Writing well can be a struggle. As physicians, we tell ourselves that we aren’t good because we are math and science types, not language writer types. However, just as everyone can be a runner, everyone can be a writer. About three years ago, I read a piece that really synthesized how to write and provided me with quality basic tenets. One idea per sentence. Simple language. Avoid redundancy. Another piece, which builds upon these tenets, offers that health care providers have a story-telling imperative. It actually may be necessary that we write to keep balance and to stay healthy. We should read, edit, and write as regularly as possible. We will improve and we will feel better.Read More »
In mid September, we will be sending out a call for nominations for the following positions:Read More »
Once we have a slate of candidates, we will send out an e-ballot via SurveyMonkey (beginning of October) and you will have a chance to vote. The winners will be announced at the Section meeting at ACEP15.
Tips and Tricks: LUNG LINES!
In recent years, point-of-care (POC) lung ultrasound (US) has gained significant popularity as a diagnostic tool in the acutely dyspneic patient. Several studies have shown the efficacy of lung US in diagnosing pulmonary pathology, with increased sensitivity compared to that of chest x-ray in many cases. Numerous pathologies can be detected at the bedside with POC lung US. The sensitivity of US for diagnosis of pulmonary edema approaches 94% with a specificity of 92%.(1) Diagnoses of COPD, asthma, pulmonary embolism, pneumothorax, and pneumonia can also be made with POC lung US with a positive predictive value ranging from 83% to 100%.(2)Read More »
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Ultrasound confirmation of central line placement instead of CXR? We are getting there...
Gekle R, Dubensky L, Haddad S, Bramante R, Cirilli A, Catlin T, Patel G, D'Amore J, Slesinger TL, Raio C, Modayil V, Nelson M.
Saline Flush Test: Can Bedside Sonography Replace Conventional Radiography for Confirmation of Above-the-Diaphragm Central Venous Catheter Placement?
J Ultrasound Med. 2015
Ultrasound is useful for evaluating metacarpal fractures but don’t throw out the x-ray yet.
Kozaci N, Ay MO, Kesapli M, Akcimen M, Sasmaz I, Turhan G, Boz A.
The effectiveness of bedside point-of-care ultrasonography in the diagnosis and management of metacarpal fractures.
Am J Emerg Med. 2015 Jun 23. pii: S0735-6757(15)00538-0. doi: 10.1016/j.ajem.2015.06.052. [Epub ahead of print] PMID: 26175338
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Imagine this possible scenario: A 70 year-old male with pneumonia and sepsis develops hypotension, and your team wants to place a central venous catheter to give pressors.
Femoral vein access is precluded by a candidal skin infection under the abdominal pannus. He cannot tolerate lying fully recumbent due to dyspnea and thoracic kyphosis, and has very collapsible internal jugular veins on your pre-procedure ultrasound scan. Additionally, he has a large beard, and it seems likely to be difficult to optimally sterilize the skin of the neck for an internal jugular cannulation. You decide to obtain subclavian access, and start reviewing the landmark approach with your residents, but they ask you if there is a better way. How can ultrasound assist the placement of a subclavian line? Is it better than the landmark technique, and if so, how? Is it faster? Does it have shortcomings? What evidence can guide your decision? Darn medical students...