Avoiding a Pitfall of Biliary Ultrasound: Understanding Wall-Echo-Shadow (WES) Sign

40 year old female with normal vital signs and a chief complaint of right upper quadrant abdominal pain associated with nausea and vomiting. She has never had this pain before. She has no past medical and no past surgical history. She denies vaginal and urinary symptoms. She undergoes right upper quadrant ultrasound which confirms the diagnosis…

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Hypothermic Cardiac Arrest

An unknown age male, estimated 30 years old, is brought into the emergency department by emergency medical services in cardiac arrest. He was found unresponsive on a park bench outside on a cold night. When EMS arrived he was noted to be very cold with no palpable pulse, spontaneous respirations, or response to sternal rub. A supraglottic airway was placed but they were unable to establish IV access. They performed 30 minutes of chest compressions and brought him to the emergency department on a LUCAS device…

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Scalpel…Finger…Glock: Medical Support of Law Enforcement Tactical Teams

Over the last three decades, the spectrum of crime in the United States has posed a dynamic challenge to law enforcement, with an increasing prevalence of violent incidents involving assault weapons, domestic terrorism, and often mass casualties. To meet the demand of these emerging situations, law enforcement agencies have formed groups of officers with specialized equipment and training, capable of handling these unique threats affecting both law enforcement and the general public…

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