5 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... (LV) and left atrium ... #EM #Cardiology ... POCUS #Apical #A4 ... #FourChamber #ALiEM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... forearm, limited ... MH/CCF/CWRU EM ... #Ulnar #Radiology ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... fracture • ED Management ... MH/CCF/CWRU EM ... #Posterior #Radiology ... #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
as a result of arterial ... • ED Management ... follow-up with PCP ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... risk Chest X-ray ... CARP, DECREASE V trials ... surgical management