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SplintER Series: Stop! Hammer Time
by R. Conner Dixon, MD
Jun 29, 2022
A 54-year-old female presents to the emergency department with 3rd and 4th right finger pain after “jamming” them a week ago. She was reaching to...
Tactical Medicine News
ACMT Toxicology Visual Pearl: Pretty (and Deadly) in Purple
What is the correct antidote for a patient who is poisoned with the pictured substance?
Digoxin Specific Fab
Hydroxocobalamin/Sodium Thiosulfate...
Tactical Medicine News
SplintER Series: Point Tender
A 42-year-old female presents to the emergency department with complaints of worsening finger pain. She reports the pain started 2 days ago with...
Tactical Medicine News
SplintER Series: Between a Rock and a Hard Place
A 17-year-old male basketball player presents with right lateral thigh pain for the past 3 weeks. He had a collision with another player 5 weeks...
Tactical Medicine News
ACMT Toxicology Visual Pearl: Hypertension and Rash
Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma?
Arsenic
Lead
Mercury...
Tactical Medicine News
SplintER Series: Do You Even Lift?
A 35-year-old male presents after injuring his left shoulder while weight lifting two days ago. He describes sudden-onset pain with associated ...
Tactical Medicine News
SplintER Series: My Arm Is Stuck Like This
A 70-year-old female presents with right shoulder pain and the inability to adduct her arm after she fell on the sidewalk. You obtain shoulder x-...
Tactical Medicine News
SplintER Series: My Foot Shouldn’t Look Like This
A 45-year-old male presents with left foot pain and deformity after he inverted his foot while running on uneven pavement. You obtain foot and an...
Tactical Medicine News
SplintER Series: I Declare a Thumb War
A 39-year-old female presents to the emergency department with right thumb pain after falling in a skiing accident. On exam, there is mild swel...
Tactical Medicine News
SplintER Series: Don’t Go Breaking My Heart
A 45-year-old man presents to the emergency department with chest pain after a high-speed motor vehicle accident where his sternum hit the steerin...
Tactical Medicine News
SplintER Series: Pedal to the Metal
A 32-year-old female presents to the emergency department with right ankle pain after a high-speed motor vehicle accident. On exam, she is not...
Tactical Medicine News
SplintER Series: My Foot Doesn’t Work Right
A 35-year-old male felt a painful “pop” in his posterior left lower leg while playing football. Afterward, his “foot didn’t work right anymore...
Tactical Medicine News
SplintER Series: Fracture After a Fall From a Bunk Bed
A 6-year-old male presents to the ED after a fall from his 5 foot high bunk bed causing elbow trauma. On exam, there is significant focal swelli...
Tactical Medicine News
SplintER Series: Case of the Swollen Finger
An 18-year-old male presents with a painful and swollen left thumb. He removed a splinter from his finger a few days ago however, 2 days after...
Tactical Medicine News
SplintER Series: One Big Bounce
A 5-year-old boy presents with right leg pain and a limp. His parents report it started after he was bouncing on the trampoline with his older s...
Tactical Medicine News
SplintER Series: To Immobilize or Not to Immobilize: That is the Question
A patient presents to the Emergency Department after sustaining a twisting knee injury while skiing. She felt a pop and was unable to bear weight...
Tactical Medicine News
SplintER Series: Attack by Bat
30-year-old male presents to the ED with pain over the right shoulder after being assaulted by a bat. The right arm is held in adduction and h...
Tactical Medicine News
SplintER Series: The Tooth of the Cervical Spine
80-year-old male patient brought in by ambulance for a witnessed fall. A cervical collar was placed by EMS because of midline neck pain. The pa...
Tactical Medicine News
SplintER Series: Open Fracture
A 65-year-old farmer presents to the ED after his ankle was run over by a piece of farm equipment in the field. His x-ray is shown above (Figure ...
Tactical Medicine News
SplintER Series: Diver’s Nightmare
A 27-year-old male presents with neck pain after diving headfirst into the shallow water of his pool. He has midline cervical spine tenderness and...
Tactical Medicine News
SplintER Series: What is Wrong With My Daughter?
A 16 year-old competitive gymnast presents to the emergency department with left ankle pain for several weeks and missed periods. The mother prov...
Tactical Medicine News
SplintER Series: Neck Pain Tears Me Up
A 40-year-old male presents with neck pain after a high-speed head-on motor vehicle collision. You obtain cervical spine x-rays (Figure 1).
Figu...
Tactical Medicine News
SplintER Series: Kitty Nibble: A Case of the Sausage Finger
A 30-year-old female presents with left second finger pain with overlying erythema, warmth, and swelling the day after her cat bit her finger...
Tactical Medicine News
SplintER Series: A Case of Hip Pain
Figure 1. Image prompt: AP view of the pelvis and left hip. Authors’ own images.
A 70-year-old male presents with left hip pain and inability...
Tactical Medicine News
SplintER Series: Venous Thoracic Outlet Syndrome
A 29-year-old male presents with right shoulder pain, throbbing, and swelling. He states that a bulge has appeared over his right anterior sho...
Tactical Medicine News
SplintER Series: A Case of Arm Pain
An 80-year-old male presents with severe right arm pain after he tripped and fell down 2 steps. Examination shows deformity and swelling to hi...
Tactical Medicine News
Computerized Adaptive Screen for Suicidal Youth (CASSY) study
Adolescent suicide rates in the United States, partly augmented by the COVID-19 pandemic, are steadily increasing [1, 2]. A commonly used screening...
Tactical Medicine News
SplintER Series: Keep Your Knees Up
A 27-year-old female presents with left knee pain after a low-speed motor vehicle collision in which her knee hit the dashboard. She is tender ov...
Tactical Medicine News
SplintER Series: A Temporary Pain in the Neck
An 18-year-old football player presents to the Emergency Department after an episode of transient numbness, tingling, and inability to move his...
Tactical Medicine News
SplintER Series: A Stressful Step – Midfoot Pain in a Female Runner
A 17 year-old female who recently started training for a marathon presents with progressively severe pain over her midfoot, notable for point ...
Tactical Medicine News
SplintER Series: “Pop in the Posterior Thigh”
A 20-year-old male presents with right posterior thigh pain and difficulty walking after he felt a “pop” while sprinting in a race. An ultrasound...
Tactical Medicine News
SplintER Series: A Fateful FOOSH
A 66 year-old man presents with right anterior elbow pain, ecchymosis, and a “lump” in his right upper extremity after a ground level fall (Figure...
Tactical Medicine News
SplintER Series: We’ve Got A Jumper
A 42-year-old patient is brought in by EMS after jumping off of a two-story building. The primary survey is intact and the secondary survey de...
Tactical Medicine News
SplintER Series: More Than Just a Shoulder Dislocation?
An 80-year-old female presents to the Emergency Department with right shoulder pain, deformity, and decreased range of motion after falling do...
Tactical Medicine News
SplintER Series: My Knee, Again!
A 61-year-old F presents to the ED from the orthopedic clinic with acute right knee pain. She endorses that while a physical exam was being pe...
Tactical Medicine News
SplintER Series: I Think My Knee Popped?
13-year-old M presents to the ED with acute left knee pain that occurred about 2 hours prior to arrival while playing football. No direct trauma....
Tactical Medicine News
SplintER Series: Punched a Wall
A 27-year-old male presents to the ED with left hand pain after punching a wall. He has pain and swelling on the ulnar side of the dorsal hand. The...
Tactical Medicine News
SplintER Series: Pain in the Snuff Box
A 16-year-old male presents to the ED after injuring his wrist during a track meet. The patient was running hurdles when he fell forward, plantin...
Tactical Medicine News
SplintER Series: A Case of Inability to Move the Knee
29-year-old F presents to ED with acute onset knee pain. Reports hearing an audible “pop” after twisting her leg while running down the stairs...
Tactical Medicine News
SplintER Series: A Collision at the Plate
A 17-year-old male baseball catcher presents with right knee pain after an opponent slid into home plate, striking the anteromedial aspect of the p...
Tactical Medicine News
SplintER Series: A Pain in the Elbow
A 12-year-old male pitcher for a traveling club baseball team complains of acute worsening of right elbow pain that has been bothering him for...
Tactical Medicine News
SplintER Series: An Easily Missed Shoulder Injury
A 30-year-old male presents with right shoulder pain after a motorcycle accident. You obtain shoulder x-rays and see the following images (Image ...
Tactical Medicine News
SplintER Series: A Jammed Finger
A 50-year-old male presents to the emergency department with a new inability to extend his 5th digit of the left hand. He states he was playi...
Tactical Medicine News
SplintER Series: Hip Pain Following an MVC
A 48-year-old female presents to the emergency department after a high-speed motor vehicle collision (MVC). She is complaining of left hip pain. ...
Tactical Medicine News
SplintER Series: Elbow Injury
A 70-year-old female presents with left elbow pain and deformity after falling on an outstretched hand. You obtain shoulder x-rays and see the ab...
Tactical Medicine News
SplintER Series: Finger pain
A 45-year-old male presents to the emergency department (ED) with right hand pain after an e-bike accident. Physical exam shows deformity and ten...
Tactical Medicine News
SplintER Series: Pediatric Elbow Pain
A 9-year-old male presents with right elbow pain after a fall onto the elbow. What is your diagnosis? What common pediatric elbow findings are yo...
Tactical Medicine News
SplintER: Persistent Left Groin Pain
A 24-year-old male presents with progressively worsening left groin pain for six weeks after he began training for a marathon. He states he had x...
Tactical Medicine News
A Pop in the Calf – Plantaris Rupture
A 32 year-old male presents to the Emergency Department after he felt a “pop” in his posterior-medial calf while playing tennis. He was able to a...
Tactical Medicine News
SplintER: Knee pain after the jump
A 15 year-old male presents to the emergency department with left knee pain and swelling after jumping while attempting to dunk a basketball. You ...
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