Dr. Parsley, good to have you in the club.
New member
How to not screw up your DVT studies
There are some mistakes that learners commonly make as they are getting the hang of lower extremity DVT ultrasound. Here are some that I see them make when imaging the femoral vein:
- Mistaking the greater saphenous vein for the femoral vein
- Having the probe too distally and not seeing the point where the saphenous joins the common femoral vein
- Finding an image of the femoral vein and thinking it is the common femoral vein
- Not recognizing that they did not actually see the deep femoral vein
- Checking boxes in the “Views Obtained” section of their Qpath worksheet of images they did not actually obtain. Sometimes this is clerical; other times this represents a knowledge gap.
Is this a STEMI? – answer
Is this a STEMI?
There is clearly ST elevation in leads V1-V3. Are we activating the cath lab based on this EKG?
Unity Reunion in Boston
Reunited and it feels so good. It’s great to see some of our graduates crossing paths at the ACEP Scientific Assembly. Don’t forget us little people as you move around the country doing bigger and better things. Keep in touch, guys!!
EKG answer
Wellens’ syndrome it is. (For completeness sake, Dr. Wellens has an “s” a the end of his name – it is not “Wellen’s syndrome” it is “Wellens’ syndrome.” And, whether one should use the apostrophe or not with an eponymous syndrome is debatable. Some sources omit it completely: “Wellens Syndrome” but not “Wellen syndrome” – I feel better now that that’s off my chest.)
Continue readingDr. McKay, welcome to the Champagne Club!
What do you think about this EKG?
SII images not crossing over to Qpath on the correct day – mystery solved!!
The workaround for this problem is to ‘end’ an exam before you save any images. That resets the clock and your study should cross over on the correct day. It does not save an ’empty study’ and no file without any images are sent to qPath. It’s a freebie. I’d recommend doing that. It will make your images much easier to find in qPath.
Continue reading
Searcy EM 