Ultrasound Guided Nerve Block for Shoulder Dislocations

Regional Anesthesia versus Procedural Sedation - a Randomized Control Trial!

By Michael Prats, MD on 06/19/17 02:00 AM

You are treating someone with a shoulder dislocation. You have a few options that can be used to help put it back where it belongs: A) Procedural sedation - the old standby. B) Intraarticular injection - some people love it, some hate it C) Relaxational maneuvers - sometimes feasible, and, last but not least D) Regional anesthesia - the new kid on the (nerve) block. This study compares procedural sedation to regional anesthesia with an ultrasound guided interscalene nerve block for the outcomes of pain and length of stay (and a few other things too).


Ultrasound for Abdominal Stab Wounds

is this just crazy?

By Michael Prats, MD on 06/05/17 02:00 AM

The idea here is that some people that suffer the misfortune and inconvenience of being stabbed in the abdomen will require a surgical laparotomy. On the other hand, some will not. We don't want to miss the ones that do, but we don't want the latter to get unnecessary operations. If the wound does not penetrate so deep as to violate the peritoneum then there is low risk of intraabdominal organ injury. Instead of probing and exploring the wound which can be painful, perhaps ultrasound can offer a less invasive way of determining whether or not the peritoneum was violated.


Acute Dyspnea

Can ultrasound help?

By Michael Prats, MD on 05/22/17 02:00 AM

Feeling out of breath or having trouble breathing (AKA dyspnea) is a common complaint in the emergency department. We know already that ultrasound can diagnose a number of things that can cause this symptom. This paper takes a look to see how ultrasound can help out the evaluation of a patient who presents with acute dyspnea. More specifically, it looks at the accuracy of diagnosis and time to making the diagnosis compared to an evaluation without ultrasound.

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Old school manual pulse checks got you down? How about using POCUS to check for a pulse in arrest?

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