No clear prophylactic benefit of tranexamic acid in preventing postpartum haemorrhage after vaginal birth

Elbow dislocations are frequently encountered in emergency departments, following trauma of varying degrees of kinetics. Knowledge of the essential anatomy of the elbow is crucial to understanding the mechanisms of injury, treatment options, and complications for the patient. An elbow dislocation can be defined as simple in the absence of bone lesions, or complex if fractures are associated with the dislocation. For optimal care management, it is essential to recognize a dislocation as soon as possible, to look for immediate complications, to carry out a radiographic assessment, and to reduce the dislocation as quickly as possible. An orthopedic opinion is essential but should not delay treatment. To achieve the least traumatic quality reduction within the emergency department, and to check for residual post-reduction instability, procedural sedation-analgesia should be used. The absence or presence of post-reduction instability, in supination only or also in pronation, must be documented in the patient’s medical file to deliver the most appropriate management for the patient and reduce the risk of recurrence. Specialized follow-up is essential, with a time frame that varies according to the severity of the injury. Reduction in the operating room, although preferable, is not essential if the emergency physician has mastered sedation and analgesia, reduction maneuvers, and post-reduction stability evaluation.