A 32F who is 14 weeks pregnant presents with intermittent shortness of breath x 1 day. She has no h/o DVT/PE. Vitals 98.9 100 105/70 18 99% on RA. Clear lungs, no calf asymmetry on exam. You are concerned about PE. How should you procee…
Thank you to Dr. Chris “This Ain’t No Simulation” Strother. 3 kids, 3 head injuries. A) 2-month old boy, fell out of baby carriage onto top of head 30 minutes ago. No LOC, seizure, vomiting. Acting normally p…
3yo male h/o RAD presents with a nasal foreign body. After a few conservative efforts to remove the FB, it is apparent the child will not be able to cooperate with further attempts. A line is placed and 1mg/kg ketamine is given IV. While…
We are very pleased to welcome the newest member of the Mount Sinai Emergency Ultrasound Division, Dr. Jennifer Huang! Dr. Huang completed her residency training at Highland Hospital in Oakland, California and an emergency ultrasound fellow…
Shout out to Ben Slovis for providing this case. 22F s/p thyroidectomy here with 1 day back pain and generalized weakness. Patient’s thyroidectomy was complicated by inadvertent parathyroidectomy, and never followed-up to mana…
The inaugural SonoGames were held at the SAEM Scientific Assembly in Chicago this week. Thirty-eight residency programs were represented at the event, organized by Resa Lewiss and SAEM’s Academy of Emergency Ultrasound. Three rounds s…
Courtesy of Dr. Elikashvili. 20 month old female is BIBEMS after seizure at home just prior to presentation. Mother describes “10 minutes” of what sounds like generalized tonic-clonic movements. No h/o seizures. Child w…
23F h/o asthma is brought in from home s/p seizure. She is currently altered, but her grandparents (whom she lives with and witnessed the seizure) are at the bedside. They deny a history of seizures and report no preceding fever. An agile E…
Arcuate vessels are commonly seen on ultrasound evaluation of the uterus. Occasionally they can be confused with subchorionic hemorrhage, ovaries, and other structures so it’s worth looking at their characteristic appearance. Once aga…
Case courtesy of Joe Scofi. 65M history of CAD (on ASA/Plavix), HTN presents with 3 days of epigastric pain and “dark” stools. Denies history of GI bleed. He drinks and smokes. Says that he had a AAA repair in Russia thr…
Rounding out our recent trifecta of biosafety posts is a description of cavitation. Cavitation is the formation of microbubbles in liquid which has been subjected to rapid pressure changes. This can happen from a variety of causes from beat…
19M brought into pediatric resus looking toxic, diaphoretic with shallow breathing. Temp 38.7, HR 126, BP 146/51, RR 20, 95% on RA. Two weeks ago he had a sore throat which was strep and monospot negative. He’s had a persistent so…
Notes from Grand Rounds on Cardiac Arrest Ultrasound this morning. Screencast (in process) Handout RUSH in Arrest Algorithm  References: Atkinson, P R T, D J McAuley, R J Kendall, O Abeyakoon, C G Reid, J Connolly, and D Lewis. “Abd…
Thank you to Adam Vella for inspiring this clinical question. What’s the deal with NSAIDs in pregnancy? Ibuprofen and naproxen are category B drugs in the 1st and 2nd trimesters. Catergory D in the 3rd. (aspirin is category D t…
What does the MI on the sidebar of the ultrasound machine screen stand for? The Mechanical Index is a safety metric which lets the operator know how much energy is being transmitted into the patient during sonography. Remember that sound is…
