Congenital Adrenal Hyperplasia

A 1-week-old infant is brought in by his mother for decreased responsiveness and vomiting. Prenatal and birth history were unremarkable. He is cool, clammy, and lethargic. Nurses are unable to obtain a blood pressure, and he is hypoglycemic…

Paracentesis Checklist

One of the most frequent requests we receive as teaching residents (and probably as senior residents) is assistance with performing paracenteses. By now, all of the EM residents are probably comfortable with this procedure. But, July is com…

Red Man Syndrome

Today in resus, the nurse told me that one of the patients, a woman being treated with vancomycin, began to appear flushed and kept itching her face. The patient denied respiratory or GI complaints. She denied previous drug allergies, and h…

ACEP Clinical Policy: TIA

In 2016, ACEP published “Clinical Policy: Critical Issues in the Evaluation of Adult Patients with Suspected Transient Ischemic Attack (TIA) in the Emergency Department” in the Annals of EM. Here is a brief refresher. Transient ischemic att…

Brachial veins

When assessing patients with difficult peripheral venous access it is often helpful to look in the medial upper arm. Here, the brachial artery (A) and veins (V) are predictably located between the biceps and brachialis muscles. The median n…

SonoSweden 2015

Bret Nelson and Felipe Teran took part in an incredible conference just outside of Stockholm, Sweden. Over one hundred participants and twenty faculty attended this sold-out conference at the Hasseludden Yasuragi Japanese spa . Among the lu…

Back to the Source

With the proliferation of online educational modalities (blogs, educational websites, podcasts, twitter feeds) designed for rapid dissemination and translation of our basic Ultrasound knowledge to the bedsides around the globe, we must occa…

June 2022
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