FACEPs in the Crowd: Dr. Matt Astin

When attending Mercer University in Macon, Ga., ACEP Fellow Dr. Matt Astin got his best friend to join him on the cheerleading team … but there was a condition that ultimately put Dr. Astin on center stage. “He said he would try out for the team if I auditioned for the spring musical. Not sure…

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How To Perform an Ultrasound-Guided Clavipectoral Block

The clavicle is one of the most commonly fractured bones in the human body. Every  year, approximately 332,000 people in the United States suffer from a clavicular fracture.1,2 In the emergency department (ED), the focus of treatment is pain control and immobilization unless there is a clear indication for surgery, such as open fractures, skin…

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VisualDx Answer: b) Necrotizing Fasciitis

Answer: The correct answer is necrotizing fasciitis (b). Necrotizing fasciitis is a deep and often devastating bacterial infection that tracks along fascial planes and expands well beyond any outward cutaneous signs of infection. Necrotizing fasciitis can occur without a clear portal of entry, although predisposing risk factors include major penetrating trauma (e.g., crush injury, deep…

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