File:UOTW 15 - Ultrasound of the Week 3.jpg

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UOTW_15_-_Ultrasound_of_the_Week_3.jpg(792 × 166 pixels, file size: 47 KB, MIME type: image/jpeg)

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English: :This is a 65 y/o WM who has a history of paroxysmal atrial fibrillation and CHF presents via EMS with lethargy, weakness and intermittent syncope.  The family found a mostly empty bottle of digoxin in his apartment.  Vitals: 24 75/25 6 99% RA.  You are handed the following 12 lead ECG by EMS:
File:UOTW 15 - Ultrasound of the Week 2.jpg
The decision is made to begin transcutaneous pacing the patient.  The pads are placed and the pacing mode is selected.  You are convinced you feel a pulse, and the following ECG strip is obtained:
File:UOTW 15 - Ultrasound of the Week 3.jpg
But the patient remains unconscious.  You obtain the following ultrasound.  What is the cause of the patient’s continued poor clinical status?
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https://d25ixnv6uinqzi.cloudfront.net/post_files/uotw15.3.jpg

Blog post: https://www.ultrasoundoftheweek.com/uotw-15/
Author Ben Smith
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current07:22, 9 May 2017Thumbnail for version as of 07:22, 9 May 2017792 × 166 (47 KB) (talk | contribs)== {{int:filedesc}} == {{information | description = {{en|1= :This is a 65 y/o WM who has a history of paroxysmal atrial fibrillation and CHF presents via EMS with lethargy, weakness and intermittent syncope.  The family found a mostly empty bottle of...