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Serratus Anterior Plane Block for Thoracic Wall Pain

January 27th, 2021

Background   The serratus anterior plane block (SAPB) is a field block that provides analgesia from T2 to T9 dermatomes of the hemithorax by anesthetizing the lateral cutaneous branches of the intercostal nerves in that area. It was first described in a 2013 study demonstrating long-lasting thoracic-wall...

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Case 25: Aortic Dissection

December 2nd, 2020

A 44 year old male with a history of heroin abuse presents to the emergency department with altered mental status.  Per EMS, the patient was found on the street with decreased level of consciousness and poor respiratory effort.  EMS was concerned about opioid overdose, and he was treated with 4mg Narcan, with...

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ultrasound iv
A Practical Guide to Placing Ultrasound-Guided Peripheral IVs

November 25th, 2020

Background   Peripheral IV placement is one of the most common procedures performed in hospitals, with hundreds of millions performed each year. For the most part, IVs are successfully placed in the traditional way - using landmarks and visualization/palpation of the vessels. But as we all know, there are several ...

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radial a line
Will Ultrasound Help Your Success with Arterial Lines?

November 18th, 2020

Background   Traditionally, we are taught to place radial artery catheters - A lines - using anatomy and pulse palpation. First-time success rate varies in the literature from as low as 15% to about 70%, with complications including hemorrhage or hematoma. Patients with particularly challenging insertions include ...

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