65 year old man with acute shortness of breath. Attended rural ED at the middle of night. 2am to be precise.
Bedside echo apical 4 chamber view attached here.
ECG shows old LBBB
X-ray not available at present
Started treatment with sitting up, frusemide, GTN infusion
What else would you do differently to manage him in the ED?
The other day I saw a 40 year old female with abdominal pain. She is certain that she is not pregnant.
I did a bedside POCUS which showed free fluid in abdominal cavity
It turned out to be a ruptured ectopic pregnancy!!! I was shocked 😲
What is the most challenging case you diagnosed with POCUS?
88 yr female. Unwitnessed fall. Painful right hip. Unable to weight bear. CT pan scan performed due bruises over various parts of the body.
Isolated right neck of femur confirmed.
In your experience, which type of ultrasound guided nerve block is most effective in such cases?
- Femoral nerve block
- PENG block
- Fascia Iliaca Block
- Anything else