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Consider The Probe: Spine Sign - It's Got Your Back!

Cook County EM Blog

The Case: A 68-year-old male with a history of CHF, COPD, CAD s/p stenting, HTN, and DM presents to the emergency department with worsening dyspnea and bilateral lower extremity edema for one week with associated orthopnea, and increased home oxygen requirement. Point of Care Ultrasound is shown below: Clip 1.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 10,11 Vid 1. Epub 2022 Jun 30.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Ann Emerg Med. Can Respir J.

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Emerg Med J. 2023;40(10):700-707.

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Evaluating Chronic Obstructive Pulmonary Disease

ACEP Now

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 Click to enlarge.

COPD 52
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A woman in her 20s with syncope

Dr. Smith's ECG Blog

Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. Her pulse is 125.

EKG/ECG 52