POCUS Peritonsillar Abscess: A literature Review

Title: Evidence-Based Medicine Improves the Emergent Management of Peritonsillar Abscesses Using Point-of-Care Ultrasound. J Emerg Med. 2020 Nov;59(5):693-698. doi: 10.1016/j.jemermed.2020.06.030. Epub 2020 Aug 19. What is already known about this topic?Ultrasound is an accepted modality for detecting peritonsillar abscess (PTA). There are two described approaches transcutaneous with linear transducer and intraoral with an endocavitary probe …

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Ultrasound Guided Lumbar Puncture; A literature review

On September 27, 2021 By Emergency Medicine ResidencyIn Latest Literature, Literature Review

Title: Recommendations on the Use of Ultrasound Guidance for Adult Lumbar Puncture: A Position Statement of the Society of Hospital Medicine. J Hosp Med. 2019 Oct 1;14(10):591-601. doi: 10.12788/jhm.3197. Epub 2019 Jun 10. What is already known about this topic?Previous meta-analysis with multiple RCTs have shown that ultrasound-guided LP is superior to landmark-guided LP for …

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Midlines in the Emergency Department; a literature review

On August 1, 2021 By Emergency Medicine ResidencyIn Critical Care Corner, Literature Review

Title: The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients. Ann Emerg Med. 2019 Dec 24. pii: S0196-0644(19)31236-3. doi: 10.1016/j.annemergmed.2019.09.018. What is already known about this topic?Previous studies have shown midline catheters inserted in upper arm veins have lower complication rates compared to central lines, and high rates of successful placement in …

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Ultrasound Case of the Month – August

On August 5, 2020November 20, 2023 By Emergency Medicine ResidencyIn ECG, Ultrasound Case of the Month

A 56 y.o m with a hx of HTN and tobacco use presents for chest pain. The patient states that today while mowing his lawn he started getting midsternal chest pain. He has never had this before. It is not pleuritic or positional, and it radiates to his jaw and L arm. EMS arrived and …

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Ultrasound Case of the Month – July

On July 14, 2020November 20, 2023 By Emergency Medicine ResidencyIn Cardiology, ECG, Ultrasound Case of the Month

A 54 y.o male with a history of CAD and stents in the past presents for CP. Per pt, for the last two days he has been having mid sternal exertional cp radiating down his left arm, relieved by rest. Tonight the cp came on without exertion and has been persistent since. It does not …

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Ultrasound Case of the Month – May

On May 31, 2020November 20, 2023 By Emergency Medicine ResidencyIn Heme / Onc, Ultrasound Case of the Month

A 24 y.o m presents with several months of swelling over the elbow area. The patient noticed non painful swelling over the inner aspect of his elbow several months ago, but he never saw a physician. The swelling has not increased, however over the last two days it has become painful. He has not noticed …

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Ultrasound Case of the Month – Feb

On February 25, 2020November 13, 2020 By Emergency Medicine ResidencyIn Ultrasound Case of the Month

A 75 y.o m with a PMH of long term smoking presents for abdominal pain. On arrival, the patient is hypertensive and has a pulsatile mass on abdominal exam. He has no known medical issues as he does not like to see doctors and has not seen one in over 10 years. Besides the pulsatile …

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Ultrasound Case of the Month – Jan

On January 21, 2020November 20, 2023 By Emergency Medicine ResidencyIn Gastroenterology, Ultrasound Case of the Month

A 62 year old female with a history of multiple abdominal surgeries presents for abdominal pain. She states she has had increasing abdominal pain and distension over the last 2 days. Over the last 24 hours, she has noticed she has stopped passing gas and has had many episodes of bilious emesis. On exam, her …

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Ultrasound Case of the Month – Dec

On December 18, 2019December 18, 2019 By Emergency Medicine ResidencyIn Ultrasound Case of the Month

A 35 year old male with no PMH presents for SOB. On arrival, the patient is in respiratory distress and is unable to provide any additional history to you. He is 80% on room air with a RR of 29. BP is 180/90, and HR is 125. Temp by axilla is 37.5. A portable CXR …

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Ultrasound Case of the Month – Nov

On November 9, 2019November 9, 2019 By Emergency Medicine ResidencyIn Ultrasound Case of the MonthLeave a comment

An 84 y.o f with no hx of heart or lung disease presents for altered mental status. Per care facility, the patient was in her normal state of health until the day of evaluation when they went to check on her and found her altered. EMS found her hypoxic to 70% and placed her on …

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