Point-of-Care Ultrasound
University of Toronto
A 57 year old woman presented to the ED with left leg pain and swelling for a week. She had no past medical history, and no risk factors for DVT. On examination there was a palpable superficial cord running along the medial leg from the knee to the groin. This cord was erythematous, warm and tender. A point-of-care ultrasound was performed to examine the region and to assess for DVT.
It was 10pm on a busy shift in the emergency department. A 69 year-old man presented with sudden onset retrosternal chest pain radiating to his back. The pain lasted an hour and then resolved spontaneously. He drove himself to the ED for assessment. His initial ECG at triage was normal.
While in the ED, he developed severe back pain and diaphoresis. His ECG revealed evidence of an inferior myocardial infarction with ST elevation in AvR.
An aortic POCUS was performed which revealed the following:
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