Tasty Morsels of EM 017

12 Aug

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section.

I’ll try and transfer them here for your enlightenment.

From an old EMCast with Michelle Lin of academic life fame…

On back pain:

  • in cauda equina
    • urinary retention can mean incontinence, but as a result of overflow
    • consider ultrasound for post void.
    • if your scanner doesn’t do this automatically then the formula Volume=x x y x z x (0.72) might be helpful though I suspect eye-balling the volume would be fine
  • distinguish burst from wedge fractures. May well need CT to do so
    • a wedge fracture normally has only loss of ant height and is stable and no where near the cord
    • a burst fracture can often be unstable and impinge into the canal

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