Posts by JETem

The Casserole Perimortem Caesarean Section Model

Nur-Ain Nadir, MD, MHPE*, Clint Brian LeClair, MD*, Ammar Ahmed, MD* and Gregory Podolej, MD*

DOI: https://doi.org/10.21980/J8FK8H Issue 2:3[mrp_rating_result]
At the end of this 1-hour activity learners will: 1) describe the indications, contraindications and complications of the PCS, and 2) demonstrate the performance of a PCS.
InnovationsOb/Gyn
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Introducing point-of-care ultrasound through competency-based simulation education using a fractured chicken bone model

Nathan L Haas, MD,* Elise Hart, MD,† Mary RC Haas, MD,* and Trent Reed, DO^

DOI: https://doi.org/10.21980/J8GG95 Issue 2:3[mrp_rating_result]
To introduce medical students to PoCUS with an inexpensive, reproducible, and educationally effective model using fractured chicken bones set in gelatin, and to assess medical students’ abilities to identify simulated long-bone fractures using PoCUS.
UltrasoundInnovationsOrthopedics
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Emergency Surgical Airway Model for Procedural Skills Simulation

Jason Stopyra, MD*, Jonah Gunalda, MD*, Cedric Lefebvre, MD* and David Manthey, MD*

DOI: https://doi.org/10.21980/J8M921Issue 2:3[mrp_rating_result]
At the end of this educational session, learners will be able to: 1) practice the manual and cognitive skills necessary to perform a successful and rapid surgical cricothyrotomy, and  2) successfully complete a cricothyrotomy within a time frame of 90 seconds.
ENTInnovationsProcedures
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Choledocholithiasis

Jonathan Peña, MD*

DOI: https://doi.org/10.21980/J8Q62X Issue 2:3[mrp_rating_result]
Computed tomography (CT) was significant for two large gallstones measuring 1.1 centimeters impacted at the level of the pancreatic head with associated common bile duct (CBD) dilatation.
Abdominal/GastroenterologyVisual EM
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Using Bedside Ultrasound to Rapidly Differentiate Shock

Mohamad Moussa, MD*, Jacob Willen, BS* and Sudipa Biswas, BS, MS*

DOI: https://doi.org/10.21980/J8S047 Issue 2:3[mrp_rating_result]
A RUSH exam demonstrated hyperdynamic cardiac contractility and collapse of the inferior vena cava (IVC) with probe compression more than 50% suggesting hypovolemia likely secondary to sepsis. Incidentally, Morrison’s pouch revealed a large right renal cyst but no signs of free fluid. A computed tomography of abdomen/pelvis showed a 10.8 x 9.5 cm right renal cyst and left lower lobe pneumonia.
UltrasoundInfectious DiseaseVisual EM
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Corneal Sparing Conjunctival Abrasion

Hamid Ehsani-Nia, MS*, Tanya Dall, MD^ and Samantha Costantini, MD^

DOI: https://doi.org/10.21980/J8KG93 Issue 2:3[mrp_rating_result]
Physical exam was significant for multiple broken teeth, multiple minor abrasions on the face, and fine shards of shattered glass on his face and hair. His right eye had conjunctival injection, with no signs of subconjunctival hemorrhage or ocular penetration. Vision, extraocular movement, and pupillary exam were grossly intact. Fluorescein staining with slit lamp exam with cobalt blue filter examination of the right eye revealed superficial bulbar conjunctival uptake of fluorescein dye staining an area of the conjunctiva inferior to the limbus 5 mm vertical by 2 mm horizontal (estimation by photo provided). No foreign bodies were visualized in the inferior fornix. These findings were consistent with superficial conjunctival abrasion. The exam noted sparing of the corneal epithelium.
OphthalmologyVisual EM
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Volvulus

Sari Lahham, MD, MBA*, Kathryn Bennett, BS* and Mohammad Helmy, MD†

DOI: https://doi.org/10.21980/J8JH0Q Issue 2:3[mrp_rating_result]
Upright and supine frontal radiographs of the abdomen demonstrate gas dilation of the large bowel from the level of the cecum to the sigmoid colon with air fluid levels (yellow arrows). There is a swirled configuration of the distal descending to sigmoid colon indicating the level of the volvulus (dashed yellow line) and giving rise to the classic “coffee bean” sign (dotted white tracing). Note the elevated left hemidiaphragm on the upright view reflecting abdominal distention with increased intra-abdominal pressure (red arrow).
Abdominal/GastroenterologyVisual EM
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Pneumonia Diagnosed by Point-of-Care Ultrasound

Akash Patel, BA*, Steven Bunch, MD^, Maili Alvarado, MD^, Shadi Lahham, MD^ and J. Christian Fox, MD^

DOI: https://doi.org/10.21980/J8XP64 Issue 2:3[mrp_rating_result]
Point-of-care ultrasound of the left lower lobe demonstrates lung hepatization, a classic finding for pneumonia. In addition, a shred sign is present with both air bronchograms and focal B-lines—all suggestive of poorly aerated, consolidated lung. The patient was started on antibiotics and admitted to the hospital with a diagnosis of community-acquired pneumonia.
UltrasoundRespiratoryVisual EM