Have you ever had a busy emergency department? Have you ever had a patient with a fracture that you needed to sedate and you wish you didn't have to? Well, wish no further and do a nerve block. This week we're going to talk about a case where bedside forearm nerve blocks were used to quickly disposition a patient home. Enjoy!
Due to the gap between posts as of late, I wanted to do a high-yield/short topic. I've been increasingly using a trans-abdominal linear probe in early pregnancy, and have been avoiding unneccessary trans-vaginal scans. This is good for patient satisfaction and for increasing patient throughput. Take a look and let me know what you think!
Greetings from Ireland! I just got into the airport in Dublin and am waiting for @ultrasoundjelly to land so we can go to our hotel for SMACCdub (The most amazing worldwide conference I've ever been to). In the meantime, check out this podcast.
So you've heard about how awesome bedside echo is and how it can be used to quickly and accurately diagnose life threatening pathology, but you're not sure how to actually get those views. Check out this video for some tips on how to optimize your echo views and save a life.
Continuing on my latest nerve block binge, I'll be talking about the amazing supraclavicular brachial plexus nerve block. This block, if performed correctly, gives anesthesia to the arm from the level of the lower part of the deltoid to the fingertips. Think about using this block for complex lacerations, fractures, abscesses, or any other painful condition.
I'm passionate about pain control, and also passionate about how dangerous narcotics are. I've been doing more and more of these nerve blocks and have found that the amount of narcotics I need to give for nerve-block amenable injuries/diseases dramatically decrease when I inject some lidocaine around that nerve. Learn how to do a median nerve block with this video:
Air bronchograms are something that many of us, even if we don't know ultrasound, have heard before. They refer to a consolidated lung that surrounds small airways. This finding can easily be seen on ultrasound and is highly specific for pneumonia. Learn the difference between a dynamic air bronchogram and a static air bronchogram with this video:
- A dynamic sign of alveolar consolidation in bedside ultrasonography: Air bronchogram.
- Lung ultrasound is an accurate diagnostic tool for the diagnosis of pneumonia in the emergency department.
- The dynamic sonographic air bronchogram: a simple and immediate bedside diagnosis of alveolar consolidation in severe respiratory failure
- The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis