Conference Notes 12/17

  • Do not have to start in the RUQ for eFast every time
  • If eFast is possible in one view, do not have to continue to all views
  • When looking for pneumothorax: Lung slide, lung point, lung pulse, B lines
    • Lung slide- no ptx when present, possible when absent
    • Lung point- ptx when present, no ptx when absent
    • Lung pulse- no ptx when present, maybe ptx when absent
    • B lines- no ptx when present
  • Serratus block- anterior and lateral ribs, no posterior ribs
  • Local anesthetic systemic toxicity
    • Perioral numbness, metallic taste, muscle twitching, seizures, unconsciousness, bradycardia, AV block, tachyarrythmia, hypotension, cardiac arrest
    • Treatment- intralipid