The Day Last Friday I had the amazing [...]
"This reflective writing piece was completed by Dr. Aashish Kalani [...]
Rob Arntfield, MD, FRCPC and Atul Jaidka, MD, PGY2 [...]
This is a 35 yo M PWID who presented with a right septic AC joint, MRSA bacteremia and hypoxic respiratory failure. He was taken to the OR for washout of his AC joint and subsequently transferred to the ICU for post-op management. A post-operative CXR showed some patchy consolidations but no obvious pleural effusions. The POCUS team was subsequently deployed. Interrogation at the costophrenic angle and PLAPS (posteroalveolar and/or pleural syndrome) point on both sides yielded the following images. What do you see and what should the next steps in management be?
A 47 year-old female is admitted to ICU for respiratory failure and sepsis. She has a history of immune suppression and has had a prolonged stay in ICU. She is requiring pressors and the POCUS team was asked to assess cardiac function. Here are some of her echo images:
A 30-year-old female, presents to the emergency department with acute lower abdominal pain. She is 9 weeks pregnant by dates and has had no formal ultrasound prior to presentation. Her initial vitals are; HR 102, BP 116/70, RR 24, T 36.2 and SpO2 98% on RA. A bedside ultrasound is completed and demonstrates:
A 75 year old male presents to the emergency department with delirium and fever. You use your POCUS skills to look for a possible source of infection in his lungs.
Hi POCUS enthusiasts, We set a new record with >65 participants [...]