Seth Lotterman

kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2… @KelseyBoch

From #SAEMPulse: "Some strategies, however, can be used universally by increasing awareness of cognitive biases and reflecting on decision-making to identify common pitfalls and areas for growth." Read now: ow.ly/NzPL50U3r85

Biliary distention at or >10cm x 4cm should raise concern for an obstructing stone, acute cholecystitis, & longer cholecystectomy operative times. Kudos to Dave, Kyle, Abeid, Trent, Seth, and Tim! 🥳 authors.elsevier.com/a/1j3OH2dHVQCl…

Point-of-care ultrasound associated with shorter length of stay than c... sciencedirect.com/science/articl…

Answer: Consider CT for further evaluation of the eye/orbital bones, cover the eye with a shield, and call ophthalmology.

60 year old patient suffered blunt trauma to the face. They have decreased visual acuity in the left eye, bleeding from the left eye, and significant pain. They presented with the following finding on exam. What are the 3 next best steps in care?

Meghan K. Herbst, MD, FACEP, University of Connecticut Questions posed by Stephen Alerhand, MD acep.org/emultrasound/n…

We have the Top 5 Finalists for our✨ACEP EUS #POCUS Education Video Competition✨ 🏆UConn SOM 🏆MetroHealth 🏆Yale 🏆Rutgers 🏆St. Luke's/Ponce (Puerto Rico) We'll be featuring these here & at our #ACEP24 Section meeting on October 11. Audience will vote for a winner!

We are so proud of our #POCUS team @ZachBoivinMD @ThuyNguyenMD @drewmelendez who were the #SonoGames23 winners, coming in 1st of 92 teams at #SAEM23. Thanks to our amazing ultrasound faculty @EUSmkh @trentshemd @slotterm1. Go Huskies! #UConn #uconnsom @UConnHuskies

Great time presenting with my colleague David Ruby!

'Anything can happen anywhere': Hartford Hospital training teaches emergency departments how to handle mass casualty events wtnh.com/news/connectic…

Strength and Comfort in Vulnerability emra.org/emresident/art…

Answer - The erector spinae plane block has been shown to be a safe and effective alternative for pain control from renal colic. emergencymedicinecases.com/em-quick-hits-… pubmed.ncbi.nlm.nih.gov/35481607/

50 yo M p/w acute onset of R-sided flank pain radiating to his lower abdomen/groin. He is afebrile with NL VS. He has R CVAT. A CT is done after NSAIDs and multiple doses of narcotic pain medications fail to control his pain. Which of the following may help control his pain?

50 yo M p/w acute onset of R-sided flank pain radiating to his lower abdomen/groin. He is afebrile with NL VS. He has R CVAT. A CT is done after NSAIDs and multiple doses of narcotic pain medications fail to control his pain. Which of the following may help control his pain?

Answer – stellate ganglion block has been described as a method of treatment for refractory VT/VF. Block can be performed with lidocaine, bupivacaine, or ropivacaine. Potential complications include LAST, recurrent laryngeal nerve paralysis, and Horner’s syndrome.

65 yo M w/ hx of CAD p/w palpitations and the EKG below is obtained. BP is 150/80, other than HR, VS are WNL. The patient is given amiodarone and lidocaine without change in the rhythm. Which of the following treatments could be considered next?

65 yo M w/ hx of CAD p/w palpitations and the EKG below is obtained. BP is 150/80, other than HR, VS are WNL. The patient is given amiodarone and lidocaine without change in the rhythm. Which of the following treatments could be considered next?

Answer: Forced warm air, EKG shows Osborne waves (aka J waves), often seen in the lateral leads, circled below, indicating hypothermia. The magnitude of the waves may be associated with the degree of hypothermia and will improve with rewarming.

An 80 yo M is brought into the ED by EMS after being found unresponsive on his bathroom floor at home. His family called EMS after they hadn’t heard from him in 3 days. Based on the EKG, which of the following is the most appropriate initial tx for the patient?

An 80 yo M is brought into the ED by EMS after being found unresponsive on his bathroom floor at home. His family called EMS after they hadn’t heard from him in 3 days. Based on the EKG, which of the following is the most appropriate initial tx for the patient?