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June Mega Summary

Jan Shoenberger, MD and Stuart Swadron, MD, FRCPC
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35:09
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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00:44

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EMRAP 2019 June Written Summary 367 KB - PDF

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Karl T., M.D. -

Tell me you didn’t just recommend getting an MRI on every wrist injury we see.

Jan S. -

Not the recommendation for sure! We said that for scaphoid fractures, plain films are not that sensitive (meaning that there is a significant false negative rate). That is why we immobilize those patients where our clinical suspicion for fracture is high and refer them as outpatients to their PMD or to ortho where they will get another round of examination and imaging down the line. Despite the poor test characteristics of plain films, we still start with them in the ED because when they are positive, we have our diagnosis! We talked about the fact that MRI is a better test than plain film for ruling in (or out) scaphoid fracture, but we mentioned that it is not practical for us in the ED.

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EM:RAP 2019 June Full episode audio for MD edition 227:40 min - 317 MB - M4AEMRAP 2019 June Canadian Edition Canadian 17:11 min - 24 MB - MP3EMRAP 2019 June German Edition Deutsche 92:42 min - 127 MB - MP3EM:RAP 2019 June Spanish Edition Español 78:44 min - 108 MB - MP3EM:RAP 2019 June French Edition Français 30:59 min - 43 MB - MP3EM:RAP 2019 June Farsi Edition Farsi 132:49 min - 182 MB - MP3EM:RAP 2019 June Aussie Edition Australian 0:57 min - 1 MB - MP3EMRAP 2019 06 June Individual MP3s 294 MB - ZIPEMRAP 2019 June Board Review Answers 131 KB - PDFEMRAP 2019 June Board Review Questions 177 KB - PDFEMRAP 2019 June Spanish Written (SPA) 4 MB - PDFEMRAP 2019 June Written Summary 367 KB - PDF

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6 AMA PRA Category 1 Credits™ certified by CEME (EM:RAP)

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