thebluntdissection

pulling apart cases from the ED...

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shrouded shock…

February 28, 2017 By Christopher Partyka Leave a Comment

the case.

46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.

[Read more…]

Filed Under: #FOAM, Cardiology, Critical care, ECG, ECHO, Evidence, Interesting, Trauma, Ultrasound Tagged With: BCI, blunt cardiac injury, cardiac contusion, chest trauma, ECG, ECHO, myocardial contusion, RBBB, shock, thoracic trauma, Trauma, troponin

an insidious intruder…

September 25, 2016 By Christopher Partyka Leave a Comment

the case.

28 year old male presents to your tertiary emergency department with chest pain, exertional dyspnoea and left calf pain. [Read more…]

Filed Under: #FOAM, Acid-Base, Cardiology, ECHO, Interesting, Metabolic Tagged With: anticoagulation, cardiomyopathy, ECHO, echocardiography, embolisation, left ventricular thrombus, LV thrombus, mural thrombus, POCUS

going the wrong way…

July 5, 2014 By Christopher Partyka Leave a Comment

the case.

56 year old male presents to ED with dyspnoea, cough and small-volume haemoptysis. [Read more…]

Filed Under: #FOAM, Cardiology, ECHO, Ultrasound Tagged With: acute mitral regurgitation, cardiogenic pulmonary oedema, cardiogenic shock, ECHO, mitral valve prolapse

FALLS protocol…

May 21, 2014 By Christopher Partyka Leave a Comment

Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.

[Read more…]

Filed Under: #FOAM, ECHO, Ultrasound Tagged With: A-profile, B-profile, BLUE protocol, ECHO, Emergency Ultrasound, FALLS protocol, lung ultrasound, RUSH protocol, shock, tamponade, ultrasound

part man, part machine…

April 15, 2014 By Christopher Partyka Leave a Comment

the case.

48 year old male is bought to the Emergency Department via ambulance following a syncopal episode. They are unable to obtain a blood pressure & describe ‘some sort of device coming out of his chest’ !! [Read more…]

Filed Under: #FOAM, Cardiology, ECHO, Interesting, Ultrasound Tagged With: conscious VF, dysrhythmia, ECHO, left ventricular assist device, LVAD, suction event, Ventricular assist device

two in two days…

April 8, 2014 By Christopher Partyka Leave a Comment

I have recently prepared a lecture on a current, yet still controversial topic for work following exposure to these two interesting cases. Here are the cases & their discussion as well as the slide-show attached… 

[Read more…]

Filed Under: #FOAM, ECHO, Evidence, Interesting, Radiology, Respiratory, Ultrasound Tagged With: alteplase, MAPPET-3, massive PE, MOPETT, PE, PEITHO, pulmonary embolism, submassive PE, thrombolysis, thrombolytics

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