EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. EMS appears with a patient who just wiped out big time on the ice. Sorry we've been out of the loop lately.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 7, 2024

history of VTE, increased calf circumference, pain and swelling), then the next step is to attain a compressible ultrasound of the affected leg. However, if clinical suspicion is high enough, doppler ultrasound, MR venography, or serial compressive ultrasound imaging can all be considered. original drawing by dr zinter.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

Dr. Smith's ECG Blog

JULY 7, 2013

He had walked into the ED (did not use EMS). If detected early by ultrasound, the patient can be saved. Our own Dave Plummer of HCMC reported on survival of 2 of 6 patients with free wall myocardial rupture diagnosed by bedside ultrasound in the ED.(3) Apr 28, 2009. Exact pain history was difficult to ascertain.

Ultrasounds 52

Ultrasounds EKG/ECG Emergency Department Shock 52

Dr. Smith's ECG Blog

JULY 18, 2014

He had walked into the ED (did not use EMS). If detected early by ultrasound, the patient can be saved. Our own Dave Plummer of HCMC reported on survival of 2 of 6 patients with STEMI who had free wall myocardial rupture diagnosed by presence of hemopericardium on bedside ultrasound in the ED.(3) Apr 28, 2009. Brunette D.

EKG/ECG 52

EKG/ECG Shock Ultrasounds Wellness 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. Organized EM supporting Rapid Sequence Intubation and other airway advances. EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Smith comment: This patient did not have a bedside ultrasound. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

JUNE 2, 2023

My bedside ultrasound was of insufficient quality, but showed somewhat reduced overall EF, distended IVC without respiratory variation, no pericardial effusion, and diffuse bilateral B lines. == What do you think of her ECG? J Electrocardiol, 42 (2009), pp.

EKG/ECG 96

EKG/ECG Wellness Ultrasounds EMS 96

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. The oral mucosa is moist. Electrocardiogram shows sinus tachycardia with ST elevation in leads V1, V2, and V3.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

EMDocs

OCTOBER 7, 2023

We’ll keep it short, while you keep that EM brain sharp. A 17-year-old girl, in moderate distress, is brought in by EMS after a motor vehicle collision. EMS reports that she was “pinned” underneath the dashboard, and it took several hours to extricate her. Published June 2009. Veenstra J, Smit WM, Krediet RT, Arisz L.

EMS 97

EMS Fluid Resuscitation Fractures Resuscitation 97

EMDocs

DECEMBER 18, 2023

Today, she would not get out of bed, prompting the facility to call EMS. Furthermore, since the 2021 guidelines, multiple RCTs have shown that utilizing IVC respiratory variation, assessed by bedside ultrasound, as a guide to fluid resuscitation can result in less fluid administered. She had a fever of 38.7 °C F) in the ambulance.

Sepsis 91

Sepsis Fluid Resuscitation Resuscitation Shock 91

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2009 Apr;49(2):198-201. Half of all embolisms occur within the first 24 hours and 75% will present by postoperative day 3. Up to Date.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

ACEP Now

APRIL 5, 2024

In 2009, the Excited Delirium Task Force convened by an ACEP Council resolution authored a white paper that endorsed the existence of excited delirium syndrome and made recommendations for identifying and managing it clinically. 8,9 According to Dr. In a comprehensive review of the history of this term, Bhatia, et al.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Semin Ultrasound CT MR 2017, 38 (4), 345-356. Emerg Radiol 2009, 16 (3), 195-201. DOI: 10.1161/strokeaha.118.023173 118.023173 From NLM. (4) Tenenbaum, M.

Stroke 105

Stroke Radiology Radiology Emergency Department 105