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Emergency Medicine Cases

Ep 189 Commonly Missed and Mismanaged Wrist Injuries

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 19 December 2023

⏱️ 69 minutes

🧾️ Download transcript

Summary

In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED? What are the 2 key x-ray signs we should look for on the AP and the 2 key x-ray signs we should look for on the lateral for every wrist injury? and many more...

Transcript

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0:00.0

Welcome to the Emergency Medicine Cases podcast.

0:05.0

I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.

0:13.9

EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research

0:21.1

and education.

0:22.7

The opinions expressed on this podcast are intended for information and education purposes only

0:24.7

and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice and qualified practicing physician.

0:30.4

This episode is brought to you by Easy Recess, your ultimate support for the first hour of resuscitation.

0:37.2

This amazing phone app has drug dosing treatment algorithms and procedural aids all in under

0:41.7

three clicks.

0:43.3

Rapid access to life-saving critical info in a user-friendly interface.

0:47.7

Try the app for free with the promo code EM cases or visit easy recess.com slash EM cases. That's the letter is EZrecess.com slash

0:59.2

EM cases. All right gentlemen. We've done shoulders. We've done ankles. We've done knees. We've

1:08.5

done elbows and we've done hands.

1:17.3

The only major ortho extremity injuries we haven't covered on EM cases are wrists and hips,

1:19.2

but hips are relatively straightforward.

1:24.9

So in this two-part episode series, we're going to cover wrists and carpal bones.

1:28.6

Now, you might be thinking that wrist injuries are also pretty straightforward, but as you'll hear soon, with the blinding brilliance that doctors Matt

1:34.6

DeStefano and Aaron C.L. will be serving up. There are many nuances in diagnosis and management

1:41.1

that significantly affect outcomes. This is commonly missed or mismanaged wrist injuries.

1:49.0

Welcome to the show, gentlemen.

1:50.8

Thank you very much.

1:52.3

Thanks for having us.

...

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