MEM-EM: The Memorising Emergency Medicine Podcast15 Tammi

Paediatric Forearm Fractures: Reduction & Risk

Paediatric forearm fractures are the most common fractures in childhood, typically resulting from a fall on an outstretched hand. The unique properties of growing bone—including a thick, osteogenic periosteum and the presence of physes (growth plates)—result in distinct fracture patterns and a significant capacity for remodelling. Casting is the gold standard of care for the majority of these injuries.

For fractures that exceed remodelling potential due to significant angulation or displacement, early closed reduction by manipulation in the Emergency Department is the treatment of choice, often avoiding the need for general anaesthesia and hospital admission. This approach is definitive for most displaced complete, greenstick, and Salter-Harris I or II fractures.

A thorough neurovascular assessment is mandatory both before and after any intervention. Indications for reduction are age-dependent, with younger children tolerating greater degrees of angulation. Urgent orthopaedic consultation is required for all open fractures, complex physeal injuries (Salter-Harris III, IV, V), and fractures associated with joint dislocation.

Post-reduction management involves appropriate immobilization, typically with a cast, and clear instructions for caregivers on recognizing complications. The most critical immediate complication is a tight cast leading to neurovascular compromise or compartment syndrome. Long-term, the primary concern, particularly with physeal injuries, is growth disturbance.

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Jaksot(62)

Approach to Low Back Pain & Cauda Equina Syndrome in the ED

Mnemonic for BACKPAIN Red Flags & Do Not Miss DDX =BACKPAIN can be CRAFTIBack Pain Red Flags* Bladder, Bowel & Erectile Dysfunction or Bilateral Sx** Anaesthesia (saddle) Cancer or Coagulopathy – S...

3 Kesä 19min

Locating the Source of Sepsis: The LUCAS mnemonic

Clinical Epidemiology and Bedside Identification of Sepsis Sources in the United Kingdom: A Comprehensive Analysis of the Expanded LUCAS Framework and NHS Presentation TrendsThe clinical management of...

6 Huhti 17min

Sepsis resuscitation: Applying the Pathophysiology, Guidelines and future of sepsis care at the bedside.

Sepsis is a time-critical medical emergency defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1]. Globally, it remains a leading cause of morbidity and...

30 Maalis 20min

Mental SIM: HALO Procedure - Tracheostomy & Laryngectomy Emergency Mx Algorithm

What to do in these emergency situations.

27 Maalis 28min

Sepsis in pregnant or recent pregnant patients recognition, Diagnosis & Mx

Suspected Sepsis in Pregnant and Recently Pregnant People: Recognition, Diagnosis, and Early ManagementExecutive SummarySepsis in the obstetric population is a life-threatening medical emergency requi...

23 Maalis 20min

RCEM Syllabus Summaries - Acute Airway Obstruction (RP1), Choking (RC1), Stridor (RC2)

Executive SummaryAcute airway obstruction, designated under the Royal College of Emergency Medicine curriculum as clinical presentation RP1, remains one of the most significant challenges in the Natio...

19 Maalis 19min

RCEM Syllabus Summaries - Resus Overview

Executive SummaryThe modern management of resuscitation presentations in the Emergency Department (ED) requires a standardized approach using the Airway, Breathing, Circulation, Disability, and Exposu...

19 Maalis 25min

Identification of Tension Pneumothorax

Executive SummaryTension pneumothorax (TPT) is a life-threatening condition occurring in approximately 1% to 3% of prehospital major trauma and intensive care patients. While traditionally taught as a...

19 Maalis 19min