Echo Extravaganza Part 3: The 5 E’s of Echocardiography

Echo Extravaganza Part 3: The 5 E’s of Echocardiography

Here’s comes another heaping helping of ultrasound highlights from our winter symposium’s echo extravaganza! In this serving, Dr. Heidi Kimberly teaches us how to identify and characterize the 5 E’s of echocardiography: effusion, ejection fraction, equality of the right and left ventricle, exit (aortic root) and entrance (IVC).

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The Subclavian Line: The Resuscitation Line of Champions

The Subclavian Line: The Resuscitation Line of Champions

Which central venous catheter (CVC) is best for our patients? Is it the internal jugular (IJ), subclavian, or femoral? We all have our go-to, which I would argue for most, is the ultrasound (US) guided IJ. But is that what is best? Is it recommended by our medical societies? To answer this question we dive into the literature . . . I think you’ll be surprised by what we find. (Hint: it’s the Subclavian!!)

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Echo Extravaganza Part 2: Unlocking the Apical Four Chamber view

Echo Extravaganza Part 2:  Unlocking the Apical Four Chamber view

The apical four chamber view is a key window in obtaining the bedside echo as it helps assess both the size and function of the atria, and ventricles. Window shopping for this view can be tricky, however, as there are specific requirements for probe orientation. In this blog post and video, Dr. Christina Wilson helps us understand the subtleties of this window and how to troubleshoot for the perfect four chamber view.

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Feature Film - Window to the Heart- Point of Care Echocardiography

Feature Film - Window to the Heart- Point of Care Echocardiography

We apologize that it has been so long since our last blog post . . . we were busy preparing for our annual Winter Symposium. What a fantastic year it was! It included an amazing point of care echocardiography extravaganza by the course’s ultrasound faculty. We covered core content, the 5 E’s of echocardiography, mastering the suprasternal notch, unlocking the apical four chamber view and tricuspid annular plane systolic excursion … phew! We are excited to roll out this content to you over the coming weeks, starting with Dr. Kring’s core content on point of care echocardiography.

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ARE YOU POSITIVE . . . OR FALSE POSITIVE? IMPROVING YOUR INTERPRETATION OF THE EFAST EXAM

ARE YOU POSITIVE . . .  OR FALSE POSITIVE? IMPROVING YOUR INTERPRETATION OF THE EFAST EXAM

The EFAST exam is an integral component of an emergency provider’s trauma evaluation. In the right hands, it has a specificity > 90% for intra-abdominal free fluid. There are some pitfalls, however, that can trick the provider into thinking a false positive represents free fluid. In this post, Dr. Gill and Dr. Kring help us improve our EFAST interpretation and recognize these “fake-outs.”

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Coding in the Community

Coding in the Community

Coding patients in the community setting is difficult given constraints of man power, specialists, equipment, and other resources. Knowing how to code a patient well in the community is a skill all EM practitioners should master. In this post we review the priorities and pitfalls of coding in the community, with our guest Salim Rezaie.

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Beyond Burnout: Physician Depression and Suicide

Beyond Burnout: Physician Depression and Suicide

The statistics on physician suicide are frightening. Each year approximately 400 physicians commit suicide. That is more than one per day and roughly the equivalent of two entire classes of graduating medical students. Suicide accounts for 26% of deaths among physicians aged 25-39 - more than twice (11%) that of same age group in the general public. When screened, approximately 10% of medical students and physicians report current suicidal thoughts. Why are these numbers so high in the medical profession? Dr. Casey MacVane helps shed some light on this neglected crisis and what we can do to help our suffering colleagues.

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