SAM clinical - GrepMed

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LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening

LVOTO due to SAM ... Dynamic LVOTO due to SAM ... Motion #LVOTO #SAM ... Cardiology #PLAX #clinical

Systolic Anterior Motion (SAM) of the Mitral Valve (MV)

Systolic anterior motion (SAM) describes the dynamic movement

Anterior Motion (SAM ... anterior motion (SAM ... Anterior #Motion #SAM ... MV #Cardiology #Clinical

S1Q3T3 on ECG - Pulmonary Embolism Until Proven Otherwise

- Sam Ghali, M.D.
@EM_RESUS

#S1Q3T3 #ECG #EKG #Electrocardiogram #Cardiology

Otherwise - Sam ... Electrocardiogram #Cardiology #Clinical

Intra-arrest Echo showing V-Fib at rhythm check!

Sam Ghali, M.D. @ https://twitter.com/EM_RESUS

#VFib #VentricularFibrillation #POCUS #Echocardiogram #Ultrasound #Clinical

Sam Ghali, M.D. ... Echocardiogram #Ultrasound #Clinical

Wall Motion Abnormalities!

1. Hypokinesis = ↓ Squeeze
2. Akinesis = No Squeeze
3. Dyskinesis = Outward Bulging

Sam Ghali,

Outward Bulging Sam ... Echocardiogram #Clinical

Papillary Muscle Rupture on POCUS

See the "cracking whip"? This is what papillary muscle rupture looks

Sam Ghali, M.D. ... Echocardiogram #POCUS #Clinical

U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-

- Sam Ghali @EM_RESUS ... #Clinical #POCUS

Intubation Confirmation on POCUS

See the round, shadowing structures?
1. ET Tube in Trachea
2. NG Tube in Esophagus

-

Esophagus - Sam ... Confirmation #POCUS #ETT #Clinical

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Sam Ghali @EM_RESUS ... #Clinical #POCUS

PLAX. Bit Las Vegas gains posteriorly 😉 lovely HOCM case with systolic anterior motion. Significant LVOT

Cardiomyopathy #SAM ... #Clinical #POCUS

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