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SonoPro Tips and Tricks for Peripheral IV Access

Northwestern EM Blog

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. Difficult stick, dehydrated patient, collapsible veins, USPIV is calling your name! Practice holding the needle still when moving the ultrasound. Did You Know?

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EM@3AM: Suppurative Parotitis

EMDocs

Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Rev Infect Dis.

EMS 97
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A 60-something with Syncope, LVH, and convex ST Elevation

Dr. Smith's ECG Blog

My opinion was that it was not a cath lab case, but I did suggest they do a bedside ultrasound to look for an anterior wall motion abnormality. I had not seen the cardiac ultrasounds at this time. The patient was given aspirin and heparin and admitted to the hospital. I did not have more information at the time.

EKG/ECG 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 40
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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) times maintenance. Consider CT with IV contrast.