Back to First Bleep

Podcast Episode

The Foot Is Pointing the Wrong Way - Episode 02A

First Bleep··31 May 2026·10 min

About this episode

In this episode we discuss about trimalleolar ankle fracture-dislocation and the thing most junior doctors get wrong — the fracture is not the emergency. The dislocation is. We walk through the full ED assessment of a trimalleolar ankle fracture-dislocation. The neurovascular check you must do before and after reduction. Why the pale tented skin is a countdown clock. How closed reduction works and what your role in it is. And why a backslab — never a full cast — goes on after. Same patient next week from the orthopaedic SHO's perspective. Trauma meeting prep, Weber classification, surgical consent, and post-op management. Two episodes. Two completely different jobs. Disclaimer : First Bleep podcast is for educational purposes only, and does not constitute clinical guidance. Always follow your trust guidelines , your senior colleagues and your own clinical judgement.