Emergency Medicine Journal

NOVEMBER 28, 2023

Background During closed reduction of displaced distal radius fractures, physical examination is used to determine the need for further manipulation before radiographic confirmation and cast application. Manipulation performed under ultrasound guidance has the potential to decrease the number of reduction attempts. to 6.45).

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

Cook County EM Blog

MARCH 28, 2023

On point-of-care ocular ultrasound of the affected eye using the linear probe a round, mobile structure was noted in the posterior chamber with an absence of the lens in its typical position, consistent with posterior lens dislocation. OMFS was consulted for multiple facial fractures for which patient was set up to follow up in clinic.

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

PHEM Cast

JULY 27, 2021

Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound work? Want to know how to use ultrasound? Intensive Care Med 2010; 36: 1475-83.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

Broome Docs

SEPTEMBER 9, 2023

In this episode we do a deep dive into the BUCKLED trial that looked at the use of bedside ultrasound vs. plain film X-rays for the initial investigation of paediatric forearm fractures. Bottom line: ultrasound appears to be non-inferior to X-ray when used as a first line investigation in terms of functional, patient-oriented outcomes.

Fractures 120

Fractures Ultrasounds Outcomes 120

Emergency Medicine Journal

SEPTEMBER 27, 2023

Plain radiography of her right clavicle ( figure 1 ) revealed a comminuted right clavicular fracture with a coracoclavicular distance of 7 mm. Thus, the ultrasound machine was brought to the bedside in anticipation of. Given her personal history with opioids, the patient declined narcotics but was in severe acute pain.

Fractures 40

Fractures Ultrasounds 40

Emergency Medicine Journal

JULY 24, 2023

Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may still receive unnecessary radiographs. Ultrasound could be a reliable, cheap and radiation free alternative to diagnose fractures and ligamentous injuries. No restrictions were applied for date and language.

Ultrasounds 40

Ultrasounds Fractures Outcomes 40

Downeast Emergency Medicine

FEBRUARY 9, 2022

Bedside musculoskeletal ultrasound of his knees was performed. Credits: Andrew fried, md His left (normal) knee is shown below: Labeled combined still frames of the above ultrasound pointing out landmarks That should BE noted on every knee ultrasound. Sensation to light touch is intact distally.

Ultrasounds 52

Ultrasounds Fractures Operations Emergency Department 52

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

The Skeptics' Guide to EM

DECEMBER 10, 2022

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. X-rays demonstrate a minimally displaced midwaist fracture of the scaphoid. The LR- to rule out a scaphoid fracture was 0.15

Operations 52

Operations Fractures Military Emergency Department 52

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? and get 20% of all orders at [link] Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?*

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Ultrasound Gel

APRIL 15, 2019

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Ultrasound is great for finding fractures, but what about being able to guide the reduction? link] Fractures of the distal radius are pretty common among people who choose not to break their fall with their face.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

Emergency Medicine Cases

FEBRUARY 25, 2020

Which proximal humerus fractures are likely to require surgical management? When is an ultrasound of the shoulder indicated and how should they be interpreted? What are the surgical indications for clavicle fractures? Which shoulder injuries require a simple sling vs Velpeau sling vs collar and cuff vs sugar tong splint?

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

Emergency Medicine Journal

JULY 24, 2023

However, Deutekom et al present a systematic review of studies evaluating the diagnostic accuracy of ultrasound for ankle injuries. First, plain radiographs do not detect all fractures around the ankle. 1 Why should we consider another diagnostic modality for such a straightforward injury? There are three good reasons.

Fractures 45

Fractures Ultrasounds Emergency Department 45

Mount Sinai EM

AUGUST 13, 2023

Background Hip fractures are a very frequent presentation, even in non trauma centers. Adequate pain control, and early surgical treatment and mobilization are the main goals of hip fracture treatment; to reduce complications including infections, DVT and delirium.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

ACEP Now

MARCH 15, 2024

3 Tenderness over the distal radial metaphysis after wrist injury is strongly suggestive of a distal radius fracture despite normal plain radiographs and fluoroscopic images. Children and older adults have weaker long bones than young adults and are more likely to sustain a distal radius fracture after a FOOSH than a carpal bone injury.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Emergency Medicine Cases

JULY 17, 2018

In this month's POCUS Cases Dr. Rob Simard explains the role of POCUS in distal radius fracture diagnosis and reduction, how to troubleshoot finding the echogenic line that represents the shaft of the radius, and the limitations of using POCUS for distal radius fractures.

Fractures 52

Fractures Ultrasounds EMS 52

EMDocs

AUGUST 12, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Open Fracture. The athlete’s hand: ligament and tendon injury. Semin Musculoskelet Radiol. 2012;16(4):338-349. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823. doi:10.1097/MD.0000000000017823

EMS 68

EMS Fractures Operations Ultrasounds 68

ALiEM

APRIL 14, 2023

Justin Morgenstern, MD 28 Nov 2022 HM DFTB Regional nerve blocks module Nicola Mulrooney, MD 7 Dec 2022 HM EM Docs Ultrasound Guided Regional Anesthesia for Hip Fractures Olivia Victoriano, MD and Jacob Avila, MD 5 Dec 2022 HM Core EM Ultrasound Guided Lumbar Punctures Aaron Bola, MD 31 Mar 2022 HM (AIR = Approved Instructional Resource; HM = Honorable (..)

EMS 98

EMS Ultrasounds Academics Fractures 98

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Open Fracture. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823.

EMS 76

EMS Fractures Soft Tissue Injuries Ultrasounds 76

EM Curious

JULY 10, 2015

By Michael Macias Welcome to the Ultrasound Leadership Academy (ULA) summary blog series. This week, we discuss the basics of shoulder ultrasound. If you want to learn more about the program you can visit Ultrasound Leadership Academy or Ultrasound Podcast to see more from the hosts of this awesome program.

Leadership 52

Leadership Ultrasounds Dislocations Fractures 52

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 69

Fractures Dislocations Operations Radiology 69

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Ultrasound is usually the first line imaging modality for diagnosing acute biliary disease.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

ACEP Now

OCTOBER 15, 2023

Fracturing the larynx requires considerable force, and the great majority of fractures are from blunt high-velocity trauma. Is there an open neck wound or palpable cartilage fracture? Reconstructive computed tomography can assess the laryngeal framework to avoid missing laryngeal fracture and, hopefully, long-term comorbidities.

Fractures 52

Fractures Dislocations Airway Management Operations 52

ACEP Now

MAY 4, 2023

Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows). The chest X-ray showed multiple displaced right rib fractures and chest wall subcutaneous emphysema without definitive evidence of a pneumothorax, as well as right lower lobe atelectasis versus contusion (Figure 1). Click to enlarge.) Click to enlarge.) Click to enlarge.)

EMS 52

EMS Fractures Operations Ultrasounds 52

Ultrasound Gel

JULY 8, 2019

In October 2018, an all-star group met during the Irish Association for Emergency Medicine annual conference to talk about point-of-care ultrasound. In part 1 of 2, the group talks about the landmark original SHoC-ED trial and performing the erector spinae plane block for rib fractures.

Fractures 52

Fractures Ultrasounds 52

RebelEM

JANUARY 24, 2024

Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7

Operations 74

Operations Ultrasounds Outcomes Fractures 74

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market. This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

ALiEM

FEBRUARY 28, 2024

Both bone forearm fracture with dorsal displacement AP. Trick of the trade: getting the last bit of ultrasound gel from the bottle. (if available). Example: Mason J. Accessed February 20, 2024. CorePendium. Blogs Last Name First Initial. Article Title. Blog Title blog. Date Published. Date Accessed. Example: Park A.

Radiology 52

Radiology Radiology Academics EKG/ECG 52

RebelEM

APRIL 29, 2024

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. This study also showed the median time for IO placement was only 1.2 minutes compared to a mean placement time of 10.7 minutes CVC group.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

ACEP Now

MAY 9, 2024

6 The increasing mortality rate led to an additional emergency regulation in 2022 requiring the consenting physician to perform the critical steps of the case, limiting surgeons to three cases per day, and mandating continuous, recorded ultrasound guidance for gluteal AFT procedures. References Garcia SE. Butt Lifts Are Booming.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

ACEP Now

FEBRUARY 11, 2024

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. FIGURE 1B: Ultrasound image with labeled relevant anatomy.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

RebelEM

SEPTEMBER 21, 2022

REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Ultrasounds 52

Ultrasounds EMS Fractures 52

Don't Forget the Bubbles

OCTOBER 4, 2023

In this issue of the Archives , we read a large retrospective study about gastric acid suppression in infancy and the increased risk of fractures. The intriguing finding of this study was the fact that non-fracture injuries increased, which could suggest that another factor (the temperament of the child rather than gastrin or VitB metabolism?)

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

The Skeptics' Guide to EM

MARCH 15, 2019

You have a colleague in the room who is proficient at ultrasound and asks if there is a role for bedside ultrasound in this situation. SGEM#197 : Die Trying – Intubation of In-Hospital Cardiac Arrests * SGEM#186 : Apneic and the O, O, O2 for Rapid Sequence Intubations * SGEM#75 : Video Killed Direct Laryngoscopy?

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66