Peripheral IV placement is the most common ED procedure performed1,2 and the use of ultrasound guidance for vascular access is associated with higher success rates, shorter insertion times and less complications than traditional approaches3. The concept of placing ultrasound IVs (USIVs) is a simple one -- place US probe on patient, find vein, insert catheter. Often … Continue reading Ultrasound Tips and Tricks
Background It should be expected that the neonatal period is wrought with tears and crying – and not just from the proud parents. Interpreting a new infant’s cry is a challenge that many parents, new and experienced, face. From hunger to soiled diapers to simply wanting to be cuddled, these cries may be benign. According … Continue reading The Fussy Infant
Introduction One of the bread and butter procedures in emergency medicine is central venous catheterization. There are multiple different central venous access points in the human body, and many may suggest that ultrasound guidance provides the best shot at success given the direct visualization. The subclavian vein is difficult to visualize with ultrasound, making it … Continue reading The Subclavian Line
Amazing review of internal hernias by one of our rotators who matched into General Surgery! -Tom O'Hara MS4
As Emergency Physicians, one thing we particularly pride ourselves in is our “gestalt” or general sense about the patient. In a world where we have an extensive tool kit of diagnostic criteria and clinical decision making instruments we still occasionally throw those out the window when we get a sense of something else going on … Continue reading Spidey Sense and the Art of Low Risk Chest Pain
Awesome quick review of the basics of appendicitis by one of our med students, Lea Matthews!
Case Presentation A 53-year-old woman presents to the emergency department with three days of worsening dysphagia, odynophagia, and muffled voice. The patient is ten days status post adenotonsillectomy with inferior turbinate reduction for chronic tonsillitis and obstructive sleep apnea. The patient tells her history by writing on a piece of paper since speaking is too … Continue reading Retropharyngeal Abscess in an Adult