Middle age male presented to the freestanding ED with shoulder pain. ACS was the top differential until the team took a look at the suprasternal aortic arch view and found a dissection flap.

An elderly woman presented with altered mental status, hypotension and hypoxia. Bedside ultrasound pointed the team in the right direction towards making the diagnosis of PE. 

Sore throat for a few days, difficulty swallowing, fever. Clinical exam was consistent with peritonsillar abscess. Ultrasound was used to help estimate the depth of surrounding structures so the team could successfully drain the abscess bedside. You can see the needle being inserted directly into the abscess in this clip.

Elderly man came in from a local nursing home for altered mental status. On exam, had an enlarged, erythematous and tender scrotum. Ultrasound showed a hydrocele with septations, concerning for pyocele. Thanks to the quick work of the ED resident, the patient was given IV antibiotics and admitted for treatment of his sepsis. 

A middle-aged female came in with abdominal pain in the RUQ. Bedside ultrasound made the diagnosis of cholecystitis, with a thickened gallbladder wall, small gallstones, pericholecystic fluid and a positive sonographic Murphy sign.

Young adult female came in with abdominal pain and near syncope. She was found to be hypotensive so the team quickly did a FAST and pelvic ultrasound, showing a large volume of blood and an adnexal ectopic pregnancy. She was taken to the OR emergently and did very well.

Teenage boy with testicular pain. POCUS shows no flow. Successfully detorsed at the bedside by the EM resident, flow returned on repeat scan.

Teenage boy with a deep laceration to the medial calf after a motor vehicle accident. An adductor canal block of the saphenous nerve was performed to anesthetize the area for copious irrigation and wound repair.

Middle age male with blunt head trauma complaining of worsening blurry vision. POCUS revealed abnormal, opacified lens and he was diagnosed with traumatic cataract. Diagnosis was confirmed by ophthalmology.

An elderly woman presented with constipation and abdominal pain. The ultrasound team was able to confirm the suspected diagnosis of SBO at the bedside before the CT was performed.

Note the dilated, fluid filled loops of small bowel, abnormal peristalsis, and free fluid (tanga sign).

A woman presented at approximately 9 weeks pregnant with abdominal pain, vomiting and vaginal bleeding. Bedside ultrasound showed the classic "snowstorm" appearance of a molar pregnancy.

A middle aged patient with history of IVDU presented with altered mental status and respiratory failure requiring intubation. XR and CT imaging showed multiple airspace opacities throughout the lungs and multiple lesions in the brain. Bedside ultrasound showed large vegetations on the mitral and tricuspid valves, consistent with infective endocarditis. 

A young adult female presented with lower abdominal pain. She had been diagnosed with chlamydia about 1 month before but was unable to take the prescribed antibiotics. Bedside ultrasound showed a complex cystic adnexal structure, concerning for tubo-ovarian abscess. 

A middle aged patient presented with shortness of breath, orthopnea and edema. Bedside echo showed significantly decreased ejection fraction as well as a hyperechoic area in the apex. Formal echo confirmed the POCUS findings - EF of 10% and an apical LV thrombus.

A young adult patient with history of kidney stones presented with abdominal pain and hematuria. Bedside ultrasound showed normal kidneys without hydronephrosis, and a stone at the UVJ demonstrating twinkle artifact.

An older male patient presented with 6 months of persistent pain after having Shingles. The ED team provided him complete relief of his pain with an erector spinae plane block. Image shows the needle entering toward the transverse process, where long acting local anesthetic is then injected. 

Male patient presented with urinary retention and penile pain. Found to have a stone partially obstructing his urethra. ED team attempted US guided stone removal using a foley catheter.

A child presented after falling onto an outstretched hand, complaining of elbow pain and limited range of motion. XRay was performed and read as negative. Ultrasound of the posterior aspect of the elbow demonstrated an elevated fat pad, suggestive of an occult supracondylar fracture.

An elderly patient presented for altered mental status and hypotension. Bedside echo revealed the underlying cause. 

Parasternal short (top clip) shows RV enlargement and septal bowing, known as the D sign.

Subxiphoid view (bottom clip) you can see the clot in transit!

Diagnosis confirmed by CTA: Bilateral large pulmonary emboli