UOTW #54

This patient is a 28 year old male who was brought to you by EMS after he was found lying unconscious in his apartment by his family. The only medical history known by EMS is the patient was recently admitted for severe pancreatitis and has an indwelling PICC line in his LUE. EMS found the […]

UOTW #51

The patient is a 56 y/o female who presents with sudden onset substernal chest pain associated with dyspnea and some diaphoresis. Vitals stable. An initial ECG was obtained. Cardiology was emergently consulted, but there was some suspicion that the ECG changes noted were merely J-Point elevation. A bedside echocardiogram was subsequently performed:

UOTW #48

The patient is a 56 year old man who was brought in via EMS for severe respiratory distress. He is sitting straight up in bed, tripoding, diaphoretic with dinner plate eyes. The patient is able to convey that he thinks he might die. He was given one albuterol/atrovent nebulizer per EMS without relief. The patient […]

UOTW #39

78 y/o female with a history of CAD, cirrhosis, DM, and HTN presents with left arm pain, chest pain, and post-prandial dyspnea on exertion. Physical exam is unremarkable, except for an elevated blood pressure of 195/78.  Troponin is negative and the EKG is unremarkable. Prior to obtaining a CT scan, bedside ultrasound is performed, revealing the following images.

UOTW #37

The patient is a 42 y/o male who suddenly collapsed while running.  Per EMS: Patient noted to be pulseless, asystole on monitor.   ACLS was initiated, the patient was RSI’d.  CPR is in progress upon arrival.  Airway is intact. No pulse on initial check, and you obtain this monitor strip: You also obtain the following echocardiogram during this pulse […]