Tactical Medicine News Blog

Orthopedic, procedure, Tricks of the Trade
Trick of the Trade: Captain Morgan technique for hip dislocation
Relocation of a hip joint is often quite a sight to see in the ED. A commonly taught technique is the Allis maneuver (watch the first 45 seconds of the...
Michelle Lin, MD | December 13, 2011
Orthopedic, procedure, Tricks of the Trade, Ultrasound
Trick of the Trade: Ultrasound-guided injection for shoulder dislocation
Who loves relocating shoulder dislocations as much as I do? I know you do. Often patients undergo procedural sedation in order to achieve adequate pain control and muscle relaxation. Alternatively or...
Michelle Lin, MD | November 8, 2011
ALiEM Cards, Infectious Disease, Orthopedic
Paucis Verbis: Does this DM leg ulcer have osteomyelitis?
We sometimes see diabetic patients in the ED for a worsening foot ulcer. Sometimes it’s the chief complaint. Other times, however, you just notice it on physical exam. So, be...
Michelle Lin, MD | September 23, 2011
Orthopedic, Tricks of the Trade
Trick of the Trade: Synovial lactate in septic arthritis
A 55 year old woman presents with rheumatoid arthritis presents with monoarticular joint pain in her left knee for the past 3 days. She has a low-grade fever of 100.2...
Michelle Lin, MD | September 13, 2011
ALiEM Cards, Orthopedic, Trauma
Paucis Verbis: Distracting injuries in c-spine injuries
“Distracting injury” is a frequent cited reason for imaging the cervical spine in blunt trauma patients, per the NEXUS study. In the Journal of Trauma in 2005 and 2011, studies...
Michelle Lin, MD | September 9, 2011
Orthopedic, Tricks of the Trade
Trick of the Trade: Crossed straight leg raise test
A 35 year old man presents with low back pain which radiates down his right leg to the level of the knee. Is this sciatica? Low back pain is one...
Michelle Lin, MD | August 23, 2011
Orthopedic, Tricks of the Trade, video
Trick of the Trade: Cunningham maneuver for shoulder dislocation
We commonly see patients with shoulder dislocations in the Emergency Department. There are a myriad of approaches in relocating the joint, which includes scapular rotation, Snowbird, and Kocher maneuvers. I...
Michelle Lin, MD | June 22, 2011
Orthopedic, Trauma, Tricks of the Trade
Trick of the Trade: Fingertip injuries
Fingertips can get injured in a variety of ways such as machetes, meat grinders, and broken glass. You name it, and we’ve probably seen it. Some don’t actually need anything...
Michelle Lin, MD | June 8, 2011
ALiEM Cards, Orthopedic
Paucis Verbis card: The Shoulder Exam
How many times have you had to look up the shoulder exam maneuvers for patients with acute shoulder pain? I don’t know why I just can’t seem to remember these....
Michelle Lin, MD | January 28, 2011
Orthopedic, Pediatrics, procedure, Tricks of the Trade
Tricks of the Trade: Nursemaid elbow reduction
We’ve all seen it before while working in the ED. A parent brings in their child because they pulled on their arm, and now the child is not using it....
Fred Wu, MHS, PA-C | January 19, 2011
ALiEM Cards, Orthopedic, Trauma
Paucis Verbis card: Cervical spine imaging rules
There is constant debate on whether to image the cervical spine of blunt trauma patients. Fortunately, there are two clinical decision tools available to help you with your evidence-based practice....
Michelle Lin, MD | December 10, 2010
Orthopedic, procedure, Tricks of the Trade
Trick of the Trade: Legg Maneuever for shoulder dislocation
There are many ways to relocate a shoulder dislocation. Most of these ways require procedural sedation. What if the risks of procedural sedation outweigh the risks? What alternative maneuver can...
Michelle Lin, MD | November 3, 2010
ALiEM Cards, Orthopedic
Paucis Verbis card: C3-C7 spinal fractures
This is the second Paucis Verbis card on cervical spine fractures. Part 1 covered C1 and C2 fractures. This card covers the lower cervical spine fractures. These two tables are...
Michelle Lin, MD | October 8, 2010

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Tactical Medicine News Blog