Close to twenty years of my life I have been trying to get this one simple message across - a crowded ER results from a crowded hospital, not inappropriate use by low acuity patients.
@arunsayal1 on avoiding ortho #dxerrors: don’t look at X-ray first, instead see patient, take good history and physical to generate pretest probability, then look at X-ray and consider limitations. #EMU2018
Obvious diagnosis - history, physical, and test will all be positive
Subtle diagnosis - may only get one, so have to be careful to assess all 3
We often overlook this in MSK injuries
@arunsayal1#EMU2018
Ortho Pearls by @arunsayal1
For a sudden deceleration injury, like golf swing or baseball bat swing, consider hook of hamate fx. Need to examine hamate on palmer surface of hand, can get "hook of hamate view" or "carpal tunnel view" xray. #EMConf#FOAMed