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Colles and POCUS

July 24, 2014 2 Comments

CollesI like to use POCUS for hematoma blocks and Colles fractures. Here’s one. I first mark the most obvious area of the radial fracture. Then I aim from slightly cephalad at a 45 degree angle to inject the fracture. By the way, I’ve never actually seen the hematoma in the “hematoma” block.

I then follow the reduction with serial views until the fracture hopefully disappears and I cast it. There was a residual displacement here which I suspect is rotational.

Colles1

Anyway, take a look at the pictures and see if you want to try it. I find it eliminates the post-post (etc) reduction views.

Colles2

And finally:

Colles3

Colles0

Filed in: Rogue waves

Comments (2)

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  1. Eric Reichman says:

    I am the editor of an Emergency Medicine Procedure book. We are currently updating the chapters for the 3rd edition of the text. The citation is: Reichman EF: Emergency Medicine Procedures, 3rd edition. McGraw-Hill, 2018. The book will be out in January 2018. Old versions (1st and 2nd editions) can be viewed at http://www.amazon.com

    I would like to get use the image from your website of the US of a hematoma block to use in the book.

    What is the process to get permission and the images?

    Thanks for your time and consideration.

    Eric

    Eric.F. Reichman, Ph.D., M.D.
    Director, Surgical & Clinical Skills Center
    Associate Professor of Emergency Medicine
    Univ. of Texas at Houston Medical School
    Cell Phone: (713) 208-0540
    E-mail: eric.f.reichman@gmail.com

  2. Hey Eric, it’s Steve Socransky. The images belong to Dr Lloyd Gordon, an emergency physician at Humber Hospital in Toronto. I will email you and Lloyd off-line.

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