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Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium (LA). Note the vertical orientation of the septum #Clinical #EM #Cardiology #POCUS #Apical #A4 #ApicalFourChamber #FourChamber #ALiEM
Ever wanted to check pupillary light reflex in an eye that's swollen shut? Remember this trick:

1.
Ever wanted to check pupillary light reflex in an eye that's swollen shut? Remember this trick: 1. Ultrasound swollen eye 2. Shine light in opposite eye 3. Watch pupil for consensual response! Sam Ghali @EM_RESUS #Clinical #POCUS #Ocular #Pupillary #Light #Reflex #consensual
Echocardiography
Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
Echocardiography Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool (Figure 1). TAPSE is most frequently used and has an independent prognostic value in HFpEF.4, 8, 23-25 The currently recommended lower limit cut‐off for TAPSE is <17 mm,12 although prior studies frequently used <16 mm. Fractional area change (with a lower limit of normal <35%12) is also commonly used, and is predictive of all‐cause mortality and heart failure hospitalizations in HFpEF. #Diagnosis #Cardiology #POCUS #Echocardiogram #RightVentricle #RightVentricular #RVDysfunction #Measurements #Criteria
Opioid pain management alternatives from emupdates
#Pharmacology #Pain #Management #Opioid #Alternatives
Opioid pain management alternatives from emupdates #Pharmacology #Pain #Management #Opioid #Alternatives
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line on the anterior chest 2. Midclavicular line on the posterior chest 3. Mid-axillary line from the axilla to the diaphragm #Diagnosis #Peds #EM #PICU #POCUS #Lung #Pneumonia #Assessment #Technique #Zones #ALiEM
US demonstrating a dilated loop of bowel with retrograde peristalsis (to and from sign or "whirling")
US demonstrating a dilated loop of bowel with retrograde peristalsis (to and from sign or "whirling") (care of Dr. Marsia Vermeulen) #Clinical #POCUS #Abdomen #SBO #SmallBowel #Obstruction #Retrograde #Peristalsis
Equianalgesic Opioid Dosing 

#Pharmacology #Pain #Opioid #Opiate #Conversion #Equianalgesic #Table
Equianalgesic Opioid Dosing #Pharmacology #Pain #Opioid #Opiate #Conversion #Equianalgesic #Table
Ultrasound of the Week - Achilles tendon rupture, complete

#Clinical #POCUS #Longitudinal #Achilles #Tendon #Ruptured #Complete #Tear
Ultrasound of the Week - Achilles tendon rupture, complete #Clinical #POCUS #Longitudinal #Achilles #Tendon #Ruptured #Complete #Tear
Emergency physician interpretation of point-of-care ultrasound for identifying and grading of hydronephrosis in renal colic compared
Emergency physician interpretation of point-of-care ultrasound for identifying and grading of hydronephrosis in renal colic compared with consensus interpretation by emergency radiologists - Acad Emerg Med. 2018 Apr 16 https://www.ncbi.nlm.nih.gov/pubmed/29663580 #EBM #VisualAbstract #POCUS #Hydronephrosis #Comparison #Accuracy #Sensitivity #Specificity #Testing
Another Takotsubo.

68F actually presented after some very joyous news in contrast to the usual 'broken heart
Another Takotsubo. 68F actually presented after some very joyous news in contrast to the usual 'broken heart syndrome'. - Medlife Crisis (Rohin) @MedCrisis #Clinical #POCUS #Echocardiogram #A4c #Takotsubo #Cardiomyopathy #BrokenHeart #Syndrome