Eric Deutsch
Author's posts
Mar 25
Image of the Week – Intussusception
The image of the week this week comes to us from Drs. Brandi Gunn and Jeff Siegelman who used bedside ultrasound to evaluate an adult with nausea and abdominal pain. They obtained and correctly interpreted the image below. Can you make the diagnosis? Thanks for all of your great images this week! Happy Scanning! =============================== …
Mar 22
Weekly Report – Foot Pain
This week’s Weekly Report comes to us from Dr. Davlantes. 30 F with a history of obesity and obstructive sleep apnea presents with bilateral foot pain after losing her balance. She was trying to step over her child who was crawling around on the ground, and twisted her feet when she “landed funny.” She is now unable to bear weight …
Mar 21
FOAM of the Week – Pneumothorax, Chest Trauma
Lot of great FOAM stuff on pneumothoraces and chest trauma from this past week’s lectures: Use US to find your next pneumothorax: http://rebelem.com/ultrasound-detection-pneumothorax/ Pigtail and discharge that pneumo? Maybe soon: http://www.aliem.com/2014/aliem-annals-em-journal-club-spontaneous-pneumothorax-pigtail-catheters-outpatient-management/ Trying to decide if that trauma patient needs a chest CT? Consider using the new NEXUS Chest CT rules: https://www.emrap.org/episode/feb2016emrap/linsessionnexus Thoracotomy Review from EMRAP: https://www.emrap.org/episode/crackingthe/traumasurgeons …
Mar 21
Image of the Week – Appendicitis
This week’s Image of the Week features images from two patients. The first seen by Dr’s Meloy and Sizemore, then second by Dr’s Shah and Middlebrooks. Both presented with right lower quadrant pain. Take a look at the images and see if you can identify the pathology. Both of these patients were diagnosed with appendicitis. …
Mar 14
Weekly Report – Seeking Closure
You are working a busy trauma shift when a 19 year old male comes in after a dirt bike accident. Fortunately for him he has no significant injuries, but he does have a number of lacerations that require closure including a scalp lac, full thickness lip lac, eyelid lac, and multiple extremity lacs. As you …
Mar 14
FOAM of the Week – Shock and Fluid Responsiveness, Asthma
Got some great posts and podcasts on shock and asthma from lecture this week: A series of podcasts on assessing fluid responsiveness in patients with shock from EmCrit: http://emcrit.org/podcasts/fluid-responsiveness-with-dr-paul-marik/ http://emcrit.org/podcasts/new-fluid-assessment-sepsis/ http://emcrit.org/podcasts/assessing-fluid-responsiveness/ Great overviews of asthma from REBEL EM, both mild/moderate exacerbation as well as the crashing patient: http://rebelem.com/management-of-mild-to-moderate-asthma-exacerbations/ http://rebelem.com/rebelcast-crashing-asthmatic/
Mar 12
Image of the Week – Small Bowel Obstruction
Courtesy of Dr Wetendorf: This week’s image is brought to us by medical students Robbins and Lee. The patient presented with hypotension and emesis. Bedside ultrasound quickly captured the image below. Video captures several signs of small bowel obstruction (SBO):the classic “keyboard” sign (visualization of the plicae circulares), abnormal (bidirectional)peristalsis, and dilated loops of bowel. To …
Mar 06
FOAM of the Week – Intubating the Acidotic, Electrical Storm
Some random stuff from recent shifts for class week. FOAM away. Can’t get your patient out of VTach/VFib? Consider the following blog posts on electrical storm: http://rebelem.com/beyond-acls-dual-simultaneous-external-defibrillation/ http://lifeinthefastlane.com/ccc/electrical-storm/ Thinking about intubating that severely acidotic DKA patient, or perhaps that salicylate overdose? First of all, don’t unless you absolutely have to. Second, listen to this EMRAP …
Feb 29
Image of the Week – Liver GSW
Image of the Week courtesy of Dr Sierra Beck: The image of the week comes to us from Drs Pearl Ann Arnovitz and Todd Taylor who used ultrasound to evaluate a patient with a GSW to the right thoracoabdomen. Can you identify the pathology present? Thanks for all of your great images this week! Happy …
Feb 28
FOAM of the Week – Nephrolithiasis, Peri/Myocarditis, GU Trauma
Some great FOAM stuff related to this past week’s lectures – enjoy! Nephrolithiasis Good overview from emdocs: http://www.emdocs.net/nephrolithiasis-diagnosis-management-ed/ Need a CT for that diagnosis? 10 reasons not to from ALIEM: http://www.aliem.com/2014/top-10-reasons-order-ct-scan-suspected-renal-colic/ Author analysis from recent US vs CT trial: http://www.aliem.com/2015/author-insight-ultrasonography-versus-ct-for-suspected-nephrolithiasis-nejm/ Does Flomax help? http://www.emdocs.net/medical-expulsion-therapy-with-tamsulosin-in-ureteral-colic/ Just tell them to have sex instead! https://www.emrap.org/episode/sexualhealing/sexualhealing Peri/myocarditis related topics: …