Point-of-Care Ultrasound in the Emergency Department

Point-of-Care Ultrasound in the Emergency Department
Joseph Esherick, M.D., FAAFP, FHM
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Ultrasound technology has revolutionized the medical industry and provided physicians with the ability to visualize internal tissue and organs in real time. Advancements and changing trends in medical technology have also seen smaller and more affordable ultrasound machines cropping up…
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Ultrasound-Guided Paracentesis

Ultrasound-Guided Paracentesis
Joseph Esherick, M.D., FAAFP, FHM
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Ultrasound-guided paracentesis is a common hospital procedure that medical professionals perform to drain ascites in patients with advanced cirrhosis. It has a low bleeding risk and is used for diagnostic or therapeutic purposes. Although paracentesis is generally a safe procedure,…
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What Is Awake Videolaryngoscopy?

Awake Videolaryngoscopy
Joseph Esherick, M.D., FAAFP, FHM
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Videolaryngoscopy has quickly become a popular method for airway management because it provides better visuals of the glottis. Failed intubations have decreased since more clinicians have begun to rely on videolaryngoscopy and the greater visibility it provides.  Awake videolaryngoscopy is…
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Intraosseous Lines: Decreased ROSC Rates and Survival Compared to Peripheral IV Access

Intraosseous Lines
Joseph Esherick, M.D., FAAFP, FHM
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Intraosseous lines are commonly associated with decreased return of spontaneous circulation or ROSC rates compared to peripheral IV access. Intraosseous lines have also been linked to decreased survival after out-of-hospital and in-hospital cases of cardiac arrest in comparison to IV…
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Pigtail Catheters vs Large-Bore Chest Tubes for Traumatic Hemothorax

Pigtail Catheters
Joseph Esherick, M.D., FAAFP, FHM
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Traditionally, traumatic hemothorax treatment called for the insertion of a 36-French (36F) to 40F large-bore chest tube (CT). In this article, we’ll delve into a study that shows how 14F percutaneous catheters (P-CATs or PCs) or pigtail catheters have equal…
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Peripheral Administration of Vasopressors and Their Safety

Joseph Esherick, M.D., FAAFP, FHM
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While vasopressors are typically administered through a central venous catheter (CVC), peripheral intravenous (PIV) administration is becoming more common in clinical practice. The safety of this administration method is now well-established and is a good alternative to CVC placement for…
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Central Line or PICC Line Placement in Patients With CKD

central-line-placement
Joseph Esherick, M.D., FAAFP, FHM
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A peripherally inserted central catheter (PICC) line refers to a type of central line that is used for long-term vascular access in patients with chronic kidney disease (CKD). However, the American Board of Internal Medicine’s (ABIM) Choosing Wisely campaign recommends…
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Brachial Arterial Catheterization and Its Low Risk of Complications

Radial arterial line training
Joseph Esherick, M.D., FAAFP, FHM
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Brachial arterial catheterization is widely chosen for constant blood pressure and hemodynamic monitoring in critically ill patients. It provides real-time measurements of physiologic parameters with a very low incidence of associated risks or complications. In this article, we will revisit…
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Central Line Insertion and Associated Challenges

central line insertion
Joseph Esherick, M.D., FAAFP, FHM
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Central line insertion can be a complicated process that requires proper training to minimize procedural risks. One of its most important aspects is the proper positioning of the patient during the procedure to ensure safety and success. Patients may also…
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