3 real cases all revolving around complications of a knee dislocation

By participating, you could win $150 for yourself and an additional $150 for your site. To be entered into the raffle you must answer all 3 questions correctly. Survey will close in July.

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* 1. A popliteal artery injury is a potentially limb-threatening complication of a knee dislocation. Diagnosis requires a high degree of suspicion on the part of the clinician. A knee can be dislocated and subsequently relocated prior to presentation, so a thorough neuro and vascular assessment of the affected extremity is paramount. If the following study had been performed in the ED on visit one, this case may have been defendable despite the unfortunate outcome

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* 2. Case 2:  Physician expert witnesses explained certain types of dislocations are routinely reduced by emergency providers. It is appropriate for them to perform the reduction in the ED without involvement of the orthopedic surgeon if there is concern for vascular and neurologic compromise. What hindered the defense of this case?

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* 3. Case 3: The cause of the patient’s outcome could be difficult to prove as the peroneal nerve injury could have been caused by either the trauma inducing event (the initial fall), or it could be secondary to occlusion of the popliteal artery which ultimately caused ischemia invading the peroneal nerve. Which medical decision most impacted defensibility of the care provided by the EM physician?

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* 4. Contact Information for entry into the raffle

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