Is ultrasound the stethoscope of the future? Is it an extension of the physical examination? Will it replace the physical exam? No. Point-of-care ultrasound is a diagnostic test. It is a rapid, bedside, noninvasive, accurate, diagnostic tes…
Temporary cardiac pacing: electrical stimulation to heart to treat tachyarrhythmia or bradyarrhythmia Transcutaneous: pacing through the skin Complications: significant pain (requires sedation), decreased reliability Transvenous: Insert th…
Pericardial effusion – accomulation of fluid within the pericardium Causes of effusion infection: viral, bacterial, TB, fungal – viral, purulent, TB drugs and toxins autoimmune disease metabolic disorders – uremia, dialysi…
Dengue fever Epidemiology: ~ 50 million cases per year, mosquito vector disease Disease syndrome has clinical variability from asymptomatic infection to dengue hemorrhagic fever with shock syndrome Incubation period — ranges from 3 to 14…
Arthrocentesis is the removal of fluid from a joint. It is indicated for diagnostic and therapeutic reasons. It can help to differentiate infection, hemorrhagic, and rheumatologic etiologies of joint effusion. Fluid should be sent for ce…
What imaging should you use to diagnose PE? Based on PIOPED study, patients with high clinical probability of PE and a high-probability V/Q scan had a 95 percent likelihood of having PE. Patients with low clinical probability of PE and a lo…
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…
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…
