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Sirens to Scrubs: Do you think I need stitches?

In Sirens to Scrubs, Working in EM by Monika BilicLeave a Comment

You are dispatched to Sam, an 87-year-old who cut the base of his thumb while pitting an avocado approximately 30 minutes ago. The laceration is 3cm long and you can see fatty tissue in the wound. Sam’s wife asks whether you think he will need stitches. You think that he will, but you’ve been wrong in the past, so you’re not sure how to answer her question. About Sirens to Scrubs Sirens to …

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Should Ketamine be Used for Trauma Analgesia?

In All Posts, Medical Concepts by Casey PetrieLeave a Comment

Case Description: A 21-year-old male presents to your emergency department via EMS after suffering a motorcycle accident.  He was travelling at approximately 80 km/h when he lost control of his vehicle and slid into a median.  He has an open fracture of his left tibia and fibula, but bleeding is controlled, and his left foot is neurovascularly intact.  Despite receiving 10mg of intravenous morphine given by paramedics, he is screaming in pain and …