Finger on the Pulse: Quick EM Education Resources
By David Hoffman, DO
Hey Everyone, welcome back! In this post, we’re going to be focusing on two more exciting FOAM sites. They are:
Heard of the Cunningham technique? Or confused by the plethora of shoulder relocation techniques and their eponyms? Kocher? Modified Milch? Zero Position? And what’s the deal with scapular manipulation—where do I push, how do I push, why?
If you’ve been practicing for even a year, it’s likely you’ve encountered a shoulder or two that’s been difficult to relocate. Maybe you’ve witnessed traction/countertraction with excessive yanking or pulling. Fortunately, there is shoulderdislocation.net.
Shoulderdislocation.net is a website created by Neil Cunningham et al. dedicated to discussing the different types of shoulder relocation techniques.
The highlights of the site are the easy-to-follow videos demonstrating each technique. What is most compelling about these techniques is their simplicity, the lack of force needed, and the relative pain-free nature.
Suggestion: Check out the Cunningham and Zero position techniques, and their respective analgesic positions. Give them a try on your next shoulder dislocation.
EM in 5 is a website dedicated to quick and dirty 5 minute lectures.
The beauty of the site is:
- Visually engaging.
- Concise. While brief and fairly basic, they are high yield and great for quick review.
- Categorized by system for easy navigation and ability to focus review.
- Again, only 5 minutes
Suggestion: For a quick example, check out this video on 5th metatarsal fractures, summarized below: http://emin5.com/2014/05/25/5th-metatarsal-fractures.
5th Metatarsal Fractures:
Why do we care? High incidence of non-union and healing
3 Types: 1) Stress 2) Jones 3) Avulsion
Bottom Line: Stress and Jones (1 & 2) have higher incidence of non-union, and therefore patients need to be non-weight bearing with close ortho follow up. Avulsions (3) heal better and therefore can be weight bearing as tolerated with less-urgent ortho follow up.