Cook County EM Blog

APRIL 22, 2022

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. VS: T 36.6, VS: T 36.6,

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. Introduction to Bedside Ultrasound, iBook Ch 2, Basic Cardiac, Pg 27.

Ultrasounds 82

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 82

Taming the SRU

NOVEMBER 6, 2024

Beyde, artiga, and vaishnav Shoulder Dislocations Shoulder dislocations are easily diagnosed via ultrasound, with high sensitivity and specificity. Both landmark-guided and ultrasound-guided shoulder injections are straightforward and quick to perform.

Leadership 52

Leadership Dislocations Fractures COPD 52

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). She had acute pulmonary edema on exam. There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD.

EKG/ECG 52

EKG/ECG COPD Ultrasounds Outcomes 52

Taming the SRU

OCTOBER 1, 2024

Mortality from asthma and COPD is predicted to increase due to increasing humidity and concentration of particulate matter. The endemic regions of vector-borne diseases will change significantly, with large increases.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

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%

Seizures 40

Seizures Fractures Burns Pediatrics 40

Mind The Bleep

NOVEMBER 21, 2023

For example: “If ultrasound negative then reassure and discharge”, “If CRP normal then safety net and advise to see GP if symptoms recur” Treatment Escalation Plan/ DNACPR Clearly document if the patient has an existing DNACPR in place- they may come to hospital with a copy.

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

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

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

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. This patient is only pseudo-stable. She has already had syncope.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

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

ACEP Now

JUNE 14, 2024

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

COPD Hospitals Emergency Department Outcomes 52