Pulled elbows

Annie is a 2 year old who has a painful arm. Her mum was holding her hand as she walked along the pavement. Annie tripped and Annie’s mum tried to stop the fall. Since then she hasn’t been using the arm as much.   Thanks to Simon Craig for his post-publication contribution.   Anatomy The…

Fasting guidelines

Some things in emergency medicine go together like peanut butter and chocolate – take monkey bars and supracondylar fractures, for example. Jack fell off the monkey bars after school and has an obviously deformed arm. With the help of some inhaled methoxyflurane and intranasal fentanyl, he has been placed in an above elbow backslab and…

C-spine x-ray interpretation

The ABC’s of the cervical spine provide a helpful mnemonic to guide the systematic assessment of these x-rays. Remember; you require all three views (lateral, AP and odontoid/open mouth view) for an adequate study. Cite this article as: Partyka, C. C-spine x-ray interpretation, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.13656

Ankle x-rays

The ankle consists of three bones – the tibia, the fibula, and the talus. The ankle also consist of two joints – the ankle joint (where the tibia, fibula and talus meet) and the syndesmosis joint (the joint between the tibia and fibula which is help together by ligaments). There are three main sets of…

Crack the back?

A recent article in the Australian press has once again shone a spotlight on the practice of neonatal spinal manipulation by chiropractors. Cite this article as: Tagg, A. Crack the back?, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.8591

The Crying Game

Pain in children is often under-recognised and under-treated. This is the screencast of the talk I gave at the recent Emergency Registrars Regional Conference held at Sunshine Hospital in Melbourne. Cite this article as: Tagg, A. The Crying Game, Don't Forget the Bubbles, 2015. Available at: http://doi.org/10.31440/DFTB.7837

Knee X-rays

1.  Know your knee anatomy See the the anatomical landmarks on the diagrams below.   Remember that the knees of younger children will look different, as the patella forms, and the ossification centres form.   2. Look for an effusion There are two fat pads in the knee the suprapatellar fat pad the prefemoral fat…

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