Using lung #POCUS during a COVID surge
Recognizing a (?) rare presentation of severe preeclampsia
The central importance of racism in American health.
And an injunction to vote to save lives.
(Full, enthusiastic pt permission)
1/20
30s woman, had a C-section 7 days ago, discharged feeling fine
Now in the ED with a severe headache, and marked marked HTN.
LFTs up
Hx of preeclampsia with a prior pregnancy, so … Dx made?
2/20
Well, she *also* has dyspnea on exertion, orthopnea, and peripheral edema.
This is at the height of our COVID surge in the spring, mind you.
PCR is (-), but the CXR …
3/20
Critically hypoxic patient came in early AM.
Incomplete story, but ?COVID from the patch.
Medic starting to move pt to resus room bed
Nurses/techs assembling outside room, getting PPE
It seemed like there was a note of ... concern? preoccupation? that i hadn't seen earlier in the night
I stopped everyone.
"Guys listen. Important.
That guy* does not look good. They could arrest right now, totally possible."