Case File: Cardiac amyloidosis using on routine hand-held ultrasound

by Jeffrey Wilkinson, MD

A 64 year-old man presented to the Kingston General Hospital with cardiac arrest. At the time of EMS arrival, the ECG showed ventricular tachycardia. The patient was intubated and ventilated. Multiple defibrillations were required to convert the patient back to normal sinus rhythm.

Case File: Shocking out with severe hypoxia

by Barry Chan, MD

Clinical Vignette: 36 year old presented in acute respiratory distress, hypotension (BP 70/40 with HR 120), and severe hypoxia (SpO2 80s with partial rebreather). Thoracic auscultation was normal though the heart sounds were masked by her breath sounds. The jugular venous pulse (JVP) was grossly distended with no leg edema.