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US Probe: Serratus Anterior Block

When, how, and why should you perform the serratus anterior block?

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    Articles

    Wrist Injuries: Pearls and Pitfalls

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    Wrist pain is a frequent emergency department complaint. Most presentations are due to an acute traumatic injury. Furthermore, overuse or repetitive motion mechanisms cause ED visits for either an acute injury or an exacerbation of chronic pain conditions. For the purposes of this post, the wrist is going to be
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    • practice updates

    Naloxone in the News: Time to Address our Opioid Abuse Problem

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    Naloxone has been proven to reduce the incident of death in acute opioid overdoses. So why aren't we using it more often?
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    Thromboelastography (TEG®) for Trauma

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    Editor's note: This article was listed in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

    Using thromboelastography in goal-oriented algorithms, clinicians may be able to optimize targeted transfusion therapies with specific coagulation factor(s) instead of empirically administering multiple components with potentially hazardous effects.

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    Bounceback: An Unrelenting Headache

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    CC: Headache First visit HPI: 29 year old female with a prior history of headaches, presented with two days of gradual onset, atraumatic, right sided headache that is throbbing in nature. The patient reported heaviness about the eye but no visual changes or disturbances. No neck pain, fevers, chills. She
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    • practice updates

    Don't be RASH: Emergency Physician's Approach to the Undifferentiated Lesion

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    Editor's note: This post was listed in both the #FOAMED Review from EM Curious AND in the LITFL Review 154 "Best of #FOAMed" section.

    As an EM physician, it is difficult to have working knowledge of the hundreds of different types of rashes that exist. However,

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    Left Bundle Branch Block in Myocardial Infarction: An Update

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    Editor's note: This article was listed in the LITFL Review 154's "Best of #FOAMed" section.

    The left bundle branch arises from the Bundle of His, and subsequently is divided into the anterior and posterior fascicles. The anterior fascicle is usually supplied by septal perforators from the Left Anterior

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    Spinal Epidural Abscess

    Risk factors: recurrent vascular access, immunocompromise, spinal instrumentation; don’t forget diabetes and ESRD

    Triad (fever + back pain + neuro deficit) not reliable

     

    Evaluation: incorporate risk factors and exam (fever, neurologic deficit)

     

    Imaging: MRI whole spine with and without contrast; 15% have skip lesions

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