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Introduction External fixators (EF) are essential tools in trauma emergencies. EF in the emergency department (ED) is used as a provisional method for stabilizing complex, open fractures, for treating fractures in the presence of burns
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Peri-prosthetic joint infections (PJIs) following total joint arthroplasty (TJA) are associated with higher treatment costs, longer hospital admissions and increased morbidity and mortality.
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Colonization with Staphylococcus aureus is an independent and modifiable risk factor for PJIs and carriers of S. aureus are ten times more likely than non-carriers for post-operative infections.
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Screening and targeted decolonization, vs universal decolonization without screening, remains a controversial topic.
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We recommend a tailored approach, based on local epidemiological patterns, resource availability and logistical capacity.
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Universal decolonization is associated with lower rates of SSI and may reduce treatment costs.
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Introduction Shoulder joint dislocation is the most common joint dislocation in the emergency department (8 to 17 cases/100 000 inhabitants/year). 1 In 95% of cases, the upper end of the humerus is pushed out of the joint socket in a
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Introduction With an incidence of 5.8 per 100 000 per year, patellar dislocations are commonly seen in the emergency department. 1 Over the past two decades, several studies and reviews have been published on the subject of whether these
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must be sought at this time. In England, 1.8 million fractures occur annually with a lifetime prevalence of nearly 40%, 36 whilst 4.6% of all emergency department (ED) attendances are represented by dislocations, joint injuries, fractures and
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Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK
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a stiff cervical collar (C-collar). For optimal patient management, protocols should predetermine all actions taken in the emergency department (ED). This will help to minimize the time of cervical restriction, without, however, jeopardizing
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, SA, Australia
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promising results as valuable diagnostic tools to assist clinicians in many respective specialties. As early as the 1980s a data-driven clinical prediction tool to determine which patients with chest pain presenting to the ED (emergency department) could be
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assessment and treatment of individuals injured or suddenly unwell from the point of contact at the scene to the emergency department; providing life-saving measures in life-threatening situations. Examples would include a cardiac arrest, pedestrian vs. car
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apparent on the initial set of standard non-weight-bearing radiographs taken in the emergency department and, possibly, it may guide management. Table 1. Classification systems of malleolar fractures Fibular fracture Danis-Weber Lauge
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, general paediatricians, family or primary care physicians, emergency department physicians, radiologists and orthopaedic surgeons. In low-resource settings or remote areas of high-income countries, healthcare workers and physician assistants may be the
