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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

19 These are all invaluable tools that providers can use at the bedside to assess the probability of a patient responding to IV fluids. Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. May 2014; PMID: 24495437.

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EM@3AM: Endometritis

EMDocs

2012 May;27(5):1368-74. Epub 2012 Mar 14. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David. “Endometritis” Encyclopedia Britannica, 6 Feb.

OB/GYN 91
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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. Ultrasound findings can show bulging of the interventricular septum into the LVOT , which can be interpreted as a sigmoid-shaped septum on bedside evaluation. The oral mucosa is moist.

EMS 102
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IV fluids in the ED: When do we really need them?

EMDocs

Over the last few years, however, ultrasound has been increasingly playing an important role in the conversation with multiple studies looking at using ultrasound to predict fluid responsiveness in septic patients – for example, using the velocity time integral with passive leg raise. Tullo et al. Tullo et al.

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Venous Congestion in Pediatric Critical Care

Don't Forget the Bubbles

He has had some additional episodes of hypotension post-intubation, which is treated with further volume resuscitation. Before considering a further fluid bolus, you do a point-of-care ultrasound (POCUS). J Ultrasound Med, 2023. Aiming for zero fluid accumulation: First, do no harm. References 1. Prager, R.,