No More RICE: Improving Management of MSK Complaints in the ED

Tuesday, April 8, 2025

11:10am – 11:30am ET

Location: Trade - Lobby Level

CE: 0.25 CME Credit

Speaker(s)

Miguel F. Agrait Gonzalez, MD FAAEM, FACEP, CAQ-SM (he/him/his)

Program Director
San Lucas Episcopal Hospital, Ponce PR
San Juan, Puerto Rico

Disclosure(s): No financial relationships to disclose

Session Moderator(s)

David J. Carlberg, MD, FAAEM

Associate Program Director
Georgetown EM
Washington, District of Columbia

Disclosure(s): No financial relationships to disclose

Disclosure(s):

Miguel F. Agrait Gonzalez, MD FAAEM, FACEP, CAQ-SM: No financial relationships to disclose

RICE is an outdated paradigm which was based on either non-existent or poor science. Not only has there never been evidence of benefit, it may in fact lead to harm by worsening healing and prolonging time to recovery. We will discuss the potential harms of icing and round the clock NSAIDs as well as discuss better and more effective instructions to give our patients with MSK injuries.

Learning Objectives:

Describe the potential harms associated to standard RICE therapy
Describe more appropriate treatment and discharge instructions for patients with MSK injuries
Use PEACE & LOVE as an improved treatment and management guide for MSK injuries