Take Home Points
- Sprains need more support than just an ace wrap – place them in an aircast or a splint
- Perform a thorough physical exam – take off their shoes and socks
- Lisfranc and Maisonneuve injuries are often missed – make sure to exam the bottom of the foot for echymosis, eval for mid foot instability, and image the upper tib/fib
- Make sure to evaluate pulses and sensation after splint application – give return precautions for compartment syndrome
- Ambulate the patient and obtain further imaging if they can’t walk – foot XR’s are notoriously difficult to read, get a CT if there is any question of a fracture
- Obtain stress views when indicated – many fractures or pathologic connective tissue injuries are not visualized unless in these situations
REBEL Core Cast – Basics of EM – Ankle and Foot Injuries
Click here for Direct Download of the Podcast
Co-Host
Michael P. Jones, MD
Vice Chair for Education and Residency Director
Associate Professor of Emergency Medicine
Albert Einstein / Jacobi + Montefiore
Bronx, NY
Instagram: jacobimonteem
Twitter: @treatNstreetEM @Jacobi_EM
Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)
The post REBEL Core Cast – Basics of EM – Ankle and Foot Injuries appeared first on REBEL EM - Emergency Medicine Blog.