Our ER nurses at HUM are awesome at obtaining IV access, but when even the best nurses cannot get that peripheral line, then being able to put in an IV line that will not infiltrate is an extremely useful skill for every Emergency Physician to have. What is the RIGHT WAY to perform this important ED procedure? Watch this video on EMin5 and find out!
This patient presented to the HUM Emergency Department after a motorcycle accident. Among his injuries was a partially avulsed fingernail. A digital block was performed and the nail was removed to reveal a nailbed laceration. The laceration was repaired and the nail sutured in place to serve as a splint and dressing for the underlying nailbed.
These ultrasounds, performed by EM residents at HUM, nicely demonstrate the classic sonographic finding consistent with intussusception: the target sign, or layers of invaginated bowel seen in cross section.
Watch Dr. Duneant, R2 EM resident at HUM, set up BIPAP for a patient.
These ultrasounds, performed by Dr. Ricot, R1 EM resident at HUM, nicely demonstrate sonographic findings consistent with a small bowel obstruction.
R2 EM resident Dr. Duneant, accompanied by one of our visiting professors, Dr. Aimee Tang, International Emergency Health Fellow at North Shore-LIJ, performed this ultrasound on a 2 yr old boy who was referred to the HUM ED from an outside hospital.
An 18 yr old female with a known history of mitral stenosis presents to the HUM ED with two weeks of shortness of breath and chest discomfort.
This is her EKG. What does it show?
HINT: 15 minutes later, after approx 500cc of NS, here is a look at her monitor, how does this help us?
BIGGER HINT: Below is a video of us giving the patient 6mg of adenosine.
So what does her EKG show?