Although ibuprofen has been shown to be an effective analgesic for children with extremity fractures, controversy exists as to whether its use may be detrimental to fracture healing. This is problematic as common alternatives, specifically acetaminophen and opiates, can be ineffective or have troublesome side effects. This study aims to shed light on the possible association between NSAIDs and fracture complications in pediatric patients.
Read More
Core Content edited by
Journal Review
The Effect of Ibuprofen in Pediatric Fracture Healing
Core
Deep Venous Thrombosis (DVT)
DVT is a common ED presentation. This post reviews the diagnosis and up to date treatment recommendations.
Read More
Post
Check Out Some Great SMACCDub Content
Over the last couple of weeks, the SMACC group has released some absolutely amazing talks from SMACCDub in Dublin in June of 2016. In the true spirit of FOAM, all of the content is free for use and reuse. Here are some of the Core EM sites favorite talks. For all the SMACC talks,
Read More
Journal Review
Effect of Conservative vs. Conventional Oxygen Therapy on ICU Mortality
While hypoxia is a clearly recognized dangerous clinical entity in critically ill patients, the dangers of hyperoxia are gaining recognition. Hyperoxia has been shown to cause systemic vasoconstriction, pulmonary interstitial fibrosis, atelectasis, and tracheobronchitis. Two studies have demonstrated the harms of hyperoxia in both peri-operative (Meyhoff 2009) and STEMI patients (Stub 2015). This study sought to look at the effect of conservative arterial oxygen goals on ICU mortality.
Read More
Core
Ankle Stress Views: Why, When + What
This post delves in to ankle stress views with a focus on when to get them and what we’re looking for.
Read More
Journal Review
Canadian Head CT Decision Tool
CT scans are frequently done after minor head injury to evaluate for intracranial hemorrhage. While CT scans are an excellent tool for diagnosing or ruling out this disorder, they are not without harms including radiation exposure, cost and department delays. Much of the time, CTs are negative, or find injuries for which no intervention is ever done and do not clinically affect the patient.
Read More
Core
Intrathecal Baclofen Withdrawal
Intrathecal baclofen withdrawal is a rare but life-threatening presentation. This post reviews the diagnosis and management of the condition
Read More
Journal Review
Missed Opportunities for HIV Post-Exposure Prophylaxis
Emergency Departments (ED) are frequently tasked with managing HIV exposures and initiating post exposure prophylaxis (PEP). A survey of ED providers in early 2000 demonstrated that many were uncomfortable determining the need for PEP after non-occupational exposures, like sexual contact and injection drug use. For such cases, PEP management occurred 49-100% of the time. In 2005,
Read More