Finger on the Pulse

Hey Everyone, welcome back! In this post, we’re going to be focusing on two more exciting FOAM sites. They are:


Heard of the Cunningham technique? Or confused by the plethora of shoulder relocation techniques and their eponyms? Kocher? Modified Milch? Zero Position? And what’s the deal with scapular manipulation—where do I push, how do I push, why?

If you’ve been practicing for even a year, it’s likely you’ve encountered a shoulder or two that’s been difficult to relocate. Maybe you’ve witnessed traction/countertraction with excessive yanking or pulling. Fortunately, there is is a website created by Neil Cunningham et al. dedicated to discussing the different types of shoulder relocation techniques.

The highlights of the site are the easy-to-follow videos demonstrating each technique. What is most compelling about these techniques is their simplicity, the lack of force needed, and the relative pain-free nature.

Suggestion: Check out the Cunningham and Zero position techniques, and their respective analgesic positions. Give them a try on your next shoulder dislocation.


2) EM in 5

EM in 5 is a website dedicated to quick and dirty 5 minute lectures.

The beauty of the site is:

  1. Visually engaging.
  2. Concise. While brief and fairly basic, they are high yield and great for quick review.
  3. Categorized by system for easy navigation and ability to focus review.
  4. Again, only 5 minutes

Suggestion: For a quick example, check out this video on 5th metatarsal fractures, summarized below:

5th Metatarsal Fractures:

Why do we care? High incidence of non-union and healing

3 Types: 1) Stress 2) Jones 3) Avulsion

Bottom Line: Stress and Jones (1 & 2) have higher incidence of non-union, and therefore patients need to be non-weight bearing with close ortho follow up. Avulsions (3) heal better and therefore can be weight bearing as tolerated with less-urgent ortho follow up.


Screen Shot from EMin5


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