7 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... of the septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... Simple, DC with ortho ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Splint: Posterior long ... Type l, DC with ortho ... MH/CCF/CWRU EM ... #Humerus #Radiology ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... I or Ill) • Ortho ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #Proximal #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... PIP joint • Ortho ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #MSK
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Parasternal Long ... ventricle (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology ... unless prior heart/lung