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Focus on POCUS: Subacute, Progressive Dyspnea while Swimming

Focus on POCUS: Subacute, Progressive Dyspnea while Swimming

by emottawa | Apr 11, 2017 | Ultrasound

A male in his 60’s presents with progressive dyspnea on exertion x 1 month starting while he was swimming in the ocean. He had not been diving.  He has no significant medical history and takes no medications. Two weeks after the onset of symptoms the patient had seen...
Focus on POCUS: Pleuritic Chest Pain with Tachycardia – Pericarditis or PE?

Focus on POCUS: Pleuritic Chest Pain with Tachycardia – Pericarditis or PE?

by emottawa | Feb 21, 2017 | Ultrasound

A young, previously healthy male in his 30s presents to the ED from his family physicians office with chest pain and an abnormal ECG. He has a 3-4 day history of non-radiating upper back pain and sensation of chest tightness that is pleuritic in nature and worse when...

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

by emottawa | Dec 5, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score:  2/5 Prandoni P, et al. N Engl J Med. 2016 Oct 20;375(16):1524-1531.   Full Article   This cross-sectional multi-center study of Italian patients admitted after an ED presentation for...

An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications.

by emottawa | Dec 21, 2015 | Journal Club

Journal Club Summary Methodology Score: 3/5                  Usefulness Score: 3/5   Sharp AL, Vinson DR, Alamshaw F, Handler J, Gould MK. Ann Emerg Med. 2015 Aug 27. pii: S0196-0644(15)00616-2. Abstract Link Retrospective study of 31,094 patients investigated for PE,...

Thrombolysis for Pulmonary Embolism and Risk of All-Cause Mortality, Major Bleeding, and Intracranial Hemorrhage: A meta-analysis

by emottawa | Jan 5, 2015 | Journal Club

Journal Club Summary Methodology Score:    4.5/5                 Usefulness Score:  3/5   Chatterjee S, Chakraborty A, Weinberg I, Kadakia M, Wilensky RL, Sardar P, Kumbhani DJ, Mukherjee D, Jaff MR, Giri J. JAMA. 2014 Jun 18;311(23):2414-21. Article Link   This...
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