Emergency Procedures: Volar Short Arm Slab

March 14, 2022February 19, 2022 ~ iEM Education Project Team ~ Leave a comment

Indications

Soft tissue injuries to hand and wrist
Carpal bone fractures (excluding scaphoid/trapezium)
Buckle fractures of the distal radius

This video has been provided by Emergency Procedures App developers (Dr John Mackenzie and Dr James Miers) in order to help medical students, interns in training. Please visit the video source or Emergency Procedures app for more procedure videos and information.

Contributors

Dr John Mackenzie

Dr John Mackenzie MBChB , Dip MSM, FACEM . Staff Specialist Emergency Medicine, Consultant Hyperbaric Medicine Specialist, at Prince of Wales Hospital. Known for cycling endlessly for no apparent reason. 20 years of developing virtual learning for clinicians at all levels.

Dr James Miers

Dr James Miers BSc BMBS (Hons) FACEM, Staff Specialist in Emergency Medicine, Prince of Wales Hospital, Sydney. Passion for gypsy jazz and chess. Lead author of Lead author of Emergency Procedures App.

Emergency Procedures: Long Arm Backslab

March 7, 2022February 19, 2022 ~ iEM Education Project Team ~ Leave a comment

Indications

Acute management of elbow region injuries such as radial head fractures, distal humerus fractures, after reductions of elbow dislocations;
Proximal and mid-forearm, and wrist injuries such as Colles or Smith fractures;
Acute management of distal radial (nonbuckle) and/or ulnar fractures in children.

Contributors

Dr John Mackenzie

Dr James Miers

Emergency Procedures: Thumb Spica Splint

February 28, 2022February 19, 2022 ~ iEM Education Project Team ~ Leave a comment

Indications

Injuries to scaphoid/trapezium
Nondisplaced, nonangulated, extra-articular first metacarpal fractures
Stable thumb fractures with or without closed reduction

Contributors

Dr John Mackenzie

Dr James Miers

iEM Image Feed: Scaphoid fracture

May 12, 2021April 30, 2021 ~ iEM Education Project Team ~ Leave a comment

87 - Figure 6 - Fracture of the proximal pole of the scaphoid

Falling on an Out-Stretched Hand (FOOSH) is the most common mechanism of wrist injuries, with the wrist in extension.
Immature, weaker epiphyseal plate or metaphysis of the radius in children are more likely to sustain injuries, sparing the still-cartilaginous carpal bones.
Young adults with active lifestyles are more likely to be injured with greater forces.
In the elderly, especially in women with some degree of osteoporosis, distal radial metaphysis is more fragile resulting in Colles fracture.
“Anatomic snuffbox’’ on the dorsum of the wrist is an important landmark. Because the scaphoid is palpable with its triangle by styloid, extensor pollicis brevis tendon and the extensor pollicis longus tendon. Tenderness in this area may indicate a scaphoid fracture. The image above shows scaphoid fracture.
The examination should include assessment of neurovascular status motor and sensory function of the median, radial and ulnar nerves. Because acute median nerve compression is a common occurrence, the sensation of thumb and index fingers is important, especially with severely displaced fractures. In all injuries to the wrist, radial and ulnar pulses should be evaluated.

A Kid With Wrist Pain!

July 11, 2018July 11, 2018 ~ iEM Education Project Team ~ Leave a comment

In case you didn’t encounter a wrist pain today!

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