Archive for category: Ultrasound

Beyond ACLS: Cognitively Offloading During a Cardiac Arrest

22 Sep
September 22, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketToday I am giving a talk at the 25th National Emergency Medicine Symposium by Kaiser Permanente in Maui, HI.  The focus of this talk was on how to cognitively offload our minds as we are running a resuscitation. ACLS provides us with a framework in treating adult victims of Cardiac Arrest […]

Changing Arm Position for Ultrasound Guided Subclavian Central Lines?

23 May
May 23, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThe subclavian route is known to be the site for central line placement with the lowest risk of infection, but can also lead to many mechanical complications [2]. The biggest risk of subclavian line placement is an iatrogenic pneumothorax. The use of ultrasound for subclavian line placement can greatly […]

November 2015 REBELCast: All Vascular Access Episode

12 Nov
November 12, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the November 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Vascular Access. Peripheral intravenous (PIV) access is one of the most common procedures we perform in the emergency department (ED) and central venous catheter (CVC), although decreasing […]

October 2015 REBELCast: The All Thoracotomy Episode

08 Oct
October 8, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the October 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Trauma, specifically ED Thoracotomy. Now we all know that ED thoracotomy is a last ditch salvage effort, performed under specific clinical circumstances, during a traumatic arrest. The purpose […]

September 2015 REBELCast

07 Sep
September 7, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the September 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Venous Thromboembolism (VTE). Seems like we are hearing more and more about VTE in terms of workup, management, etc. Lets face it, diagnosing someone with a pulmonary embolism […]

Ultrasound for Detection of Pneumothorax

16 Jun
June 16, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketTypically, the initial evaluation of blunt trauma patients involves a supine anteroposterior (AP) chest x-ray (CXR) which has a poor sensitivity for the detection of pneumothorax (PTX), and has been reported as low as 20% – 48%. Following the CXR computed tomography (CT) has been the standard for the diagnosis of […]

Diagnosis of Right Ventricular Strain with Transthoracic Echocardiography

07 Apr
April 7, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketAbnormal vital signs are poor predictors of mortality associated with pulmonary embolism (PE).  Diagnosis of PE and right ventricular (RV) strain with transthoracic echocardiography (TTE) however, has been well documented as a predictor for pending shock and significant in-hospital mortality.  One study done by Grifoni S et al, showed […]

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