1972 results
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Sam Ghali @EM_RESUS ... Clinical #POCUS #MSK
This image shows glomerular tuft with overall intact architecture. Discrete masses of specular amyloid interrupt smooth
arkanalabs #CapillaryLoop ... ElectronMicroscopy #SEM
U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-
- Sam Ghali @EM_RESUS ... Clinical #POCUS #MSK
Lab patterns seen in Inborn Errors of Metabolism

A table of lab values compiled from UpToDate and
See IEM schema for ... NICU #Genetics #IEM
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Autoimmune - See ... pain Metabolic - See ... VitaminCD #Mnemonic #MSK
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
can ballot and see ... #PhysicalExam #msk
Reduction of Anterior Shoulder Dislocation

This young man presented to the ER with a Shoulder Dislocation. He
Sam Ghali, M.D. ... #physicalexam #msk
Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM
AEM April 2018 ... #Specificity #SGEM
Papillary Muscle Rupture on POCUS

See the "cracking whip"?  This is what papillary muscle rupture looks
Rupture on POCUS See ... Sam Ghali, M.D.
EZ-IO® Device Proximal
Humerus Identification
and Insertion Technique

Insertion:
 • Prepare the site by using antiseptic solution per institutional
Remove the needle set ... insert the needle set ... aim the needle set ... See Figure 14. ... Push the needle set