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More than 95% of shoulder dislocations are anterior in location.
Pre- and post-reduction radiographs are not required in patients with chronic recurrent dislocations who have dislocations with minor or no trauma.
Leverage reduction techniques may be able to reduce the dislocation without the need for opiates or sedatives.
Post-reduction immobilization is primarily done for patient comfort, not to reduce the risk of recurrent dislocation.
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Case 1. A 53-year-old female presents to the emergency department with a 5-day history of generalized edema, primarily noted in her lower extremities.
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Scaphoid fractures are by far the most frequent bony injuries of the wrist in both pediatric and adult patients. The peak incidence is in adolescence, around 15 years of age.
Skiers thumb is an acute injury to the ulnar collateral ligament (UCL) caused by forced abduction and hyperextension of the thumb; frequently it is associated with any sport that involves grasping a pole, such as skiing, hockey, lacrosse, or pole vaulting.
Bennett fractures are fractures of the first metacarpal, with the fracture line extending from the base of the metacarpal (MC) to the CMC joint. Bennett fractures are the most common thumb MC fractures. Involvement of the CMC makes this fracture unstable.
A Rolando fracture is defined as a comminuted fracture of the base of the thumb metacarpal. The mechanism of a Rolando fracture is most often simultaneous hyperextension and hyperabduction. This fracture type is typically unstable and occurs less commonly than a Bennett fracture in the pediatric population.
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The purpose of this article is to review procedures and therapies used in the difficult, life-threatening clinical circumstances. The authors review five procedures that are rarely used in extreme situations.
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Skin rashes are a common chief complaint in any pediatric emergency department (ED). In 2008, skin rash was among the top 10 principal reasons for ED visits in the United States in patients younger than the age of 15 years.
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Clinical syndromes due to altitude can manifest in susceptible individuals with elevations as low as 1500 meters (5000 feet) above sea level. For otherwise healthy adults, altitudes of 2350 meters (8000 feet) are considered the arbitrary cutoff for placing one at risk for more serious syndromes, such as acute mountain sickness (AMS). While decreased ambient oxygen pressure is the most evident change at high altitude and presumably is responsible for most of the pathophysiologic derangements, other factors may have medical implications as well, such as decreased ambient temperature, increased exposure to ultraviolet radiation, and lower humidity.
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