@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!)
258 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books.
258 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents.
258 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)!
263 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!!
273 days ago
As a followup to the blog on the Captain Morgan technique for hip dislocations , I'd like to throw out another similar technique that also does NOT involve climbing up on the gurney.
The Whistler technique was developed in the ski town of Whistler, B.C., where the majority of their hip dislocations resulted from either a skiing or snowboarding accident. The technique applies the same principles as the Captain Morgan technique but uses the provider's forearm instead of their knee in the popliteal fossa.
The patient lies supine on the gurney.
Unaffected leg is flexed with an assistant stabilizing the leg. The assistant can also help stabilize the pelvis.
Provider's forearm is placed under the affected leg in the popliteal fossa then grasps the knee of the unaffected leg.
Provider's other hand grasps the lower leg of the affected leg, usually around the ankle.
The dislocated hip should be flexed to 90 degrees.
The provider's forearm is the fulcrum and the affected lower leg is the lever.
When pulling down on the lower leg, it flexes the knee thus pulling traction along the femur.
You can also add some internal/external rotation to facilitate the reduction.
Is it the definitive hip dislocation reduction technique? No...but something else to add to your bag of tricks when the usual doesn't work.
I've used the Whistler technique multiple times with success. The few times it hasn't worked, I've converted to the Captain Morgan technique. No more gymnastics on the gurney!!!
Has anyone else tried it?
Reference
Walden PD, Hamer JR. Whistler technique used to reduce traumatic hip dislocation of the hip in the emergency department setting. J Emerg Med.1999 May-June;17(3):441-4. Pubmed
As a followup to the blog on the Captain Morgan technique for hip dislocations , I'd like to throw out another similar technique that also does NOT involve climbing up on the gurney.
The Whistler technique was developed in the ski town of Whistler, B.C., where the majority of their hip dislocations resulted from either a skiing or snowboarding accident. The technique applies the same principles as the Captain Morgan technique but uses the provider's forearm instead of their knee in the popliteal fossa.
Is it the definitive hip dislocation reduction technique? No...but something else to add to your bag of tricks when the usual doesn't work.
I've used the Whistler technique multiple times with success. The few times it hasn't worked, I've converted to the Captain Morgan technique. No more gymnastics on the gurney!!!
Has anyone else tried it?
Reference
Walden PD, Hamer JR. Whistler technique used to reduce traumatic hip dislocation of the hip in the emergency department setting. J Emerg Med.1999 May-June;17(3):441-4. Pubmed