Author: Samantha J Milsom / Editor: Jason M Kendall / Reviewer: Joe Schrieber / Codes: RP7, SLO4, TC2 / Published: 02/02/2021
A 26-year-old right hand dominant man is brought in to the Emergency Department (ED). He was cutting his lawn when he accidentally ran over the mower flex. On picking up the flex he inadvertently touched the end. He was thrown backwards approximately 2 metres. He did not lose consciousness.
On arrival in the ED, his observations are as follows: HR 70 (regular), BP 124/62, SaO2 99% on air, RR 14, Temp 36.2°C. His ECG shows normal sinus rhythm. He denies any history of chest pain or palpitations and feels completely well except for pain in his right shoulder.
On examination, he has two small contact burns to his right index finger, which are dressed appropriately. He is holding his right arm across his chest in adduction and internal rotation. Any attempted active or passive movements of the shoulder induce increased pain.
X-ray of the right shoulder is as shown.
Module Content
Shoulder and Brachial Plexus Injury
In UK ED practice a large group of patients present with musculo-skeletal disorders
Elbow Injuries
Elbow injuries are common and acute elbow trauma accounts for 2-3% of all visits to the emergency department.
Paedsy Procedures
Here is a brief overview of three of our favourite and most satisfying PEM procedures. They epitomise ED practice - but can seem tricky to the PEM naive practitioner.
4 Comments
very concise and well summarized
Good reminder not to miss this when in a hurry or the patient can’t answer back.
Very Nice review
An important topic.