Category: Ultrasound

Ultrasound Guided IV Access

A 65-year-old female undergoing chemotherapy for breast cancer presents to your ED with septic shock and likely febrile neutropenia. She does not have any central access device and tells you that the nurses and doctors always struggle finding her veins. You put the tourniquet on and cannot palpate a vein or visualise one on the back of her hands. Do you try to find a vein blindly, potentially wasting precious minutes and increasing time to antibiotics and fluids/inotropes with multiple attempts, or do you reach for the ultrasound probe?

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Drunken Wrestling, Painful Belly

It’s a typical Saturday late shift, ticked over midnight to Sunday morning. A young intoxicated man stumbles into triage complaining of severe abdominal pain. He tells you he has had “Quite a few” (read as “a lot”) of drinks tonight and shares that a few hours ago, while playfighting with his mate (as one does following “quite a few”), his mate had fallen onto his abdomen.

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