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Emergency Medical Minute


Nov 1, 2019

Contributor: Jared Scott, MD

Educational Pearls:

  • Non-accidental trauma (NAT) to children is commonly missed by medical providers
  • Try to remember TEN-4-FACES as a useful aide for concerning patterns that may reflect NAT:
    • Torso, ears, neck and any bruising in child 4 months or longer
    • Frenulum, angle of the mandible,...

Aug 6, 2019

Author: Rachel Brady, MD

Educational Pearls:

  • Elderly patients (>65 years old) have a higher trauma mortality compared to younger patients, even though they have lower mechanisms of injury 
  • Elder trauma is often under-triaged due to low-energy mechanisms and lack of physiologic response due to age and medications such...

Jan 22, 2019

Author: Katrina Iverson, MD

Educational Pearls: 

  • The winter holiday months present a unique picture of patient presentations to the emergency department
    • Some of the unique presentations include:
    • Children falling off Santa’s lap
    • Sledding injuries
    • Falling off ladders
    • Lacerations, ingestion, and insertion of broken...

Jan 14, 2019

Author: Mike Hunt, MD

Educational Pearls:


  • Blunt cardiac injuries most commonly occur in motor vehicle collisions, auto-pedestrian collisions, and from sports injuries
  • The more anterior right ventricle is the most commonly injured structure
  • Look for new EKG changes such as bundle branch blocks, ST changes, or other...

Dec 6, 2018

Author: Katie Sprinkle, MD

Educational Pearls:


  • The fascia iliaca block is useful for hip and proximal femur fractures.
  • Typically involves injecting 40-60 mL of diluted bupivacaine (0.25%) under the fascia iliaca (or other anesthetic)
  • Anesthesia is achieved of the femoral, obturator, and lateral femoral cutaneous...