Month November 2018
EBM Gone Wild mountain 340

Deep breathing to prevent acute mountain sickness

Mountain sickness can effect even the fittest among us. It is so prevalent that there are myriads of studies showing the lowest effective dose of acetazolamide, as it has unwelcome side effects. While other studies have shown that ibuprofen is effective…

EBM Gone Wild snow 340

Wear the helmet anyway

Helmets continue to be recommended or required by multiple ski resorts worldwide. The main thinking is that prevention of traumatic causes of death will directly reduce mortality from avalanches and other alpine trauma. That being said, the authors of this…

LITFL CCC SMILE2 340

Speaking Up

'Speaking up' refers to a person in a non-dominant or non-leader role expressing a concern or suggested course of action to another person in a dominant or leader role

Ultrasound cases top 100 340

Ultrasound Case 014

This 36 year old presented with an isolated blunt head injury sustained whilst on a "big night out". He required intubation and a FAST was performed to assess for any clinically undetected injury prior to RSI. This is the LUQ view. What does it show?

Ultrasound cases top 100 340

Ultrasound Case 013

23 year old female presents with lower and then diffuse abdominal pain with transient hypotension and bradycardia. Urine pregnancy test is positive.

Ultrasound cases top 100 340

Ultrasound Case 012

54 year old male presenting with collapse while moving couch. The patient is on antibiotics for recent pneumonia diagnosis. Altered mental status in the emergency department.

Ultrasound cases top 100 340

Ultrasound Case 010

A young man with a history of right sided pneumothorax, apical bullectomy and VATS pleurodesis presents with right sided pleuritic chest pain. You are asked to exclude recurrent pneumothorax.

Ultrasound cases top 100 340

Ultrasound Case 009

A 70 year old male who had been "legally blind" for several years presented after blunt occular trauma. He had never had his eyes formally assessed. He said he had improved light perception post injury and could actually see moving shapes.

Ultrasound cases top 100 340

Ultrasound Case 008

A 49 year old cyclist hit by a car complains of abdominal pain, worst in his left upper quadrant. Describe and interpret these scans