What Would I Do Next? | Whiplash InjuriesFrom September 2019, Off The Cuff
We see patients who present after a MVA all the time. Knowing how to identify high risk neck injuries is critical. More often than not, patients after a good H&P need no workup and more education and reassurance. Jenny and Miz discuss how to properly evaluate whiplash injuries.21min 19Mizuho Morrison, DO and Jenny Beck-Esmay, MD
Pediatric Blunt Chest TraumaFrom June 2019, ID Killers
Miz and ilene review common injuries seen in pediatric blunt chest trauma which include pneumothorax/ hemothorax, contusion, rib fractures, and aortic injuries. They review workup, diagnosis and management of serious diagnosis.18min 56Ilene Claudius , MD and Mizuho Morrison, DO
Mandible FracturesFrom November 2018, Breaking Bad - Insulin Pumps and Mandibles
A mandible fracture often occurs from a blunt force injury. Adult fractures may result in significant displacement. It is important to palpate the entire mandible in a systematic fashion as well as to evaluate the mouth and to explore the wound looking for foreign bodies12min 3Matthieu DeClerck, MD and Mizuho Morrison, DO
PECARN Updates - A Head Injury Decision ToolFrom July 2018, The Blood Meals
The PECARN data regarding pediatric head injury gives us some evidence based criteria that can help us risk stratify children in terms of the potential for significant intracranial injury. As with all clinical decision instruments, these findings should inform clinical decisions but should not take …22min 30Matthew DeLaney, MD, Mike Weinstock, MD, and Ilene Claudius , MD
Trauma Basics | Part 2From June 2018, TRAUMArama
Miz sits with colleague Jaime Hope MD to discuss initial trauma management in the UC setting.17min 8Mizuho Morrison, DO and Jaime Hope, MD
TXA in the Urgent CareFrom January 2018, Alphabet Soup: TXA & IVDA
Topical application of tranexamic acid to the bleeding surface has the potential to inhibit local fibrinolysis at the site of bleeding, reducing bleeding with minimal systemic effects. •21min 52Matthieu DeClerck, MD and Nick Saade, MD
Q & A Corner: Lacs Gone Wild!!!From October 2017, Lacs Gone Wild!!!
H.A.T. is safe, fast and effective technique that works well for closing most scalp lacerations. Patients prefer it and it saves revisits for suture/staple removal which, as we saw here, can be especially problematic in small children. •15min 32Josh Russell, MD and Mizuho Morrison, DO
What Would I Do Next? | Geriatric FallsFrom October 2017, Lacs Gone Wild!!!
Geriatric falls are a common concern in elderly patient. Understanding the risks associated with falls and deciphering whether a fall was mechanical vs. syncope related can be difficult. Mike and Miz chat with Rick Pescatore to discuss nuances in this common presentation and how to manage these …20min 28Rick Pescatore, DO, Mizuho Morrison, DO, and Mike Weinstock, MD
Gamekeepers ThumbFrom August 2017, Game of Imposters
A typical mechanism of strain or tear of the ulnar collateral ligament (UCL) of the thumb is by a hyperextension and abduction of the thumb. With severe hyperextension, the UCL can be torn or may avulse bone at the point of approximation at the proximal aspect of the phalanx. Mike and Miz discuss …11min 37Mizuho Morrison, DO and Mike Weinstock, MD
Knee Pain, Part 2From May 2017, Pain in the Neck!
Provide a review/approach to acute knee pain in patients presenting to urgent care, including key history, physical exam, and diagnostic findings to assist in the appropriate diagnosis and treatment of specific etiologies of knee pain. •16min 1Mizuho Morrison, DO and Matthieu DeClerck, MD
Cervical Spine ImagingFrom May 2017, Pain in the Neck!
Mike and Miz discuss the evaluation of the cervical spine, when imaging is indicated. They review both NEXUS and Canadian C Spine rules and application in the UC. •13min 52Mizuho Morrison, DO and Mike Weinstock, MD
Knee Pain, Part 1From May 2017, Pain in the Neck!
Undifferentiated knee pain in the UC is common. The most common injuries are soft tissue rather than osseous. Matt and Miz discuss the keys and clinical decision rules for workup They review the initial acute management of undifferentiated soft tissue injuries consists of RIICE, pain control …23min 48Mizuho Morrison, DO and Matthieu DeClerck, MD
Paper Chase 3: Tomographic Imaging of the Cervical Spine for Ground-Level FallsFrom March 2017, You Broke It Where??
In this study, the incidence of C-spine fracture was <1% and the application of either the NEXUS criteria or Canadian C spine Rule would reduce the imaging utilization by approximately 20%. •6min 1Mike Weinstock, MD and Nate Finnerty, MD
Clavicle FracturesFrom March 2017, You Broke It Where??
Initial evaluation and management of clavicle fractures is pretty straight forward. Mike and Miz give an overview of workup, treatment in the UC as well as red flags of when to refer a patient for emergent evaluation. •15min 1Mike Weinstock, MD and Mizuho Morrison, DO
Abdominal Pain - Not The Usual SuspectsFrom March 2017, You Broke It Where??
Abdominal pain is the black hole of differential diagnostics! It can be anything. Mike and Nate review a case of a young man with LUQ pain who suffered an interesting complication. •19min 58Nate Finnerty, MD and Mike Weinstock, MD
Introduction: PECARN - To Scan or Not To ScanFrom July 2016, Heart Score, PECARN and A Twist of Lyme
Understanding the evidence-based PECARN criteria is a useful clinical tool to help us risk stratify which children based on age and mechanism of injury warrant CT imaging vs. observation. Mizuho and Mike review caveats to pecarn as well as how to apply these rules in clinical case scenarios. •20min 19Mizuho Morrison, DO and Mike Weinstock, MD
2nd Degree BurnsFrom May 2016, Danger Zones
Discuss current evidence and burn center practice regarding the management of second degree burns.17min 3Chuck Yowler, MD and Jessica Mason, MD
The Painful Pediatric ElbowFrom August 2015, Facial Swelling, Headaches, and Getting Sued!
Kids will come to you with a painful elbow. But how does one differentiate emergent vs. non-emergent elbow injuries? Dr.Yo helps clarify what injuries need to go straight to the ER emergently, vs what can be troubleshooted and managed in your office. We review what are common elbow injuries based …29min 21Solomon Behar, MD, Yu-Tsun Cheng, MD, and Mizuho Morrison, DO
Concussion and Return to PlayFrom May 2015, Month of Pain! Chest Pain, Jaw Pain, and Animal Bites
Did you know patients can have a concussion without loss of consciousness? When do your patients need to be referred for a head CT versus safely discharged home? Do you feel knowledgeable about current “return to play” guidelines? Listen to Matt Baird, give us an overview of current concussion …23min 10Mizuho Morrison, DO and Matt Baird, MD
Evaluation of Head Injuries on AnticoagulantsFrom March 2015, Lacerations, Tylenol, and Bouncebacks… OH MY!?
Do you ever see a patient who had bumped his head and is still having pain after a negative head CT - what is their risk for a delayed intracranial bleed? We review the evaluation of minor head trauma in patients on anticoagulation. What are the red flags for a delayed bleed? Let’s listen!14min 28Mike Weinstock, MD and Kevin Klauer, DO, EJD