Author: Allison Lee, MD Images obtained by: John Kilpatrick, MD CASE A 60-year-old woman is being evaluated in the Emergency Department for hypotension and hyperglycemia. She receives 3 liters of fluids without improvement followed by a left internal jugular central venous catheter and vasopressors. At change of shift, the new team Read more…
Authors: Allison Lee, MD and Nicole Anthony, MD Out of the several right upper quadrant (RUQ) FAST views obtained over the past month at KCHC, which RUQ view was positive for free fluid? #2. As the sonographer fans through the area, a small stripe of free fluid (FF) can be Read more…
FAST Views Authors: Allison Lee, MD, Nicole Anthony, MD Question: Below are several right upper quadrant (RUQ) views obtained from unique Focused Assessment with Sonography in Trauma (FAST) exams over the past month at KCHC. Which RUQ view is positive for free fluid? 1 ____________________________________________ 2 ____________________________________________ 3 ____________________________________________ 4 Read more…
Written by Dr. Chris Hanuscin Edited by Dr. Nicole Anthony Case Presentation A middle-aged female presents to the ED with 3 days of intermittent floaters and “curtain-like”, painless loss of vision. She denies any history of trauma. A bedside ultrasound shows the following finding: This is consistent with posterior vitreous detachment. Read more…
Case: A 40-year-old woman with a history of CAD and prior RCA stent presents to the emergency department with chest pain for one day. Her triage vitals are BP 100/60, HR 60, T 98.7, RR 20, O2 99%. You examine that patient, noticing her holding her chest in pain with Read more…
Written by: Taylor Douglas, M.D. You are the single provider in a rural Emergency Department, taking care of an unstable bradycardic patient. You are successfully pacing your patient transcutaneously, and now it’s time to get them a more definitive and comfortable method of pacing before they are transferred for cardiology Read more…
Written by Dr. Chris Hanuscin Edited by Dr. Wesley Chan Great teamwork by Drs. Jordan Dow, Chris Hanuscin, Paladino, Janairo, and Fan! Case: Notification: “This is FDNY calling in a 41-year-old female, 7 months pregnant with hypotension. BP 70/50, HR 89, ‘Satting’ 99% on RA. ETA 7 min.” We Read more…
Author: Taylor Douglas, Raymond Beyda Edited by: Robby Allen You’re on a tough CCT shift, and you’ve just walked your junior resident through a complicated intubation, and she was successful. You’re congratulating yourselves behind the desk while ordering the confirmatory chest x-ray when the nurse comes to you and Read more…
The Ultrasound Mini-Fellowship (Team Sono) met last month to discuss TransEsophageal Echocardiography (TEE) in cardiac arrest. We specifically discussed two major papers in the TEE literature discussing TEE during cardiac arrest. First, thank you to all of our amazing faculty (Drs. Maurelus, Ozaki, Aherne, Mahalingham, Balakrishnan, Kim, Cutright, Reisman, Beyda, Read more…
The notification phone rings: “Cardiac arrest, intubated, ETA 3 minutes.” Take a breath. You look around and notice you have a loaded team! EMS rolls in and moves that patient to the stretcher. Your awesome nurses get IV access on the first try while you promptly assemble the LUCAS device Read more…