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Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

62M with severe chest wall abrasions,
Anterior Plane (SAP ... Serratus #Anterior #SAP
Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

Ribs 2-10 fractured -> POCUS guided
Anterior Plane (SAP ... Serratus #Anterior #SAP
Landmarks for Serratus Anterior Plane Block (SAPB) on POCUS
Pain related to rib fractures can be difficult
Anterior Plane Block (SAPB ... Ultrasound guided SAPB ... Plane #NerveBlock #SAPB
CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
CAP, HCAP, HAP and ... VAP - Diagnosis ... with pneumonia HAP ... & VAP – those that ... #HCAP #HAP #VAP
ID Ddx: Diarrhea in a transplant recipient
- Bacterial: C.diff, Campy, Salmonella, Aeromonas, E.coli
- Viral: CMV, noro,
Viral: CMV, noro, sapo
Pneumonia - Causative Organisms
 • CAP - Typical, Atypical, Endemic
 • Aspiration
 • Decreased Immunity
 •
Organisms • CAP ... • Hospital - HAP ... , VAP - CMC IM
Antibiotic Stewardship: Shorter is Better 
CAP 
HAP 
VAP 
Intra-abd 
Gram Neg Bacteremia 
AECB 
Cellulitis 
Osteo 
Septic
Shorter is Better CAP ... HAP VAP Intra-abd
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
Hemorrhage: SBP ... raised ICP: MAP ... raised ICP: MAP ... Before TPA: SBP ... raised ICP: MAP
What's in a Tap: CSF Analysis

Normal vs Bacterial vs Viral vs SAH
 - Opening Pressure
 -
What's in a Tap: ... Bacterial vs Viral vs SAH
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
• PH (mean PAP ... - dPAP) / RAP ... RAP/PCWP RATIO ... RESISTANCE = [(MAP ... - RAP) / CO] x