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Upper limb trauma walks into the Emergency Department every single shift. Falls. Fights. RTCs. Sports injuries. And yet — it’s one of the most commonly mismanaged areas in Emergency Medicine. This podcast episode is entirely grounded in the approach from the Oxford Handbook of Emergency Medicine — practical, structured, exam-relevant, and safe. 🎙️ In this episode, we break down upper limb trauma exactly the way EM doctors are taught to think, not memorise. You’ll learn: ✔️ A systematic approach to shoulder, arm, elbow, forearm, wrist, and hand injuries ✔️ Red flags you must never miss (neurovascular compromise, compartment syndrome, open fractures) ✔️ Mechanism-based thinking — why the history matters more than the X-ray ✔️ Examination pearls that score marks in MRCEM / FRCEM OSCEs. ✔️ When to image, when to immobilise, when to refer — and when not to ✔️ Common traps that lead to missed injuries and complaints This is not an orthopaedics lecture. This is Emergency Medicine thinking. Perfect for: 🩺 Emergency Medicine trainees 📚 MRCEM / FRCEM candidates 🌍 IMGs working or planning to work in UK-style EDs 🚑 Anyone covering minors or trauma calls 🎧 Listen during your commute, post-shift wind-down, or revision time. This episode is designed to sound like a senior talking you through cases on the shop floor. 💬 Engage with us: 👉 Comment: Which upper limb injury do you find hardest to assess? 👉 Like if this helped structure your trauma approach 👉 Subscribe for more Oxford Handbook–based EM podcasts 👉 Share with a colleague covering minors tonight Because in Emergency Medicine, a missed upper limb injury isn’t “minor” — it’s a system failure.