https://empalife.com/procedures daily 0.75 2025-05-23 https://empalife.com/procedures/the-ultrasound-guided-iv-short-axis monthly 0.5 2024-08-28 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/f5311d88-ddeb-4fea-8b44-6271a9c03aee/blind%2BPA.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/e2086733-8c2e-4bf7-a9d6-55d7e24a9b9e/Transverse-short-axis-and-longitudinal-long-axis-view-of-vessels.png Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: Rapid Central Vein Assessment (RaCeVA): A systematic, standardized approach for ultrasound assessment before central venous catheterization. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/711feed0-c3c2-47ad-96f1-2c2262e6f6f6/transverse%2Bvs%2Blongitudinal.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: Ultrasound First, Second, and Last for Vascular Access (definitely worth a read) https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/4fdc37ce-f065-4830-81f3-3c83b5b75030/transverse%2Bneedle.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/9408675d-1735-48db-bd1c-11ab0510c6d4/pythagorean-theorem.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1a5c171e-8e8d-4a81-b8c6-ad8d87f97dbc/Using-short-axis-technique-operator-measures-the-depth-of-vein-from-center-of-the-probe_Q320.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/081be6d4-0f2e-4e86-b89a-1e2b74a3d152/triangle1.gif Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1206820b-0abd-4a18-a195-4f424d849d5f/iv+setup.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: Emedicine Intravenous Cannulation Periprocedural Care https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/2360bd28-cffa-450b-9211-9785e2806567/cephalic+and+basilic.jpeg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: NEJM Ultrasound-Guided Peripheral IV Placement https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/4bc9e437-f321-437c-b2cb-7dd76613a1e4/showing+y+shape.gif Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: ALiEM Techniques for Ultrasound-Guided IV Placement https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/9408675d-1735-48db-bd1c-11ab0510c6d4/pythagorean-theorem.jpg Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/16a2f5dd-140e-4b1a-b88e-4603874f311e/jogging+needle+further+in.gif Procedural Proficiency - Master the Ultrasound Guided IV (short axis) - Make it stand out From: ALiEM Techniques for Ultrasound-Guided IV Placement https://empalife.com/nos daily 0.75 2026-01-14 https://empalife.com/my-peripheral-brain daily 0.75 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/26c93a71-df53-4948-a2df-bf8c2cb5e9ff/bookcover+sherlock.jpg https://empalife.com/my-peripheral-brain/cc-cp-the-history monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/4c9eb2fd-3124-481b-9ee5-2aa4e3b64ebc/Levine+sign.jpg My peripheral brain - CC: CP - the Approach - Make it stand out Is this a Levine sign??? https://empalife.com/my-peripheral-brain/cc-cp-the-stemi monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/b187ae61-0b09-41ac-82e3-02a8268a3133/ekg+gif.gif My peripheral brain - CC: CP - the ECG (STEMI) - ECG The ElectroCardioGram https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/481e7caf-dce8-4733-86d3-f3af3e66137c/ekg+st+elevation.jpg My peripheral brain - CC: CP - the ECG (STEMI) - Make it stand out Figure 8. Electrocardiogram example of ST-segment elevation. The initial onset of the Q wave shown by arrow 1 serves as the reference point and arrow 2 shows the onset of the ST-segment or J-point. The difference between the two identifies the magnitude of displacement. Measurements of both arrows should be made from the top of the electrocardiogram line tracing. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/7d723767-d3d2-4093-9af3-7378616c8fe3/Sgarbossa-criteria-LBBB-Paced-rhythm.jpg My peripheral brain - CC: CP - the ECG (STEMI) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1712253024091-ARV2P09XP4R0AB9EUPV1/ECG-Anterolateral-AMI-STEMI-2.jpg My peripheral brain - CC: CP - the ECG (STEMI) https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1712253023573-T0GTK6Q8VI5DCDV95J1H/ECG-Anterolateral-STEMI-1.jpg My peripheral brain - CC: CP - the ECG (STEMI) https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1712253023204-UAJXTFBZIW0BVDXE63KL/ECG-Inferior-STEMI-Hyperacute-1.jpg My peripheral brain - CC: CP - the ECG (STEMI) https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1712253022543-TPP6ZVEH2W9KNZQMPD4E/ECG-Right-ventricular-infarction-1.jpg My peripheral brain - CC: CP - the ECG (STEMI) https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1712253022436-RATT7P6ZW5J6S7CZ4DGP/ECG-Posterior-AMI-1.jpg My peripheral brain - CC: CP - the ECG (STEMI) https://empalife.com/my-peripheral-brain/cc-cp-the-nstemi monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/def9680f-bced-4bbf-8a1a-17bf2922f860/ECG-of-initial-NSTEMI-showing-T-wave-inversion-in-leads-II-III-aVF-and-V4-6-ECG.png My peripheral brain - CC: CP - the NSTEMI - NSTEMI The non-ST segment elevation myocardial infarction https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/7e223fed-88f3-4bc5-a488-b130783ee6bd/ckmb.gif My peripheral brain - CC: CP - the NSTEMI - Make it stand out Back in MY early days, we were still using total CK and CK-MB and troponin was the new marker - from: Cardiac Troponin I (cTnI) New Generation Cardiac Marker of Choice. Graphical Representation-Levels of Cardiac Markers in AMI. http://www.tulipgroup.com/ Common_New/ Tech_Pubs_PDF/Cardiac.pdf. https://empalife.com/my-peripheral-brain/cc-cp-dont-miss monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/20ce7fce-de6c-4bfe-aee9-186120898119/tension+ptx.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out Don’t wait to get a CXR on a patient with a tension pneumothorax! https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/bba7d426-0ac7-4878-9538-34df836bb249/normallungslide.gif My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/5f126a87-cd48-492d-bc97-d55df56ef3c3/noslide.gif My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/6518788c-5a52-49ad-9b40-ea3a6a6816d5/Widened+mediastinum.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out From https://radiopaedia.org/ https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/353505b3-1eab-4cee-a4b3-da5c20edcb10/CXR-widened-mediastinum-blog.myesr_.org_1.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out Check out CORE EM for more review https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/50493721-38e5-4331-a3c2-9029d944283f/dissection+types.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out More review at http://circ.ahajournals.org/ https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/64fbc104-913b-4145-910e-5da8dd3dd234/ECG-Massive-bilateral-pulmonary-embolus-2.jpeg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out This EKG shows: RBBB, Extreme right axis deviation (+180 degrees), S1 Q3 T3, T-wave inversions in V1-4 and lead III, and Clockwise rotation with persistent S wave in V6 according to the smart authors at https://litfl.com/ecg-changes-in-pulmonary-embolism/. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/a2cbc641-9993-473e-aff4-7c9c240a78ee/ECG-Massive-Pulmonary-embolus-RVH-RV-Strain.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out Acute right ventricular dilatation due to massive PE - https://litfl.com/right-ventricular-strain-ecg-library/ https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/64d8e60d-5b1b-4b96-a9f9-9dfa3eb1d91a/Wells+criteria+for+PE.JPG My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out For more information go to MDcalc.com and Well’s Criteria for PE. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/073333a7-3056-4827-aced-8cfe63cf3cb5/PERC+rule.JPG My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out For more information go to MDcalc.com and PERC score. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/3d2d971f-256d-424c-a8cc-3ba5c99a5dca/Pericardial_effusion_with_tamponade-.gif My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out This is, in my opinion, the easiest bedside echo to interpret with huge ramifications if found. In fact, I'm so keen to find this diagnosis early, that I see value in teaching paramedics to pick it up in the field. See my review article, The Future of Ultrasound in Prehospital Resuscitation. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/4307375a-c270-44e1-b069-6e58c4c32f9f/success_baby.jpg My peripheral brain - CC: CP - the Don’t miss Diagnoses - Make it stand out You did it!!! You considered life-threatening causes of CP. https://empalife.com/my-peripheral-brain/cc-cp-undifferentiated monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/2dc95444-624c-407b-aaf5-4da245c6fde7/doctor-scratching-head-tuyfd7wmhuskxerh.gif My peripheral brain - CC: CP - Undifferentiated - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1c9da0c7-e320-4d56-a69a-905861b17d67/chest-pain-causes-list.png My peripheral brain - CC: CP - Undifferentiated - Make it stand out Fairly exhaustive list, but somewhat impractical to clinical application with causes such as trauma and food impaction not likely to be missed with an actual history and exam. https://empalife.com/my-peripheral-brain/cc-cp-other-causes monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/f3fc2005-87d6-46c6-a07c-fdda1249645c/cp+ddx.jpeg My peripheral brain - CC: CP - other important Dx to Document - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://empalife.com/my-peripheral-brain/cc-cp-the-vital-signs monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/900ff96f-0fca-499f-8718-29095c21d44e/vital+signs.jpg My peripheral brain - CC: CP - the VS - Make it stand out From: https://healthcare.utah.edu/the-scope/health-library/all/2017/06/why-vital-signs-are-important-er-doctors https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/af602b79-11c5-4ad0-be9a-6a4f4bbdd080/pressure-causes-differential-pulse-diagnosis-76-original.jpeg My peripheral brain - CC: CP - the VS - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://empalife.com/my-peripheral-brain/cc-cp-the-hx monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/d18055f2-133b-4608-bb62-85917938b247/lf-chestpain-featured.jpg My peripheral brain - CC: CP - the Hx - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/7f498c46-948b-4e24-9502-404b8cf746b4/Chest-Pain-1024x576+Rebel+EM.png My peripheral brain - CC: CP - the Hx - Make it stand out Salim Rezaie, "Chest Pain: What is the Value of a Good History?", REBEL EM blog, November 1, 2013. Available at: https://rebelem.com/chest-pain-value-good-history/. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/5077ac33-bedd-4819-b1f9-633733e0ebae/CP+history+studies.JPG My peripheral brain - CC: CP - the Hx - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/f64e43bc-dadb-48a2-9252-bc139f852829/CP+studies+bottom+line.JPG My peripheral brain - CC: CP - the Hx - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1720200454274-NJ5R3WU94L84TIF51RQI/HEART+score.JPG My peripheral brain - CC: CP - the Hx https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1720199755635-XOWROA5Y5BXBHRNEWIVU/perc-rule-mdcalc_orig.png My peripheral brain - CC: CP - the Hx https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1720199759799-0JP6BLEC4DII4UEPGOSK/wells-criteria-for-pe-mdcalc_orig.png My peripheral brain - CC: CP - the Hx https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/b3d26305-56d7-430a-80fc-f9f47631fbc3/i+dont+know+office.gif My peripheral brain - CC: CP - the Hx - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://empalife.com/my-peripheral-brain/cc-cp-the-pe monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/a3a9c318-593e-4d3c-aa31-1c93aaac3bdc/PE+template.jpg My peripheral brain - CC: CP - the PE - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/2d305024-544c-4cf1-b94b-6ee7bca56cb2/Clinical-findings-of-affected-individuals-with-isolated-congenital-nail-clubbing-ICNC.png My peripheral brain - CC: CP - the PE - Make it stand out Those changes are congenital, Dr. House! https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/20ce7fce-de6c-4bfe-aee9-186120898119/tension+ptx.jpg My peripheral brain - CC: CP - the PE - Make it stand out This patient is dying while waiting for a chest x-ray to be taken! https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/4cb1adac-64ea-4b21-ac84-aa817874562a/dirty+work.gif My peripheral brain - CC: CP - the PE - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/019f11a8-07c2-465c-9519-ae952df4ee6a/Jugular_Venous_Distention_%28JVD%29.jpg My peripheral brain - CC: CP - the PE - Make it stand out This is JVD - you can look at your patient’s neck and get clues about what their heart and lungs might sound like! https://empalife.com/my-peripheral-brain/cc-cp-mdm monthly 0.5 2026-02-23 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/63cdccdd-606a-4774-b05a-5e3238d89155/Negligence.jfif My peripheral brain - CC: CP - MDM Documentation - Make it stand out An act or failure to act by a medical professional that deviates from the accepted medical standard of care. https://empalife.com/my-peripheral-brain/hhs monthly 0.5 2024-09-06 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/24fdfdfb-417a-469a-a8fa-d31fe70e3f9d/Hyperglycemic%2BHyperosmolar%2BNonketotic%2BComa.jpg My peripheral brain - HHS - Make it stand out From: https://prepareformedicalexams.blogspot.com/2017/07/hyperglycemic-hyperosmolar-nonketotic.html https://empalife.com/my-peripheral-brain/dka monthly 0.5 2024-09-06 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/747bf6ac-ae01-4c7a-ae55-a4bce440344d/DKA+v+HHS.gif My peripheral brain - DKA - Make it stand out From: https://www.medscape.com/viewarticle/421556_1?form=fpf https://empalife.com/my-peripheral-brain/0pfzo44evccoqwgd320fc3qu0mlsn3 monthly 0.5 2026-01-11 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/1702851630340-OGFJEO8CD6D4MSFER4H4/I+have+an+epipen.jpeg My peripheral brain - Anaphylaxis - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/5f247260-fd95-4164-a6bc-0c1b95fff99f/Epibag.jpg My peripheral brain - Anaphylaxis - Make it stand out The Dirty Epi Drip: IV Epinephrine When You Need It https://empalife.com/my-peripheral-brain/cc-cp-putting-it-all-together monthly 0.5 2026-02-23 https://empalife.com/my-peripheral-brain/cc-cp-not-sued monthly 0.5 2026-02-23 https://empalife.com/my-peripheral-brain/category/Allergy monthly 0.5 https://empalife.com/my-peripheral-brain/category/Orthopedics monthly 0.5 https://empalife.com/my-peripheral-brain/category/Chest+Pain monthly 0.5 https://empalife.com/my-peripheral-brain/category/Infectious+Disease monthly 0.5 https://empalife.com/my-peripheral-brain/category/Endocrine monthly 0.5 https://empalife.com/my-peripheral-brain/category/CC%3A+Series monthly 0.5 https://empalife.com/my-peripheral-brain/tag/CC%3A+Chest+pain monthly 0.5 https://empalife.com/my-peripheral-brain/tag/chest+pain monthly 0.5 https://empalife.com/my-peripheral-brain/tag/CC+series monthly 0.5 https://empalife.com/expert-edge daily 0.75 2026-02-23 https://empalife.com/expert-edge/the-easy-ij-rapid-venous-access-in-critical-care monthly 0.5 2026-01-13 https://images.squarespace-cdn.com/content/v1/64e7a81e6db6f015b0afc9d9/865bf7c1-a7aa-47cd-8d02-4e8fa0cd86c9/Gray558+internal+jugular.png Expert Edge - The Easy-IJ: Rapid Venous Access in Critical Care - Make it stand out Zervikale Venen von vorne in der anatomischen Zeichnung von Henry Gray. 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