Our ongoing intern report series is the product of first-year EM residents at UT Southwestern exploring clinical questions they have found to be particularly intriguing. For med students & junior residents – if you haven’t encountered these issues yet, you will!
Treat the patient, not the number. A blood pressure of 120/80 mmHg in a chronically hypertensive patient can be dangerously low. Whatever the HPI may suggest, unbiased implementation of the bedside physical examination and sonography are crucial in the workup of unexplained hypotension. This four step systematic approach of sequentially assessing heart rate, volume status, cardiac performance, and systemic vascular resistance can narrow the differential and guide management.
How ultrasound can help you win your fantasy football championship
Update: This AMA will be happening Friday, December 12th from Noon-1:30pm EST.
We're very pleased to announce that our next Ask Me Anything will be with Mike Stone, MD, RDMS. Dr. Stone is the Division Chief of Emergency Ultrasound and the Emergency Ultrasound Fellowship Director at Brigham and Women’s Hospital in Boston, MA, and can be found on Twitter as @bedsidesono.
Locate the best site for needle insertion, demonstrate the appropriate angle of insertion, and measure the distance to reach the subarachnoid space.
Our AMA with Dr. Mike Mallin & Dr. Matt Dawson from the Ultrasound Podcast, held on Friday, November 14th from 2-3:30pm EST.
Editor's note: This article was listed in EM Curious' #FOAMed Review 19th Ed.
Quicker diagnosis (vs waiting for CT), quicker treatment (IVF, NG tube, surgery), and earlier consult/admission to Surgical team. Everyone benefits: ED flow, overburdened nurses, other patients requiring attention in the ED, and most of all, the patient himself.
Diagnose important traumatic injuries quickly, avoid unnecessary ionizing radiation in kids, and do so with an extremely easy ultrasound application to learn. Moreover, skull fracture found to be more predictive than scalp swelling or vomiting for traumatic brain injury, increasing likelihood by 4-fold to 20-fold.
