Archives

Perforation of the Interventricular Septum by a Temporary Transvenous Pacing Lead Detected by Cardiac Point of Care Ultrasound (POCUS)

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:…

Advanced cardiac point of care ultrasound (POCUS) illustrating tricuspid regurgitation.

Cardiac Point of Care Ultrasound (POCUS) Used to Diagnose Infective Endocarditis Following Multiple Negative Echocardiograms

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.

Health System Impact of Emergency Department-based Vascular Access Program in Patients with Difficult Intravenous Access

Nathan P. Roll; Shilpa Raju; Micah Ownbey; Jamal Jones; Christy Hopkins; Jennifer Cotton – We describe the impact of an Emergency Department (ED) based vascular access program with a specialized team of paramedics and emergency medical technicians (EMTs). This team is trained in USG PIV access to assist with patients that have difficult intravenous access (DIVA) both in the ED and throughout the academic medical center.

Grayscale POCUS images of a 25-year-old female standardized patient showing (A) sagittal view with a linear, hyperechoic structure within the lumen of the abdominal aorta and (B) transverse view with a normal, anechoic lumen of the abdominal aorta.

A Point of Care Ultrasound (POCUS) Artifact Mimicking an Aortic Dissection: A Case Series

Olivia Klee; Julia Buechler; Molly Fears; Caroline Gosser; Kahra Nix – In this case series, we describe an artifact that mimics a dissection involving the abdominal aorta that was found on a young, healthy, thin female medical student who was acting as a standardized patient. A radiology-performed ultrasound of her abdomen confirmed the abdominal aorta as normal. This same artifact was subsequently seen on three additional young, healthy, thin, female medical students.

Parotid Sialolithiasis Diagnosed on Point of Care Ultrasound (POCUS)

Heather Lystad; Elaine Yu; Rachna Subramony – A 58-year-old woman with a past medical history of irritable bowel syndrome presented to the emergency department due to gradual swelling and pain on the left side of her face for three weeks. She also reported feeling a lump on her inner cheek. The patient experienced worsened swelling, pain with opening her mouth, and shooting pains on the left side of her face. She denied any fevers or chills.