Shoulder dislocations. Few procedures are more fulfilling in the emergency department. A little intra-articular lidocaine, some ketamine (always the answer), some propofol, and you’ve nearly instantaneously fixed a painful condition. Thankfully we’ve moved on from the barbaric techniques pictured below. But this blog isn’t about reducing a shoulder in the emergency department using procedural sedation. […]
Orthopaedics
Nikolai Ivanovich Pirogov
Nikolai Ivanovich Pirogov (Никола́й Ива́нович Пирого́в)(1810 – 1881) Russian surgeon, anesthetist and anatomist. 1854 Pirogov amputation
Is there anything a SAM splint can’t do?
Deciding what to carry in your medical kit on an expedition is hard. You don’t want to leave anything out, but you can’t carry an entire hospital on your back. I mean, the wheels on the slit lamp really suck at crossing rough terrain. So you have to decide what goes and what doesn’t. Thus the […]
Hawkins classification
Description Hawkins classification: Classification system for talar neck fractures. Hawkins originally described Types I-III in 1970 with Canale and Kelly adding Type IV in 1978 Hawkins Type I: Nondisplaced talar neck fracture Hawkins Type II: Talar neck fracture with subtalar dislocation Hawkins Type III: Talar neck fracture with subtalar and tibiotalar dislocation Hawkins Type IV: […]
Leland G Hawkins
Leland Greene Hawkins (1933-1991) was an American orthopedic surgeon. Hawkins established a classification system for talar neck fractures which revolutionized management and helped quantify the risk of progression to avascular necrosis Biography Born 11 October 1933 Los Angeles, California 1956 – Bachelor’s degreeBeloit College , Wisconsin 1960 – Graduated medicine from the University of Chicago, […]
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