vaso-Occlusive Crises
  2. Penetrating Neck Injuries
  3. Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI
  4. Parvovirus B19 (Fifth Disease)
  5. The Unvaccinated Child with Fever

References

Borchers et al. Common Finger Fractures and Dislocations. Am Fam Physician. 2012 Apr 15;85(8):805-810.

Ahn and Blomberg. Phalanx Dislocations. Ortho Bullets. https://www.orthobullets.com/hand/6038/phalanx-dislocations. Updated 5/17/21. Accessed June 23, 2021.