78 yo female presents with an ankle injury that was sustained after a fall from standing.
The patient has a history of severe pulmonary hypertension and CHF and is on 4L of nasal oxygen at all times. Orthopedics is requesting a sedation for reduction, but you are reluctant to perform this in the ED due to her significant comorbidities. What nerve block can be done to assist the reduction?
This patient is a 56 year old male smoker who presents with sudden onset of left sided chest pain and shortness of breath.
Your resident presents a case to you: this patient is a 24 year old female with a positive pregnancy test at home and right pelvic pain, mild vaginal bleeding. Your resident shows you the following image. What is the diagnosis?
37 yo female presents with complaints of increasing generalized malaise over the past 2 weeks as well as a fever and nausea. She endorses a history of intravenous drug use (IVDU). On physical exam, you appreciate a faint systolic murmur. Before any lab tests or other imaging have been done, you obtain the following echo:
This is a critically ill 59 year old diabetic male who presents with severe altered mental status and a fever of 103.4F. You intubate the patient upon arrival because he does not appear to be protecting his airway. Vitals show a systolic blood pressure of 60/40. You obtain the following ultrasound of the neck vessels. What does the patient need based on this scan?
