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SplintER Series: Patellar Tendon Rupture
by Karl Koivisto
Jan 25, 2023
A 46-year-old female with a history of diabetes and morbid obesity presents to the emergency department (ED) with difficulty walking after she tri...
Tactical Medicine News
SplintER Series: En Pointe
A 32-year-old female presents to the emergency department with right foot pain after rolling her ankle during dance class. On exam, there is mi...
Tactical Medicine News
SplintER Series: Don’t forget about the (tibial) spine!
A 13-year-old patient presents to the Emergency Department after sustaining a twisting knee injury while playing soccer. There was a pop, and the ...
Tactical Medicine News
SplintER Series: Hip, Hip, Hooray!
A 67-year-old male with a history of bilateral total hip arthroplasties (THA) several years ago presents with left hip pain after a fall. H...
Tactical Medicine News
SplintER Series: The Hidden Post
A 23-year-old male presents to the emergency department with right ankle pain after he rolled his ankle while walking down the stairs. An ankl...
Tactical Medicine News
Trick of the Trade: Managing Epistaxis with Merocel Nasal Packing and an Angiocatheter
There are many ways to manage epistaxis. Once nasal clamping and cauterization fail, the next step is to consider using tranexamic acid (TXA) and p...
Tactical Medicine News
SplintER: Pop, Lock & Drop It
A 38-year-old female presents to the ED with right shoulder pain after a fall directly onto that shoulder. She noticed immediate pain and diff...
Tactical Medicine News
SplintER Series: Let the Feet Drop
A 20-year-old male distance runner who was jogging and happened to be running past the emergency department presented with severe bilateral leg p...
Tactical Medicine News
PEM POCUS Series: Pediatric Focused Assessment with Sonography for Trauma (FAST)
Read this tutorial on the use of point of care ultrasonography (POCUS) for Pediatric Focused Assessment with Sonography for Trauma. Then test your ...
Tactical Medicine News
SplintER Series: Stop! Hammer Time
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...
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