The down and dirty answers to life's most difficult endocrine questions
Wrists are the most commonly injured upper extremity joint, and 8.8% of injuries are missed, with 2% being clinically important. With 27 bones and 34 muscles, there is a significant possibility of missing a fracture. A high index of suspicion is required to prevent missing a significant injury.
In patients with bradycardias or cardiac arrest, have a high index of suspicion for hyperkalemia, especially in patients with renal failure or hemodialysis. Death from hyperkalemia is typically secondary to diastolic arrest or fibrillation, and common symptoms include weakness, paresthesias, and nausea/vomiting.