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

shock and awe…

November 18, 2013 By Christopher Partyka Leave a Comment

the case.

Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike.

This is his ECG…. [Read more…]

Filed Under: #FOAM, Cardiology, ECG, ECHO Tagged With: complete heart block, ECG, ECHO, Inferior AMI, Inferior STEMI, Inferior STEMI with RV extension, Right ventricular infarct, third degree AV block

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