Podcast 836: Humming to get EJ

Podcast 836: Humming to get EJ

Contributor: Jared Scott, MD

Educational Pearls:

  • Two conventional ways to aid in external jugular vein (EJ) catheter placement are Trendelenburg's position and Valsalva's maneuver by patient
  • One study compared ultrasound visualization of cross sections of EJ and common femoral vein at baseline and with patients in Trendelenburg's position, Valsalva's maneuver, and while humming
  • The study found all three conditions distended the veins from baseline, but there was no significant difference in diameter between the conditions
  • Humming may be a viable technique in distended EJ for catheter placement, and may be easier for patients to comprehend than Valsalva

References

Lewin MR, Stein J, Wang R, et al. Humming is as effective as Valsalva's maneuver and Trendelenburg's position for ultrasonographic visualization of the jugular venous system and common femoral veins. Ann Emerg Med. 2007;50(1):73-77. doi:10.1016/j.annemergmed.2007.01.024

Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/

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Podcast 826: STEMI Equivalents

Podcast 826: STEMI Equivalents

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Podcast 825: ALS vs PD Transport

Podcast 825: ALS vs PD Transport

Contributor: Aaron Lessen, MD Educational Pearls: In urban settings, it is becoming more common for police to transport critical patients from scene to hospital A 2022 multicenter observational study...

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Podcast 824: Catheter-Related Blood Infections

Podcast 824: Catheter-Related Blood Infections

Contributor: Travis Barlock, MD Educational Pearls: Catheter related blood infections were thought to be caused by skin flora seeding the catheter. Thus, significant effort is applied to sterility an...

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Podcast 823: Immediate Resuscitative Thoracotomy

Podcast 823: Immediate Resuscitative Thoracotomy

Contributor: Jared Scott, MD Educational Pearls: Immediate resuscitative thoracotomy can be performed in the ED to gain rapid access to the thoracic cavity in cases of traumatic cardiac arrest Wester...

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Podcast 822: Meralgia Paresthetica

Podcast 822: Meralgia Paresthetica

Contributor: Aaron Lessen, MD Educational Pearls: Lateral Cutaneous Femoral Nerve Entrapment Syndrome, also known as Meralgia Paresthetica, results from entrapment of the lateral cutaneous femoral ne...

18 Loka 20223min

Podcast 821: EKGs in Syncope

Podcast 821: EKGs in Syncope

Contributor: Travis Barlock, MD Educational Pearls: An EKG should be obtained quickly after a syncopal event to identify possible life-threatening causes such as ischemia and arrhythmia WOBBLER is a...

17 Loka 20224min

Podcast 820: Who Qualifies for Take-Home Naloxone

Podcast 820: Who Qualifies for Take-Home Naloxone

Contributor: Don Stader, MD Educational Pearls: Home naloxone is traditionally given to those at high risk for opioid overdose such as those in the ED due to an opioid overdose, opioid intoxication, ...

11 Loka 20224min

Podcast 819: Indiscriminate Lactate Testing

Podcast 819: Indiscriminate Lactate Testing

Contributor: Jared Scott, MD Educational Pearls: Elevated lactate levels can be a useful indicator of critical illness in patients who meet SIRS criteria Lactate can also be elevated due to ot...

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