Twists and Turns: Identifying Maisonneuve Fractures in the ED

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Twists and Turns: Identifying Maisonneuve Fractures in the ED

A Maisonneuve fracture is a specific ankle fracture pattern that involves the medial malleolus, syndesmosis and proximal fibula. It can be easily missed if a provider does not routinely evaluate the proximal fibula as part of their ankle examination, as x-rays of the ankle can often appear normal. Disruption of these structures yields an unstable ankle fracture, thus making close follow up for operative management imperative. It is key to identify this fracture when patients present to the Emergency Department with ankle injuries to ensure definitive management and prevention of complications down the line. 

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Mastering Minor Care: Hydrofluoric Acid Exposure

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Mastering Minor Care: Hydrofluoric Acid Exposure

Although hand injuries are often triaged to minor care/fast track, not all of these injuries are so minor in nature. Join Dr. Adam Gottula and Dr. Bennett Lane as they discuss one of the most fear hand injuries: Hydrofluoric Acid Exposure.

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Mastering Minor Care: Auricular Hematoma

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Mastering Minor Care: Auricular Hematoma

You are finally done with your initial trauma assessment when you see a purple, swollen ear. You know this auricular hematoma needs to be evacuated but where to start? What’s the latest on bolstering? Join Dr. Ijaz as he goes through the basics and the latest on auricular hematoma management.

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Mastering Minor Care: Management of Migraines

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Mastering Minor Care: Management of Migraines

Sometimes finding a way to treat a migraine in a patient can induce a migraine in ourselves! Join Dr. Zalesky in learning about the diagnosis of migraines, the red flags associated with the diagnosis, and learning how to best manage a patient that walks through your emergency department doors with disabling migraine.

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Mastering Minor Care: Ankle Arthrocentesis

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Mastering Minor Care: Ankle Arthrocentesis

Far too often we are faced with the situation in which we are concerned about septic arthritis in a patient’s ankle. Although tapping the ankle can be a daunting task, Dr. Leech provides us with a guide in this month’s minor care post to make difficulty with ankle arthrocentesis a problem of the past.

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Antibiotic Review: Sexually Transmitted Infections

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Antibiotic Review: Sexually Transmitted Infections

Sexually Transmitted Illness and related complaints are seen frequently in the emergency department. Does every dysuria, discharge and exposure need treatment for STIs? Do they all need evaluation? Dr. Pulvino looks at the CDC recommendations for commonly seen STI’s and discusses common treatments and the importance of a strong history and physical.

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Deep Dive: Cellulitis Antibiotics Review

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Deep Dive: Cellulitis Antibiotics Review

Cellulitis with or without abscess - a common problem with a stamp-like treatment of antibiotics. Should every skin and soft tissue infection (SSTI) get the same remedy? Is there a role for risk factors or ultrasound in risk stratification of additional coverage? Join Dr. Laurence for a dive into the current literature of SSTI coverage.

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Catheter Associated Urinary Tract Infections and Foley Alternatives

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Catheter Associated Urinary Tract Infections and Foley Alternatives

Catheter associated urinary tract infection (“CAUTI”) is one of the most common nosocomial infections in hospitalized patients. The use of external urinary catheters, the male external catheter, colloquially known as the “condom catheter,” and the wicking catheter, most often used in females, may help prevent the occurrence of CAUTI. In the Emergency Department, we are poised in a position where what we do (or don't do, such as insert a foley) has the potential to reduce iatrogenic harm throughout the hospital.

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