“You can get past the dead end. You can break through the ceiling. I did and so have countless others.”

Clinical Pearl Wednesday #78

Injury Orthopedics Chalk Bandage  - sferrario1968 / Pixabay

Acute orthopedic complaints summed up:

Emergencies – hip dislocations and ankle dislocations with tenting.

Surgical Urgencies – open fractures, compartment syndrome, high pressure injection injuries (paint being injected into the soft tissue for example).

The majority of other complaints can be managed via:

  • Splint, ice, ibuprofen/Tylenol
  • Rest/non-weight bearing
  • Follow up ortho (time for referral depends on the pathology)

99% of all orthopedic complaints I see are managed simply by “splinting and sending.” Do not over complicate it in the majority of situations. As always, use your own clinical judgement.

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