11 results
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound ... for Diagnosing Pneumonia ... through 6 zones (3 per ... #Peds #EM #PICU ... Technique #Zones #ALiEM
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest X-ray ... - Lung ultrasound ... Nasopharyngeal PCR ... echocardiogram, EKG
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
AV block 1º - long ... PR intervals >120 ... 3, etc.) 2º - Mobitz ... II / Mobitz - , ... #EKG #diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Splint: Posterior long ... MH/CCF/CWRU EM ... Distal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
follow-up with PCP ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Splint: Posterior long ... MH/CCF/CWRU EM ... Humerus #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Splint: Posterior long ... MH/CCF/CWRU EM ... Ulnar #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Proximal #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... MH/CCF/CWRU EM ... Posterior #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Intervals - PR ... Short QT <300-360 ms ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... at the time of diagnosis ... (e.g. incidental ... anterior/posterior MSK