EM@3AM: Brainstem Strokes
EMDocs
MAY 11, 2024
Answer : Brainstem stroke specifically in the pons resulting in locked in syndrome. CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis?
EMDocs
MAY 11, 2024
Answer : Brainstem stroke specifically in the pons resulting in locked in syndrome. CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis?
RebelEM
FEBRUARY 24, 2025
Of course, there are other methods of assessing fluid tolerance : Capillary refill evaluation, passive leg raise, central venous pressure measurement, pulmonary artery wedge pressures, stroke volume variation, pulse pressure variation, etc. Jan 2015; PMID: 25559473 Airapetian N, et al. Nov 2015; PMID: 26563768 Yartsev, Alex.
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RebelEM
JANUARY 29, 2024
Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. A prospective, Single-Arm Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. CHEST 2010.
Taming the SRU
FEBRUARY 5, 2024
It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. This resource offers additional information on ultrasound assisted LP’s. WHY - Why Not? REFERENCES 1. Zambito Marsala, S., Gioulis, M., & Pistacchi, M.
RebelEM
MARCH 8, 2023
CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. Bagheri 2015 ). Signs Shafer’s sign (tobacco dust) May see a Weiss ring when the posterior vitreous (PV) detaches from the optic disc margin Visualization with ultrasound. Transient vision loss defined as vision loss <24 hours.
Taming the SRU
AUGUST 30, 2023
A 2015 prospective, cross-sectional study of 78 Thai patients published in the International Journal of Rheumatic Disease demonstrated a sensitivity of 59% and specificity of 84% for PCT with a cut-off of 0.5 Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45].
Pediatric Emergency Playbook
OCTOBER 1, 2017
Also used for severe MS, stroke, TBI, chronic pain. 2015; 4, Art. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. Are VNS safe in everyday life? Intrathecal Pumps Used to infuse basal rate of drug, usually baclofen for spasticity, but pump may contain morphine, bupivicaine, clonidine. 2013; 49:138–144.
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