Delivering bad news, such as concern for a new cancer diagnosis, is difficult in any setting. In the ED, we are often faced with additional challenges - limited information, time constraints, lack of established relationship with patients, and many others. Yet it is crucial we learn to do this well - here is some guidance to get started.
Good analgesia is crucial in fracture reduction. This can be achieved many different ways, including regional anesthesia, systemic pain medications, or procedural sedation. For certain fracture types, such as wrist fractures, a hematoma block is often used. Here are basic instructions, tips and tricks for performing a hematoma block.
Summer = the beach here in NJ and with the beach season comes marine envenomations. Luckily, the most common jellyfish found here in NJ is the moon jelly which causes little to no sting. But any jellyfish conversation in EM should include a discussion of Irukandji Syndrome - so here are your quick facts.
Shoulder reductions - you probably think you're pretty good at these. And you're probably right. But there's often more to learn, and a review of the basics many help tweak your approach or learn a new technique!