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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. 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).

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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

” Yes, I have seen clerking look like this and I can confirm, it does not go down well. Examples of examination findings you might find helpful to keep in mind (list not exhaustive): GCS 15/15- alert, orientated, looks comfortable, warm and well perfused, in obvious pain, looks pale and clammy etc.

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Grand Rounds Recap 10.30.24

Taming the SRU

jarrell, leenellett and lafollette Our workforce is changing and our interactions with our colleagues are changing as well. Beyde, artiga, and vaishnav Shoulder Dislocations Shoulder dislocations are easily diagnosed via ultrasound, with high sensitivity and specificity.

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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

” Yes, I have seen clerking look like this and I can confirm, it does not go down well. Examples of examination findings you might find helpful to keep in mind (list not exhaustive): GCS 15/15- alert, orientated, looks comfortable, warm and well perfused, in obvious pain, looks pale and clammy etc.

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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. There appears to be some ST elevation in leads II and aVF, as well as to a lesser extent in the lateral chest leads. She has already had syncope.

EKG/ECG 40
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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
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. If it’s possible to establish an IV and initiate fluids without delaying transport, EMS should do that as well.

Sepsis 40