A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Source: Image by jannoon028 on Freepik
This week’s cheese post will review recent literature that examines the role of antiarrhythmic medications in shockable cardiac arrest. Although algorithmic, these data may suggest some nuance in your approach to the management of shockable rhythms can improve your chances of obtaining ROSC.
Vladimir Bernstein, MD
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Evaluation of retroperitoneal trauma can be difficult with clinical exam alone. This is further daunting for the emergency physician given the cavity can hold enough blood to result in significant morbidity and mortality. Here you will find a discussion of the evaluation of retroperitoneal trauma.
Rikki Hall, MS4
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Figure 1: Ultrasound of the bilateral Achilles tendon with notable findings of surrounding anechoic fluid collection (white arrow) and decreased tendon diameter of the affected side.
The Case:
A 32-year-old man with no past medical history presented to the ED with left posterior ankle pain after playing basketball. He stated he jumped and felt an immediate “pop” and pain in the posterior leg. He has been unable to ambulate due to the pain. On exam, he had a positive Thompson test on the left calf. Radiographs were negative for acute fracture, but point of care ultrasound (POCUS) demonstrated an Achilles tendon injury.
Megan Buranosky MD, Victoria Gonzalez MD, and Scott Sherman MD
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