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Manual for the Emergency Department] Basics of Orthopedic Trauma Radiography for the Non-Orthopaedic Surgeon to Remember

Introduction In the emergency room, non-orthopedic surgeons may provide initial care to trauma patients during hours when orthopedic surgeons are not available. Correct radiographic orders are essential to ensure that fractures and dislocations are not missed. This article discusses the orthopedic ...

ER hand surgery orthopaedic surgery

【Step by Step 手術手技】肘内障の整復法

Key Point Summary 肘内障は、橈骨頭が輪状靭帯から亜脱臼した状態である。 「子どもの手を引っ張り上げたら急に泣き出して腕を動かさなくなった」というのが典型的なエピソード。 肘の腫脹や内 ...

ER Other plastic surgery hand surgery orthopaedic surgery

Medical Care Tips] Tetanus Toxoid

Tetanus ■ Overview The toxin (tetanospasmin) produced by Clostridium tetani interrupts inhibitory nerve circuits in the motor nerve endings, spinal cord anterior horn cells, and brainstem, causing (1) muscle rigidity (rig ...

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Medical Care Tips] Antiviral drug (Valtrex) for herpes zoster

Key Point Summary Varicella-zoster virus, which was transmitted in childhood, is reactivated by stress or fatigue (weakened immunity). ≧The disease occurs most frequently in people aged ≥50 years. In the elderly, the ...

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【Step by Step 手術手技】爪甲脱臼を伴う指挫滅創の初期対応|Schiller法・爪母癒着予防

注意事項:本記事は医療従事者向けの内容です。 患者さんへの説明や一般向けの治療指南ではなく、救急外来・形成外科・手外科領域の臨床現場で働く医療者向けに、正確かつエビデンスに基づいた情報を提供しています ...

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Step by Step Surgical Technique] Drainage of subungual hematoma

Key Point Summary A subungual hematoma is a retention of blood between the nail bed and the nail bed. Drainage is necessary if pain is present. Drainage involves puncturing the nail bed with an 18G needle or high-frequency scalpel. ...

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【Step by Step 手術手技】釣り針の抜去法: 針先の返しをカットする

Key Point Summary 釣り針は「返し」がついているため、引き抜こうとしても抜けない。 針を進行方向にすすめて、針先の「返し」を皮膚の表面から出して、ニッパーでカットして抜去する。 &nb ...

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