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Tiny Tips: SALTR for Pediatric Growth-plate Fractures

In Tiny Tips by Larissa HattinLeave a Comment

Up to one half of all children’s visits to the ED are orthopedic in nature [1]. Of these visits, approximately 35% are fractures that involve the growth plate, or physis, of a developing bone [2]. ED physicians must be familiar with the Salter-Harris classification system, which is the most commonly used system [3] for describing growth plate fractures. An easy mnemonic to remember the fracture type and description is SALTR:   References Thornton …

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Alcohol related diseases

In Medical Concepts by Shahbaz SyedLeave a Comment

The intoxicated patient is commonplace in the Emergency Department (ED), typically there is little clinical concern with these patients, and they are set up for the “breakfast plan”; to discharge them home once they are conversing and ambulating normally. These patients, however, have the potential to have significant alcohol related diseases are often under-diagnosed and under-recognized, and we seek to discuss when the ED physician should investigate these patients further. Alcoholic Ketoacidosis Alcoholic ketoacidosis (AKA) is …

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Tiny Tip: Ranson’s Criteria in Pancreatitis

In Medical Concepts, Tiny Tips by Doran DrewLeave a Comment

Editor’s Note: Last week we ran a tiny tip for the BISAP score which is an emergency department friendly way to evaluate the severity of disease. The more traditional RANSON criteria hasn’t gone completely out of style though. It may be particularly helpful when coordinating admission and prognosticating in those who will become inpatients.  Ranson’s Criteria [1] is a well-validated clinical tool designed for the risk stratification of acute pancreatitis. Based on parameters collected …

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Tiny Tip: BISAP for Pancreatitis

In Featured, Medical Concepts, Tiny Tips by Doran Drew2 Comments

EDITOR’S NOTE: I often struggle with determining whether the presentation is pancreatitis or whether it’s PANCREATITIS. There are a number of scoring systems to help evaluate this question but one in particular is nicely suited to the Emergency Department. I like Doran’s Tiny Tip that can help you remember some of the key features to consider. – EP The severity and sequelae of acute pancreatitis range wildly, from mild epigastric pain with a benign natural history …