Ashman Phenomenon
Ashman phenomenon (1947) aberrant ventricular conduction, usually of RBBB morphology, which follows a short RR interval and preceeded by a relatively prolonged RR interval.
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…
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…
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 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 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 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.
Do they really have to be warm and dead?
The classic teaching is that nobody is dead until they are warm and dead. But as previously discussed, knowing which patients are likely to survive (and thus warrant lifesaving efforts) is difficult to ascertain.
Ultrasound Case 011
A thin and tall young man presents with back pain. Describe and interpret these ultrasound scans
Predicting survival after avalanches
More than 150 people die each year after being buried in an avalanche, and mortality is greater than 50% for this condition.
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 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.