Emergency Medicine Journal Club Cast6 Okt 2020

Episode 6 - Ankle Pain

Vitals & Useful Links:

Learn about one important way to evaluate ankle injuries (see spoilers below if you want to know more)
MD Calc: Ottawa Ankle Rules
Clinical Reference: The Ottawa Ankle Rules, ft a great demonstration by Dr. Ian Stiell
Podcast: EM Cases - Commonly Missed Ankle Injuries
Fun Facts about Ottawa

EMJC's October twist is MS2s! Let's learn about how to approach ankle injuries and a few fun facts about Canada along the way.

This week Charlie (MS4) leads Arman (MS4), Kyle (MS4), and special guests Chris (MS2) and Vera (MS2) through a case of a stuntman-level ankle injury (and some poutine). How would you approach this case? As always, we learn a couple very important points about evaluating ankle injuries. You can check out a simple description of the Ottawa Ankle Rules at MD Calc, and here's a great reference with a video of Dr. Stiell performing the Ottawa Ankle Rule maneuvers. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*EPISODE SPOILERS BELOW*

Here's one article we presented today
Shell, I. G., Greenberg, G. H., McKnight, R. D., Nair, R. C., McDowell, I., Reardon, M., ... & Maloney, J. (1993). Decision rules for the use of radiography in acute ankle injuries: refinement and prospective validation. Jama, 269(9), 1127-1132.

Here's a paper on the accuracy of the Ottawa Ankle Rules
Bachmann, L. M., Kolb, E., Koller, M. T., Steurer, J., & ter Riet, G. (2003). Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. Bmj, 326(7386), 417.

And don't forget about the effects of Lasix on shark rectal glands
Kinne, R., & Kinne-Saffran, E. (1979). Effect of ‘loop diuretics’ on the salt secretion in shark rectal gland. Mar. Ecol, 1, 129-132.

DISCLAIMER:
The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

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