Ultrasound Guided Subclavian Central Lines

Of the three primary locations for central line placements, most EM residents seem to be least well-versed in the now rarely placed subclavian central line. The feared complication of pneumothorax steers many doctors to other locales. But t…

Tanking up the volume-depleted hypotensive patient requires a fine balance between under-resuscitation and the pulmonary edema of overdoing it. “Dynamic” measures of fluid responsiveness are technically complex and likely inaccessible to mo…

Can’t get that posterior hip location back into place? Don’t have enough collective muscle in the ED to just brute force the thing to where it belongs? Then leverage the power of simple mechanical advantage and utilize the Captain Morgan te…

  Many ER residents have found themselves justifying an admission of an acute or decompensated heart failure patient to a skeptical admitting resident. For better or worse, the skepticism is not without reason; an initial ED admission…

So how do you use that big fancy LUCAS machine? Pretty easy actually, but worth knowing before your arresting patient arrives. 1) Position the machine on the patient: Put the yellow back plate under the patient; this should be neatly center…

  Want to read an EKG like a 3rd year med student? Recognize ST elevations. Want to blow your attending away with your savant-like EKG mastery? Start learning all the myriad STEMI equivalents. For today: the de Winter’s T-wave. What is…