12 results
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
CXR with consolidation ... and likely effusion ... But this ultrasound ... bilateral pattern ... Clinical #Lung #Ultrasound
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Airway: lateral ... mg/kg IV, then infusion ... mg/kg IV, then infusion ... Treatment #Algorithm #Management ... #Neurology #Pharmacology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fat infiltrates maternal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Intubated: Initiate enteral ... pain-dose ketamine infusion
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Aspiration precautions (lateral ... 0.5-3.0-mg/kg/hr infusion ... StatusEpilepticus #Management ... Algorithm #Neurology #pharmacology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... • Call for ultrasound ... Plan definitive management ... Checklist #Diagnosis #Management
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
be repeated 12h later ... ALT) > 22% - Infusion ... Siltuximab #COVID19 #Pharmacology ... #Management #Medications
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... importantly, bedside ultrasound ... Adequate perfusion ... differential #algorithm #management ... icu #clinical #pharmacology
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... seen during CPR ... best choice for management ... #Pericardial #Effusion ... #clinical #ultrasound