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REGIONAL ANESTHESIA REMIX: Sciatic Nerve Block (Courtesy: Dr. Mikell)

            REGIONAL ANESTHESIA REMIX:  Sciatic Nerve Block (Courtesy Dr. Carlos Mikell) Green Team is just more fun when you are blocking out the pain!  Dr. Mikell introduces and summarizes the Sciatic Nerve Block, which he utilized to assist in the reduction of a complicated ankle fracture.   Consider this block for your next LE complex laceration, dislocation or fracture; and remember when on shift to always CONSIDER THE PROBE!
Recent posts

CONSIDERE THE PROBE: Should I give a fluid bolus? (Credit Dr. Aceves)

 Dr. Aceves tickled my heartstrings with one of my favorite POCUS topics--US-guided resuscitation.  Dr. Aceves introduces some (sonographic!) tools to add to your repertoir (sp?)  to individualize your resuscitation to the patient in front of you.  A nice introduction to utilizing IVC, Carotid flow parameters, and ECHO to help identify which patients may be fluid tolerant (and perhaps even fluid responsive!).  This is one of critical care's most difficult questions to answer.  While there is no perfect solution or easy answer, these tools may prove helpful in making the decision: will you order another bolus or is it time to start pressors...

CONSIDER THE PROBE: POCUS4LP

  CONSIDER THE PROBE: POCUS4LP Not all spines were created equal.  When you are starting out, Lumbar Puncture can be an intimidating procedure to perform.  While some patient's have incredible surface anatomy to guide your procedure, for many others, it is extremely challenging.   Dr. Bradley Dickson reviews the techniques of ultrasound-guided lumbar puncture.  There is good evidence that utilization of ultrasound improves our overall performance of this procedure (especially in patients with a higher BMI...).   Enjoy and always remember on shift to CONSIDER THE PROBE!

REGIONAL ANESTHESIA REMIX: FOREARM BLOCKS

   CONSIDER THE PROBE/REGIONAL ANESTHESIA REMIX:  FOREARM BLOCKS (Courtesy Dr. Joseph Koes) Another great review from our very own Dr. Koes on utilizing regional anesthesia in the forearm.  Whether it is a complicated hand laceration, a boxer's fracture needing reduction, or a large abscess, consider utilizing a nerve block to alleviate your patient's discomfort.   Enjoy and remember next shift to CONSIDER THE PROBE!

CONSIDER THE PROBE: POCUS4PE

Utilizing POCUS can be an invaluable tool in reaching the diagnosis of acute pulmonary embolism in a timely manner.  The esteemed PGY-4, Dr. Caleb Scarth presents the following lecture on echo findings suggestive of pulmonary embolism.  Enjoy!

CONSIDER THE PROBE: CXR? WHY BOTHER? POCUS THAT PNA!

CONSIDER THE PROBE: CXR? WHY BOTHER...POCUS THAT PNA! (Courtesy Dr. Larissa Unruh) Now the following topic is extremely close to my heart.  Lung US is well studied in both adult and pediatric patients and has excellent test characteristics for the diagnosis of Pneumonia (AND Bronchiolitis!!!). Dr. Unruh takes us through the following case of a man who clinically had PNA and was actually HYPOXIC, requiring O2.  He had a single CXR that was read by the attending radiologist as negative...leaving us with a patient with a new oxygen requirement with a normal CXR. Thank goodness Dr. Unruh CONSIDERED THE PROBE!  She takes us through the following (REAL LIFE) case and some of the basic sonographic findings for PNA.  Make sure that you never catch yourself signing a patient out "we ruled out pneumonia with a CXR" (!ESPECIALLY A SINGLE VIEW!).  US is more much more sensitive than any single view CXR for detecting a consolidation.  Though like all things US, the more places you look, t

CONSIDER THE PROBE: CHOROIDAL WT%? (Courtesy Dr. Johnston)

CONSIDER THE PROBE: CHOROIDAL WT%? (Courtesy Dr. Katia Johnston) Just when you think you finally are getting a solid grip on opthalmalogic (spellcheck?) point-of-care ultrasound findings you have a case like Dr. Katia Johnston recently had, and you begin to question everything.  While Retinal Detachments (RD), Posterior Vitreous Detachments (PVD), and Vitreous Hemorrhage (VH) are all quite common findings (in our ED at least), Dr. Johnston picked up on a less common diagnosis based off her abnormal POCUS.  Even if you don't know what you are looking at (which may or may not have been the case for Katia and myself...), it is important to recognize the presence of a clear abnormality.  In this case, the POCUS findings led to a same-day diagnosis of a quite rare but vision-threatening diagnosis.  Most importantly, the patient ended up with a huge improvement in their outcome based on the early initiation of treatment.  Tune in to the following lecture, courtesy of Dr. Johnston and rem