Thursday, October 20, 2016

Evaluation of an Ankle Injury in the Emergency Department

Image Credit: Flickr
Authors: Sachin Allahabadi, MSIV
Jorge Louis Aceves, MSIV
Joseph Nathaniel Chorley, MD
Veronica Tucci, MD JD
Baylor College of Medicine; Houston, TX

This post was peer reviewed.
Click to learn more.

An 18-year-old male presents to the emergency department after a fall and painful, twisting right ankle injury during a soccer game. The patient is unable to bear weight, and denies numbness and tingling. Initial exam reveals generalized ankle swelling and ecchymosis, with intact and equal sensation to light touch in bilateral lower extremities, brisk capillary refill, and a 2+ dorsalis pedis pulse. The patient is non-tender to palpation of bilateral malleoli, but has exquisite bony tenderness over his distal fibula. The proximal fibula is non-tender to palpation. There is also tenderness over the medial joint line. Ankle range of motion is limited due to pain, but the patient is able to wiggle his toes.

Sunday, October 16, 2016

Reflections on Mentorship

Author: Mary Haas, MD
AAEM/RSA President '16-'17
Originally Published: Common Sense September/October 2016

Mentorship has played a crucial role in my brief EM career. Perhaps, more importantly, it has also contributed to my personal and professional wellness. Realizing this, I asked myself a few questions. Why does mentorship matter? What makes a good mentor?

The term mentor originated from Homer’s Odyssey, as the name of the man entrusted by Odysseus, the king of Ithaca, to care for his son and household while he fought in the Trojan War. Following that example, a mentor is one who guides a junior colleague. Specifically a mentor should teach, advise, and share wisdom with their colleague. A mentor may provide personal advice, professional advice, or both. One useful definition of mentorship is “a process for the informal transmission of knowledge, social capital, and psychosocial support perceived by the recipient as relevant to career or personal development.”[1]