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. Ultrasound Med Biol. Nov 2020; PMID: 33140173 Hanson J, et al. May 2014; PMID: 24495437.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
PulmCCM
NOVEMBER 17, 2023
For any given hemodynamic state, measure or estimate the P ra and CO [or stroke volume, SV] simultaneously and repeatedly after each intervention. ’ This could be done with the Venous Excess Ultrasound Score [VExUS] [5, 6]. The ultrasound journal 2020, 12(1):1-12. Ultrasound J 2022, 14(1):36.
EMDocs
MAY 15, 2024
Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% While chest radiograph is often the first-line imaging modality, lung ultrasound has higher sensitivity and can detect pulmonary abnormalities earlier; CT imaging should be considered if initial imaging is negative or if concern for PE is present.
Dr. Smith's ECG Blog
JULY 5, 2024
But the duration of symptoms was prolonged and so to avoid the risk of stroke, AV nodal blockade (rate control) was preferred. We want to avoid a stroke. A formal ultrasound later showed reasonably good LV function, and so he later received carvedilol and diltiazem, Unfortunately, those led to hypotension at 80/40 with a HR 40.
ALiEM
JANUARY 29, 2024
It requires immediate consultation with ophthalmology as well as neurology as it is considered a stroke equivalent. Stroke workup for CRAO is necessary, and don’t forget about secondary prevention/risk stratification which must be part of the management. 39,1 (2020): 197-202. 2015;46:2322–2324 [link] Smith, Austin T et al.
Taming the SRU
NOVEMBER 3, 2023
Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. Results 24 patients were eligible during the study period from January 2019 to June 2020 and 20 patients age 33-95 were ultimately enrolled by the 6 operators. 41, 2695–2701 (2022). SD 3.28) and 6.5,
Let's personalize your content