The American journal of emergency medicine
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Case Reports
Proximal tibiofibular joint dislocation in young children: Is this the nursemaid's elbow of the lower extremity?
Anterolateral dislocation of the Proximal Tibiofibular Joint (PTFJ) is a rare injury of the knee commonly resulting from violent athletic injuries in adults. Reported here are examples of this injury in a 19 month old and a 4 year old following trivial mechanisms of injury. These cases raise the question of whether this injury may be an unrecognized cause of refusal to bear weight in children in this age group.
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In the past decade scholarly attention has shifted away from examining injuries from nonmotorized scooters to injuries from electric scooters. This has resulted in a knowledge gap concerning current levels of injury due to the use of nonmotorized scooters. This study presents recent trend data and demographics of patients treated for injuries from nonmotorized scooters in US Emergency Departments (EDs) from 2005 to 2020. ⋯ Injuries from nonmotorized in the United States are still sizeable in number and can be prevented by greater use of protective equipment. Injuries predominate among males and children in the age category of 5 to 9.
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Observational Study
Linking emergency department patients at risk for human immunodeficiency virus to pre-exposure prophylaxis.
The objective of this study is to describe an Emergency Department (ED)-based, HIV prevention and navigation program and the individuals linked to an in-house clinic for HIV pre-exposure prophylaxis (PrEP) in the first eleven months of program implementation. ⋯ Most clients that were both eligible and interested in PrEP were prescribed PrEP if given a same day follow-up appointment. Of the clients engaged in this navigation program, almost 80% did not perceive that they were at-risk for HIV infection.