This concept was first conceived by the authors above in 2006 and discussed in national lectures in 2007 and on. It has been available on emcrit.org since March 2008 and was the first hit on a google search of ‘RUSH Exam’ from this date on. It was published on Emedhome in May 2009. Rapid […]
Search Results for: ultrasound
EMCrit 35 – Extubation in the ED
In this podcast, I discuss extubating patients in the ED. Specifically, I deal with patients who have only been intubated for a few hours in distinction to extubation of the patient who has been lingering in your ED for 2-3 days. The best patients for this short-term extubation are those intox folks with a low GCS and signs of trauma, overdoses, or endoscopy cases.
EMCrit 161 – The New Fluid Assessment in Sepsis with Jean-Francois Lanctot
Fluids, Sepsis, Ultrasound, French-Canadian: what more do you want?
PulmCrit- Shrug Technique for US-guided subclavian lines
The CDC guidelines recommend placing subclavian lines to reduce the risk of catheter-related bloodstream infections. Meanwhile, mounting evidence suggests that we should probably be placing lines with ultrasound guidance. Unfortunately, the ultrasound-guided subclavian can be tricky. This post describes a slight modification that could make the technique easier and safer.
EMCrit Wee – Is it Tamponade with Jacob Avila
Ultrasound signs of pericardial tamponade with my buddy, Jacob Avila
EMCrit 256 – RUSH Redux with Jacob Avila
Some dozen years ago, a couple of my buddies and I created the RUSH exam. Today, I give you an update:
EMCrit 210.1 – Arterial Lines (Part 1)
All things Arterial Lines-Part 1
SMACC Back 2 – IVC for Decisions on Fluid Status
A SMACC Back on Justin Bowra’s IVC Ultrasound bashing.
A Case of Shadows Part II
I think we all can agree that the subtleties of the thoracic cavity go far beyond the diagnostic capabilities of our standard two-view chest x-ray. We have robust data that demonstrates the superb diagnostic prowess of bedside ultrasound (US) when compared to the mediocrity of plain films (1, 2,3,4). And yet more information is not […]
Secondary Bacterial Peritonitis
0 Introduction with a case 0 A patient with advanced alcoholic cirrhosis presents to the hospital with fever and altered mental status. Examination is notable for abdominal distention with rebound tenderness. Bedside ultrasound reveals a large amount of ascites, which is carefully sampled revealing a cloudy fluid with 15,000 neutrophils/uL and a differential of 90% neutrophils (a […]
EMCrit Podcast – Hard Six – My Picks from 2011
My favorite discoveries in the medical blogosphere and podcast land
EMCrit Wee – Aggressiveness and the New Cutdown with Leon Boudourakis, MD
Need access–this may be a way
EM Nerd-A Case of Shadows Continues
The use of point of care ultrasound (POCUS) in the Emergency Department is a Bayesian playground for those willing to indulge. Take for example the performance of POCUS in the diagnosis of pulmonary embolism (PE). The poor sensitivity of bedside echocardiography to identify all-comers with pulmonary embolism is well documented. Most series cite a sensitivity […]
EMCrit 102 – Don’t Half-Ass your FAST!
I’ve wanted to discuss tips and pitfalls for the FAST exam for a while now, but I needed a master to talk with. Luckily at Castlefest, I met Laleh Gharahbaghian, MD.
Chest sonography
Set 1 Question 1: A 50-year-old patient presents with dyspnea. fever, and cough. He started feeling poorly yesterday and has deteriorated steadily since then. His blood pressure is stable and he is requiring two liters of oxygen to maintain his saturation. This is the thoracic ultrasonography, starting at the diaphragm and moving upwards. This […]
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