ultrasonographic-assessment-during-cardiopulmonary-resuscitation

Ultrasonographic Assessment During Cardiopulmonary Resuscitation

The US-CAB (Ultrasound, Circulation/Airway/Breathing) protocol integrates several sonographic techniques into a structured assessment of the circulation, ...

National Taiwan University Hospital and College of Medicine

Ultrasonography during CPR: Hands-off or hands-on?

Palpebral emphysema is a rare occurrence after a dental procedure. However, it can be associated with severe complications, such as soft tissue infection, pneumomediastinum, pneumothorax, optic nerve ischemia or even blindness. Early diagnosis and prompt management are mandatory for emergency physicians.

Palpebral emphysema following a dental procedure.

Acute aortic dissection is a cardiovascular emergency with high mortality that necessitates prompt diagnosis and immediate treatment. Though asymmetric extremity pulses/blood pressures and mediastinal widening on chest roentgenogram are often clues to diagnosis, aortic regurgitation (AR) of variable degrees could be the only sign on initial assessment. Mostly resulting from dilated aortic ring with valvular insufficiency, the AR could be caused by different pathogenic mechanisms. Herein we report a case of Stanford type A aortic dissection presenting with acute pulmonary edema. Physical examination detected severe AR murmur and bedside echocardiogram confirmed prolapsed dissecting intima flap with interference of aortic valve closure as a specific mechanism.

Aortic dissection presenting with acute pulmonary edema.

Response to "The wider implications of AD-related AR and pulmonary edema".

A leadership-based program can reduce boarding time of emergency department admissions.

Percutaneous cholecystostomy (PC) is an effective treatment for severe acute cholecystitis (AC). Guidelines recommend PC as rescue therapy for patients with mild or moderate AC who do not receive emergent cholecystectomy. This study aims to investigate whether PC could be a first-line treatment for these patients.

Early percutaneous cholecystostomy versus antibiotic treatment for mild and moderate acute cholecystitis: A retrospective cohort study.

A Potential Pitfall of Tracheal Ultrasound for the Confirmation of Endotracheal Intubations.

Point-of-Care Ultrasound (PoCUS) is considered as an extension of clinicians' patient care and can be integrated into daily clinical practice. Dyspnea is a common presentation in uremic patients. With the aids of PoCUS and integrated assessments of lung, heart and inferior vena cava (IVC), the etiology of dyspnea in uremic patients can be determined earlier.

Article	Year
Ultrasonography during CPR: Hands-off or hands-on? Resuscitation\| PubMed ID: 29378217	2018
Palpebral emphysema following a dental procedure. The American journal of emergency medicine\| PubMed ID: 29395767	2018
Aortic dissection presenting with acute pulmonary edema. The American journal of emergency medicine\| PubMed ID: 29709400	2018
Response to "The wider implications of AD-related AR and pulmonary edema". The American journal of emergency medicine\| PubMed ID: 29936009	2018
A leadership-based program can reduce boarding time of emergency department admissions. The American journal of emergency medicine\| PubMed ID: 30190243	2019
Early percutaneous cholecystostomy versus antibiotic treatment for mild and moderate acute cholecystitis: A retrospective cohort study. Journal of the Formosan Medical Association = Taiwan yi zhi\| PubMed ID: 30293928	2019
A Potential Pitfall of Tracheal Ultrasound for the Confirmation of Endotracheal Intubations. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine\| PubMed ID: 31328287	2020
Point-of-care ultrasound in Management for Dyspneic Uremic Patients: a case report. BMC nephrology\| PubMed ID: 31830919	2019
Man with trauma after fall from height. Journal of the American College of Emergency Physicians open\| PubMed ID: 33000053	2020

Wan-Ching Lien

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