34yo M presents to ED via EMS following a 30-35ft constructi | Figure 1

34yo M presents to ED via EMS following a 30-35ft construction site fall. CMS intact, A&Ox4, GCS of 15, pupils are PERRL, notable Fx to superior left orbit, left #Humerus, and left #Femur. #Emergencymedicine #Trauma #ortho

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#HCC patient with left groin pain found to have pathological #fracture (red arrow) of the lesser trochanter of the left femur from #metastatic HCC. #IR consulted for #embolization prior to resection and arthroplasty for adjunctive blood loss reduction from #ortho. #Angiography demonstrates multiple HCC osseous mets (blue and green arrows). #Embolization of the branches noted off the profunda femoris was preformed with large particles. The last image is post-operative following embolization and orthopedics. #IRad

9. Once visualized, the cement plug is carefully drilled and extracted with a threaded tap. Why is removal of the cement plug essential? #muscrounds

~60 year old male presents with left lower extremity pain s/p MVA. Severe distress due to pain, tachycardic, but otherwise stable vitals with GCS of 15. Neurovascularly intact. How would surgery proceed?

#Femur #Fracture

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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family. Are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?