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Grand Rounds Recap 7.12.23

Taming the SRU

Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS (..)

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How Well Does Ultrasound Detect Volvulus in Infants?

ACEP Now

What Is the Sensitivity of Ultrasound for Detecting Volvulus in Infants When Compared to An Upper GI Study? But what about ultrasound? In cases where the clinical suspicion is lower for a midgut volvulus, but you feel it still needs to be explored, can ultrasound help? Not all studies included all of these ultrasound signs.

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#FOAMed Review 46th Edition

EM Curious

Onto the FOAMed USING ULTRASOUND TO IDENTIFY THE CRICOTHYROID MEMBRANE: [VIDEO]: Thank you PHARM for finding this excellent instructional video by AirwayOnDemand on ultrasound anatomy of the trachea for surgical airway planning. How do you manage carbon monoxide poisoning? Do you know the causes of methemoglobinemia?

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#FOAMed Review 45th Edition

EM Curious

DVT ULTRASOUND CONTROVERSY [PODCAST]: There has been an emerging collection of literature that two-point compression ultrasound may be inadequate to rule out DVT. Check out the podcast here @ Ultrasound Podcast. IS IT TIME TO START USING THE HEART PATHWAY IN THE EMERGENCY DEPARTMENT? Listen to the review here @ The SGEM.

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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

3] If performing a nerve block with ultrasound guidance, always know where the tip of your needle is. [5] Poisoning & Drug Overdose. Epidemiology Most common cause: inadvertent intravascular injection. 2,5,7] Rarer causes: continuous infusion, such as using lidocaine as an antiarrhythmic, and topical application. doi:10.1097/AAP.0000000000000320

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#FOAMed Review 52nd Edition

EM Curious

TOXICOLOGY TIPS APPROACH TO THE POISONED PATIENT [BLOG]: Some great tidbits on the basics of initial identification, management and stabilization of patients with suspected toxic exposures including several common toxidromes. Check it out here at Critical Care Horizons, a relatively new free online peer reviewed journal.

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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