Remove COPD Remove EMS Remove Ultrasounds
article thumbnail

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. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial. PoCUS evaluations included lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS).

article thumbnail

#FOAMed Review 49th Edition

EM Curious

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Watch this 10 minute video here.

COPD 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. 1-3 As many as 25% of acute PE cases present as sudden cardiac death. 10,11 Vid 1.

article thumbnail

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

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. In fact, bedside ultrasound might even find severe aortic stenosis. What should be done?

EKG/ECG 40
article thumbnail

Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. Another study, however, showed knowledge gaps by advanced EMS providers in diagnosis and management of sepsis.

Sepsis 40
article thumbnail

A woman in her 20s with syncope

Dr. Smith's ECG Blog

A bedside cardiac ultrasound was performed with a parasternal long axis view demonstrated below: There is a large pericardial effusion with collapse of the right ventricle during systole. The beat-to-beat variation in QRS amplitude and morphology is electrical alternans. 780 cc of bloody fluid was removed from the pericardial cavity.

EKG/ECG 40
article thumbnail

Diagnostics and Therapeutics: Pneumomediastinum

Taming the SRU

Most common triggers include respiratory conditions such as asthma, COPD, and pneumonia which can lead to forceful coughing -Other common triggers include forceful exertion, severe coughing or vomiting, asthma exacerbation, intense physical activity, or Valsalva maneuvers (e.g., She is a graduate from the UC EM residency, class of 2018.

COPD 79