General Wound Management James M. Callahan M. Douglas Baker Introduction Traumatic injuries are commonly encountered in pediatric patients. Ten million patients present to emergency departments (EDs) in the United States…

Reduction of Common Joint Dislocations and Subluxations Frederick C. Johnson Pamela J. Okada Introduction Extremity injuries are a common reason for children to visit the emergency department (ED). When a…

Approach to Fractures with Neurovascular Compromise Scott H. Freedman Brent R. King Introduction Neurovascular compromise should be considered whenever a child presents with an injured extremity. Although children with cool,…

Arthrocentesis Daniel A. Green Charles G. Macias Introduction All pediatric patients who present with complaints of joint pain or swelling should be thoroughly examined to confirm or exclude the presence…

Management of Finger Injuries Peter M. Antevy Richard A. Saladino Introduction Finger injuries occur frequently in children and may have significant functional or cosmetic morbidity associated with them. These injuries…

Short Arm and Short Leg Casts David T. Bachman Introduction The use of emergency casting as a treatment for orthopedic injuries can be traced to Antonius Mathysen, a Dutch military…

Splinting Procedures Jean E. Klig Introduction Orthopaedic immobilization techniques utilize a wide range of devices to support musculoskeletal injuries. Splints are an essential part of this spectrum and are vital…

Obstetrical Procedures for Adolescents Vidya T. Chande Introduction Emergency physicians and prehospital care providers must be familiar with the procedure for delivering a newborn, because transfer to a labor suite…

Management of Zipper Injuries Joel A. Fein Stephen A. Zderic Introduction Injury to the skin and soft tissues of the penis and scrotum commonly results from entrapment inside a zipper…

Paraphimosis Reduction Patricia Chambers Introduction Paraphimosis describes the condition when the foreskin of an uncircumcised male is retracted behind the glans penis, with resultant edema. As swelling of the glans…