Dx: Jones fracture Ankle and foot paint are common presenting complaints to the emergency department. It is important to be able to tell the difference between a Jones fracture displayed above and a Pseudo-jones fracture. Both of these fr…
Dx: Subarachnoid hemorrhage Risk factors include hypertension, smoking, polycystic kidney disease, family history, and connective tissue disorders. Subarachnoid hemorrhages are related to ruptured arteriovenous malformations, bleeding disor…
Safe wishes to everyone from TR A disaster is defined as an inability to meet current needs due to some event either internal or external (ie. Natural disaster, terrorist, man-made) Disaster Preparedness and Response – follow these steps (…
Treatment/Management of Acute Hemorrhagic Stroke (based on Sinai protocol) Labs: FS, electrolytes, CBC, coags, cardiac enzymes Radiology: CT head Maintain SBP between 160-180 and MAP <130 using labetalol, nicardipine, or clevidipine If H…
Ischemic stroke management (based on Sinai protocol) Labs: FS, electrolytes, CBC, coags, cardiac enzymes Radiology: CT head Indications for tPA: ischemic stroke, definite time of onset, NIHSS>1, no hemorrhage on head CT, onset of symptom…
70 yo F presents with RUQ pain, fever, and AMS. What is the diagnosis?
We previously reported on AIUM’s Ultrasound First initiative back in March. Since then a number of helpful articles have been published in the Journal of Ultrasound in Medicine, each highlighting the utility of ultrasound as the prima…
Many new developments in ultrasound were demonstrated at the ACEP conference in Denver this week. Since airway management rivals ultrasound as my academic interest, I’d like to focus for a moment on an intubating device I saw demo…
As a part of Ultrasound Awareness Month we’d like to let providers of all levels know about membership opportunities with national and international organizations. They offer an enormous amount of information for providers at all leve…
Propofol is widely used in critically ill ED patients. Although rare, propofol infusion syndrome (PRIS) has been reported/described, and is something to keep in mind when administering this drug. What are the clinical features and risk fa…
Who “invented” CPR?
Nontraumatic intracerebral hemorrhage (ICH) is bleeding into the parenchyma of the brain that may extend into the ventricles and subarachnoid space. The consequences of ICH can be devastating. Although current practices vary, there are se…
The 9th Edition of Advanced Trauma Life Support(ATLS) has incorporated some important changes, one of which directly impacts the world of point-of-care ultrasound. There is increased emphasis on the FAST examination, and Diagnostic Peritone…
We mostly focus on ultrasound here, but a large part of what we do is information exchange, adult education, and the like. We give a lot of presentations, and many of our faculty are interested in the art of speaking, the aesthetics of pres…
October is Medical Ultrasound Awareness Month! Medical Ultrasound Awareness Month is a joint effort of the American Institute of Ultrasound in Medicine (AIUM), American Registry for Diagnostic Medical Sonography (ARDMS), the American Societ…
