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Emergency Medicine Cases

Episode 35: Pediatric Orthopedics Pearls and Pitfalls

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 9 August 2013

⏱️ 140 minutes

🧾️ Download transcript

Summary

Dr. Sanjay Mehta & Dr. Jonathan Pirie, two experienced Pediatric EM docs from The Hospital for Sick Children in Toronto discuss their approach to a variety of common, occult, challenging and easy to miss pediatric orthopedics diagnoses including: differentiating Septic Arthritis from Transient Synovitis of the hip, Toddler's Fracture, Tillaux Fracture, Suprachondylar Fracture, ACL tear, tibial spine & Segond fractures. They also debate the value of the Ottawa Knee Rules in kids, non-accidental trauma, pediatric orthopedic pain management, the evidence for the best management of Buckle, Greenstick, Salter 1 and 2 distal radius fractures and lateral malleolus fractures.

Transcript

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0:00.0

Welcome to Emergency Medicine Cases.com. I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.

0:13.9

In this month's episode number 35 on pediatric orthopedic emergencies, we have with us Dr. Jonathan Peary and Dr. Sanjay Mehta. Dr. Peary is an

0:22.8

emergency physician at the Hospital for Sick Children in Toronto and an associate professor and clinical

0:27.0

educator in the Department of Pediatrics at the University of Toronto. He received his MD at the

0:32.1

University of British Columbia and his Masters of Education, FAAAP, and DAPED at the University of Toronto.

0:39.8

He's a recipient of multiple teaching awards.

0:42.5

Dr. Mehta is an emergency physician at the Hospital for Sick Children in Toronto,

0:46.7

an assistant professor in the Department of Pediatrics at the University of Toronto.

0:50.6

He received his MD at the University of Calgary and his Masters of Medical Education

0:55.5

in Pediatric Emergency Medicine Fellowship at the University of Toronto.

0:59.1

He's also the recipient of multiple teaching awards.

1:02.9

Some of the most commonly misdiagnoses in emergency medicine are pediatric orthopedic injuries.

1:08.5

This is because it's often difficult to get a decent history or physical,

1:12.1

and many pediatric fractures are occult or difficult to see on x-ray. There's also a huge

1:17.0

practice variation out there in how to manage common pediatric orthopedic injuries, like ankle

1:21.8

fractures, for example, despite some excellent studies that guide us to the best management.

1:27.7

In this episode, with the help of Dr. Jonathan Peary and Dr. Sanjay Mehta,

1:32.5

two very experienced pediatric ER docs from the Hospital for Sick Children in Toronto,

1:36.6

will explore some of the most important general principles in approaching pediatric orthopedics,

1:41.8

show how to pick up some commonly missed injuries,

1:44.1

and go through the

1:45.2

evidence for the best management of some of the more common injuries. We'll discuss disill radius

...

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