Olecranon Fractures

Unstable fractures require emergent orthopedic consultation for operative fixation. Apply splint at 50-90% flexion and analgesia. Intravenous antibiotics for open or suspected fractures. Stable, nondisplaced fractures with intact extensor function Immobilized in a long arm posterior splint with 90 degrees of flexion, neutral forearm Orthopedic follow-up within 1-2 days.

Compartment Syndrome

Compartment syndrome is a life and limb threatening emergency that requires early recognition, prompt diagnosis and immediate management with fasciotomy While clinical evaluation is flawed, pain out of proportion to injury and pain with passive stretch of muscles within the compartment are the best screening tools. Do not wait for the development of pallor, absence […]

Femur fracture…splint early

There are two main reasons for use of traction splinting for fractured shaft of femur. Analgesia Haemorrhage control

Terry Thomas…

This fracture  is named after the well-known British comic Terry Thomas (1911-1990) who had frontal dental diastema (a large gap between his two front teeth)

Emergency Medicine Kenya Foundation