Daniel Dexeus, D.O. AEMUS-FPD

Emergency - Dex - Ultrasound

[Daniel Dexeus, D.O. AEMUS-FPD @EMDexUS]

Big thanks and shout-outs to all the instructors and participants at FDNY Search and Rescue Field Medicine Symposium - Ultrasound Pre-Conference Workshop!

[Dan Kim @dan___kim]

I know winter's over, but this bowel obstruction sure looks like a snow globe
#POCUS #SBO
Clip courtesy of one of our fellows, Rukaiyah Lakkadghatwala

[Meghan Herbst @EUSmkh]

Students: This patient is complaining of thigh pain, weakness, and paresthesias. What does the ultrasound demonstrate?
Residents: What emergency are you concerned about?
#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

[Daniel Dexeus, D.O. AEMUS-FPD @EMDexUS]

@FDNY @ButterflyNetInc @PhilipsHealth @FDNYPro @Northwell_EM #ultrasound #POCUS #EMS #srfms2024

[Daniel Dexeus, D.O. AEMUS-FPD @EMDexUS]

Big thanks and shout-outs to all the instructors and participants at FDNY Search and Rescue Field Medicine Symposium - Ultrasound Pre-Conference Workshop!

[Butterfly Network @ButterflyNetInc]

Butterfly is teaching POCUS at a New York Fire Department POCUS workshop. Firefighters are learning how POCUS can provide important answers in emergency situations. #Butterfly #POCUS #FDNY #Emergency @FDNY

[Daniel Dexeus, D.O. AEMUS-FPD @EMDexUS]

We published a study:

Integrating Pre-test Probability and Point-of-Care Ultrasound (POCUS) in the Emergency Department (ED) Diagnosis of Small Bowel Obstruction (SBO) https://t.co/cIE1w2gpfQ

[Ross Prager @ross_prager]

Septic shock of unclear etiology with "multiple splenic and renal infarcts" seen on CT abdomen. Transthoracic echo limited views, but reported as 'normal'. Blood culture negative. Resus TEE done showing the following. What's going on? #pocus #resusTEE (see next for poll)

[MaimoUltrasound @MaimoUltrasound]

VOTW: 6yo presenting with abdominal pain and emesis. POCUS showed...

[John Bowling, DO @BModeBowling]

A patient presents with sepsis with a hx of IVDU. No murmur, SOB, or CP. What’s going on here in this RV inflow view?

#FOAMed #POCUS #echofirst

Used with permission and de-identified.

[Jamal Ali @The_sonoguy]

It’s Friday again - means Quiz time❓❗️Ultrasound shows an unclear round liver mass in a steatotic liver. Next step should always be contrast enhanced ultrasound. What do you see and what is your diagnosis?
#GItwitter #MedTwitter #ultrasound #livertwitter #FOAMed #FOAMus #MedEd

[Meghan Herbst @EUSmkh]

RESOLUTION:
S: Convex transducer placed sagittally over the right upper quadrant viewing the liver & gallbladder.
R: Pneumoperitoneum & complex ascites suggests gastrointestinal perforation.

[Jamal Ali @The_sonoguy]

Singular lymph node metastasis of a head and neck cancer. Typical ultrasound features of an inhomogenous lymph node, more round shape than wide and partly anechoic, which represents a necrosis. These metastatic lymph nodes do not hurt❗️
#MedTwitter #ultrasound #FOAMed #FOAMus

[Ross Prager @ross_prager]

Hypotension and hypoxia. Patient very tachypneic (causing limited views). What's your diagnosis? (See next for poll) #pocus #foamed

[Gonzalo Serrano-Belmar. @GSERRANOB_MSK]

Quick Case.

Patient with a history of recent trauma. He was referred for an ankle ultrasound (normal).

Clearly, the problem is at the mid-foot.

Lisfranc injury, maneuvers are performed with stress, axial compression on the metatarsal with a fixed midfoot, and we can clearly see the marked instability of the medial column, with opening and displacement.

It is much more evident when compared to the normal side.

#mskrad

[Ross Prager @ross_prager]

How I use renal #POCUS for acute care (and why it changes management as much as my cardiac or lung assessments) A 🧵

[Yale EM Ultrasound @Yale_EUS]

A 65 year old female presented to the emergency department with abdominal pain and distension. What is the most likely cause of her presentation? #POCUS #ultrasound #emergencymedicine #sonography #FOAMed #MedEd

[Medicina Interna. Lo miro y mañana te digo. @y_interna]

80 años. Deterioro cognitivo de causa vascular. Pérdida ponderal de 2 m de evolución. Sin disnea. Constantes normales. Ausencia de MV en base izquierda. ECG con FA. Analíticas con perfil inflamatorio. @ResidentesSEMI @curromir @SonoSamMD @DiazgomezA @yaletung @JMMR83 @GTECOSEMI

[POCUS Certification Academy @POCUSAcademy]

A 68-year-old asymptomatic male underwent abdominal aorta aneurysm (AAA) ultrasound screening. What is the correct method of measuring the AAA?

A.
B.
C.

Check back on 9/15/2023 for the answer!

Validate your skills with our POCUS AAA Certification: https://t.co/i77WaDmP0z

[Ross Prager @ross_prager]

What's the diagnosis? How much would you drain with your initial drainage (assuming they are hypotensive)? (see next for poll) #pocus #meded #medtwitter #Cardiotwitter

[Ross Prager @ross_prager]

How I use #POCUS for flank pain/ renal colic / urosepsis - yes, I look for hydronephrosis that might triage additional imaging, but more importantly, to look for the company it keeps! Always remember to check out the aorta if you are scanning for a stone.