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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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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 …

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Tiny Tip for Acute Visual Loss: CAN U GO STARE at HIM

In Medical Concepts, Tiny Tips by Nour KhatibLeave a Comment

Acute visual loss is distressing to patients of any age. A careful history and physical exam alone may help direct you to the diagnosis in most cases. However, when the cause isn’t immediately obvious, it is helpful to have an approach to go to for considering all of the possibilities. If you’re a Canadian EM resident studying for your Royal College exams, you might also want to have this available for quick recall. Mnemonic …

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Tiny Tip: Anaphylaxis Treatment

In Medical Concepts, Tiny Tips by Taft MicksLeave a Comment

Anaphylaxis is a common presentation to the emergency department requiring rapid treatment as death can occur within minutes. From 1986 – 2011, in Ontario, Canada alone there were 82 deaths from anaphylaxis (1). Epinephrine 0.5mg IM (1:1000) is the first line treatment for anaphylaxis and the only lifesaving treatment (2). The other medications are for symptomatic control or can help prevent the biphasic reaction anywhere from 8-72 hours from the initial reaction. For …