Mount Sinai EM

AUGUST 7, 2024

Ultrasound during cardiac arrest has quickly become standard. Initially, data suggested that the use of ultrasound during arrest increased pauses between compressions which worsens outcomes. The ideal view depends on the patient’s comorbid conditions such as COPD, obesity, cachexia, etc.

Ultrasounds 235

Ultrasounds CPR Documentation/Coding COPD 235

RebelEM

JANUARY 25, 2024

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).

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

Taming the SRU

OCTOBER 1, 2023

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. The "lung point": an ultrasound sign specific to pneumothorax. Published 2020 Jul 23. doi:10.1002/14651858.CD013031.pub2

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Dr. Smith's ECG Blog

APRIL 12, 2023

A 49 year old woman with h/o COPD only presented with sudden dyspnea. On arrival, lung ultrasound confirmed pulmonary edema (B lines). Outcome : She was diagnosed with stress cardiomyopathy, though it is not entirely classic. She had acute pulmonary edema on exam. This is proximal LAD Occlusion until proven otherwise.

EKG/ECG 52

EKG/ECG COPD Ultrasounds Outcomes 52

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

Mind The Bleep

NOVEMBER 21, 2023

Ensure you management plan includes how you plan to rule out any immediate concerns and what the outcome is likely to be if normal. Your trust will have guidelines on the treatment regimen using chlordiazepoxide/lorazepam and pabrinex. You should also document what the likely action is if investigations/imaging come back negative.

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

EB Medicine

OCTOBER 1, 2018

Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. In addition, they also note that our good friend, the point of care ultrasound, likely plays a role, as in one study, POCUS demonstrated a 25% improvement in sensitivity from clinical impression alone. Nachi : Very important.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40