Minor Care Series: Fingertip Injuries

Minor Care Series: Fingertip Injuries

Not all fingertip injuries are created equal. From a box cutter slice to a crush injury, your time and investment into these patients’ injuries varies quite significantly and we need to be ready to be expert at all options. Dr. Li guides us in a quick run down of the injury and repair types of fingertip injuries in this month’s Mastering Minor Care.

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Rhogam Redux

Rhogam Redux

Hemolytic Disease of the Fetus and Newborn (HDFN) is an alloimmune disease which develops in a fetus when a women’s immune system is sensitized, developing antibodies which cross the placenta and attack fetal RBCs. 

While there is a spectrum of the disease, in severe cases the fetus can ultimately develop hydrops fetalis which is often fatal.

As Emergency Physician’s we are classically taught that we can help to prevent HDFN by recognizing sensitizing events in Rh-negative women and subsequently providing RhoGAM. But which patients really need RhoGAM? The evidence seems to be lacking and recommendations are often inconsistent.

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Minor Care Series: Corneal Abrasions

Minor Care Series: Corneal Abrasions

Minor Care series is back with more from the red eye!  We've already covered conjunctivitis and scleritis, now for another high yield topic: Corneal Abrasions!  Everyone seems to have their own way of treating these patients, but is it evidence based?  Read on to find out what the literature says about this common complaint.  

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Conjunctivitis

Conjunctivitis

It's been a busy night in the SRU.  You've already sent two traumas to the OR, given tPA to an acute stroke, and sent a post-arrest patient up to the MICU.  As you walk back to your computer to finally take a sip of now cold coffee, you notice there's a new patient in A2.  The chief complaint, conjunctivitis.  You sigh as you try to recall the differential for the red eye.  You think to yourself, I wish they actually covered eyes in medical school.  Read on to learn how to care majorly about a “minor” complaint.  And no, all is not solved by some antibiotic drops.   

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Crash and Burn Part 2 - Approach to the MVC Patient

Crash and Burn Part 2 - Approach to the MVC Patient

We’re back again this week to discuss more about the initial approach to the MVC patient in B-pod.  Last week we discussed occult bowel injury in the setting of blunt abdominal trauma.  In the second episode of this topic, Dr. Powell also highlights the importance of an appropriate pain medication selection upon discharge from the emergency department, citing the importance to consciously avoid cavalier prescription of potentially habit-forming pain medications.  But what kind of risk is involved when we send patients home with opioid prescriptions?  Are they destined to seek out more?

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