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EM Procedure Resources for Medical Students

En lånad sida från Cordemblog https://cordemblog.wordpress.com/2018/04/05/em-procedure-resources-for-medical-students/

AUTHORS: LINDA KATIRJI MD, PGY-3 AT UNIVERSITY OF KENTUCKY EMERGENCY DEPARTMENT AND ADAM KELLOGG, MD, ASSOCIATE PROGRAM DIRECTOR AT UMMS-BAYSTATE ON BEHALF OF THE CORD EM STUDENT ADVISING TASK FORCE (SATF)

Procedures you may see, but are unlikely to get to do…yet:

Ultrasound resources

There is no doubt that ultrasound competency is a cornerstone of the practice of Emergency Medicine. Mastering ultrasound is imperative during residency, however exposure and training still varies widely between medical schools. Most EM programs will likely not expect you to be a master of the ultrasound, however having some previous exposure to the basic concepts and frequent studies performed in the ED will decrease the learning curve and earn the student more opportunities.

Basic Ultrasound – 5 Min Sono – Knobology

  • A basic introduction to the buttons and settings on the ultrasound as well as the different probes and when you might use each one.

FAST  – 5 Min Sono – FAST, ALiEM Cards – FAST

  • This is likely the most common ultrasound that rotating medical students might be asked to perform – if you pick one study to be proficient at for a rotation – choose this one!

Cardiac – 5 Min Sono – Cardiac Windows, Pericardial Effusion, Pericardial Tamponade, Cardiac Function, Right Heart Strain

ALiEM Cards – Focused Echo

  • Cardiac  ultrasound may be one of the more difficult studies for medical students to master. However, in the ED cardiac ultrasound can quickly narrow down a differential diagnosis and guide / change therapy.

PIV placement – 5 Min Sono – Ultrasound Guided IV and Ultrasound Podcast – Ultrasound Guided IV.

  • Peripheral IV placement is an easy way to really help out with patient care in the ED as a medical student. Using the ultrasound adds a new level of complexity to peripheral IV placement, but if you can master it, you will be able to place an IV in almost anyone.

Ultraljudsguidad fascia iliaca blockad: – NYSORA ultrasound guided fasciailica block 

Ultrasound assisted IJ placement – Ultrasound Podcast – Ultrasound Assisted IJ Placement.

  • Standard of care is now IJ placement with ultrasound assistance. You may have an opportunity to place a central line on your rotation, and if you are comfortable with the ultrasound aspect before hand it will make the procedure much easier.