Pedro Jose Cruz Guzman; Karen Lidsky; William Hanna – This case report describes a 5-month-old ex-premature infant who developed cardiac tamponade associated with PICC line malposition. Point of care ultrasound (POCUS) was used to diagnose and effectively manage the condition peri-arrest via emergent pericardiocentesis.
Christopher Chew; Katherine Lang; Manuel De La Rosa; Amanda K. Bertram; Ariella Apfel Stein; Apurva Sharma; Timothy M. Niessen; Brian T. Garibaldi – The purposes of this study were to determine the overall proficiency of internal medicine interns in performing cardiovascular POCUS, assess how POCUS skills relate to traditional cardiovascular physical exam skills, and examine how POCUS skills impact patient management.
Stephanie M. Conner; Mustafa Husaini; Maya Fiore; Mohamed Ramadan; Benjamin Hoemann; Nicholas Arnold; Farhan Katchi; Crystal Atwood; Carol Faulk; Karl Wallenkampf; Jing Li – Prolonged inpatient length of stay (LOS) is associated with worse clinical outcomes and increased healthcare costs. Transthoracic echocardiography (TTE) is commonly utilized in cardiac evaluation of hospital inpatients but is associated with prolonged LOS and may not always be necessary. Point of care ultrasound (POCUS) may help reduce the need for inpatient TTEs.
Emily Gohde; Seth Lotterman; Ikram Irfanullah; David Hansen; Felix Pacheco; Adam Wise; Matthew Tichauer; Trent She – We discuss two cases that illustrate the utility of POCUS in troubleshooting unsuccessful or difficult TVP placements. Thereafter, we describe a workflow for future TVP placements and offer some troubleshooting tips.
Yannis Amador – A 77-year-old man scheduled for coronary artery bypass grafting (CABG) experienced cardiac arrest immediately following the induction of anesthesia. His medical history was significant for hypertension, type II diabetes mellitus, and triple-vessel coronary artery disease with a proximal left main occlusion.
Pablo Blanco; Liliana Figueroa – A 63-year-old woman was admitted with symptomatic complete atrioventricular block. Her medical history was notable for arterial hypertension, managed with enalapril. A TTP was successfully placed via the right internal jugular vein under the guidance of POCUS and intracavitary electrocardiogram (ECG), following this procedure:…
Vasudha Dinesh; Arun A. Mohanan; Amaravathi Uthayakumar; Vinodha Chandrashekar – A 65-year-old man with a history of chronic tobacco and alcohol use but no known comorbidities presented to the emergency department with acute chest pain lasting three hours. The pain was central, tight, and radiated to the left arm, and was accompanied by profuse sweating.
Adriano Sanjuan; Daniel S Brenner; Heather Andrade; Alyson Bundy; Philip Clapham; Nathan Markus; Irina K Hariri; Edwin Jackson – We present a case of a 68-year-old African American man with a history of housing insecurity, chronic obstructive pulmonary disease, chronic hypoxic respiratory failure, heart failure with mildly reduced ejection fraction, chronic kidney disease, hypertension, opioid use disorder, schizophrenia, and mild mitral, tricuspid, and aortic valve insufficiency.