We are extremely fortunate to have one of our fearless ultrasound leaders, Dr. Andrew Fried, lead us into the world of resuscitative transesophageal echocardiography at Maine Medical Center. In our recent grand rounds, he presented the latest cutting edge literature behind this technology and why its the right thing to do for our patients.
Read MoreThe need to effectively communicate your message during a presentation goes without saying (pun intended). Presentation mediums like Powerpoint and Keynote have the potential to help a speaker, but they too often serve as nothing more than containers for reams of text. “Death by Powerpoint!”, we joke to one another. So how do we improve? What are the core principles of preparation, design and delivery that make up a powerful presentation? In this post’s feature film, David Mackenzie, known for his engaging and powerful presentations, shares with us some of the ingredients in his secret sauce.
Read MoreCOVID19 has presented many difficult challenges in its diagnosis and managment. This is no truer than bedside lung evaluation. Personal protective equipment can be prohibitive of adequate lung ausculation and the use of a stethoscope is discouraged by some as it is considered a high risk fomite. Fortunately, point of care ultrasound (POCUS) continues to be an important tool in the emergency provider’s toolbox for decision support and risk stratification. It is quick to perform, easy to interpret, and may be done quickly at the bedside. To help us quickly understand the technique, findings and evidence behind lung POCUS for the COVID19 (+) or suspected patient, ultrasound fellow Dr. Christopher Allison has crafted us a high yield infographic.
Read MoreUterine bleeding is a common presentation to the Emergency Department and rarely these patients are SICK. When they come in sick, it's not the time to be googling the ACOG recs on managing uterine bleeding. Here we review the proper management of the pregnant, post-partum, and non-pregnant patient with uterine bleeding.
Read MoreThe personal protective equipment (PPE) for COVID-19 has been the center of attention in the medical world and laypress, in part because of the short supply and in part because of the importance of healthcare personnel safety. In this vodcast we review the different levels of PPE and what you need to know to safely protect yourself.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). In this week’s post we bring you Dr. Nick Ashenburg’s presentation on the use of ultrasound for the evaluation of joint effusions.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). In this week’s post we bring you Dr. Gabriela Lopes presentation on the use of ultrasound for shoulder dislocation.
Read MoreTranexamic acid (TXA) is a synthetic lysine derivative that binds with the lysine site on plasminogen, inhibits fibrinolysis and stabilizes clot. While it has been around since the 1960’s, its popularity for major trauma has gained a lot of steam in recent years. This has also led creative emergency providers to find novel uses for it at the bedside. In this podcast, Dr. Tim Fallon discusses some of the more novel bedside uses for TXA including epistaxis, hemoptysis, post tonsillectomy bleeding, and dental trauma.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). We are excited to roll out this content to you in the coming weeks, starting with Dr. Fried’s presentation on the use of ultrasound for tendon injury.
Read MoreSyncope is an incredibly common presentation to the Emergency Department with a broad differential diagnosis from the benign (vasovagal) to the lethal (arrhythmia). Because of this, the care and disposition of these patients can be challenging. In this podcast we sat down with Dr. Mike Burla to talk through the potential of a new decision aid- the Canadian Syncope Risk Score.
Read More
This work by www.downeastem.org is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Powered by Squarespace.
Use of this blog and its associated media does not constitute the establishment of a physician-patient relationship. Content posted on this site is NOT medical advice and should not be used to treat patients or yourself. The website authors shall not be held responsible for any damages sustained from the use of this website. The information on this website should not be used to establish standard care or standards of practice for the purposes of legal procedures. The opinions expressed on the website are the opinions of the website and content authors alone and do not represent the policies or opinions of Maine Medical Center, Maine Medical Partners, MaineHealth, or Tufts University School of Medicine.
