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D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this

Pulmonary Embolism on POCUS ... Notice not only ... bulging septum on PLAX ... @eabramsMD #DSign ... Pulmonary #Embolism #POCUS

RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this

Pulmonary Embolism on POCUS ... Notice not only ... bulging septum on PLAX ... D-sign appreciated ... #PLAX #Echocardiogram

McConnell's sign is not specific for acute pulmonary embolism, it can also be seen in right

McConnell's sign ... is not specific ... Ivan_Echocardio #Clinical #POCUS ... Echocardiogram #A4C ... #McConnells #Sign

An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a

An Algorithm for ... active seizures is algorithmic ... and bag-valve mask ... continuous vital sign ... The focus is on

Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window

Air gap sign: loss ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign

D-shaped interventricular septum in PSAX. Note how the septum bulges right-ward shortly after mitral valve closure

interventricular septum in PSAX ... Note how the septum ... @SAlerhand #DSign ... #PSAX #Echocardiogram ... #POCUS #Clinical

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

ASA, Kussmaul's sign ... with expiration not ... Echocardiogram #a4c ... #pocus #clinical

Examples of McConnell's sign: Regional wall motion abnormalities sparing the right ventricular apex - suggestive of

of McConnell's sign ... suggestive of PE Note ... fun to find but not ... #Clinical #POCUS ... Echocardiogram #A4C

Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

specific questions to ask ... algorithm to determine ... - Cataract Plan ... • HgbA1c - if not ... Chest X-ray: • Not

Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
• Apply direct pressure/compression bandage

extremity bleeding (note ... cleared; plan for ... Binder) • Use POCUS ... ↓ BP is a late sign ... Analgesia/sedation plan

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