Ultrasound Gel

FEBRUARY 1, 2021

So far we know that point-of-care lung ultrasound is accurate for the diagnosis and even that extent of sonographic findings can correlate with the severity of disease. So far we know that point-of-care lung ultrasound is accurate for the diagnosis and even that extent of sonographic findings can correlate with the severity of disease.

Ultrasounds 52

Ultrasounds 52

Ultrasound Gel

MARCH 4, 2019

Many ultrasound enthusiasts have been using point of care ultrasound to assist in the diagnosis of acute decompensated heart failure, but it has not been widely adopted. It has been shown by many studies that ultrasound can visualize pulmonary edema easily so that treatment can be started quickly.

Ultrasounds 52

Ultrasounds Wellness 52

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Another trial found the utilization of PoCUS of the heart, lung, and legs’ deep veins improved the diagnostic accuracy in patients with dyspnea from 60% to 90% when done within 4 hours of arrival [5]. Emerg Med J.

Ultrasounds 114

Ultrasounds Outcomes COPD Hospitals 114

Pediatric EM Morsels

MAY 10, 2024

Pulmonology Listen for locality in the anterior, lateral and posterior lung fields Diminished? Ultrasound diagnosis of occult pneumothorax. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J. Cardiac Murmurs, gallops or rubs?

EKG/ECG 219

EKG/ECG Pediatrics Ultrasounds Seizures 219

Emergency Medicine Journal

MAY 23, 2023

Background Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and there is an established evidence base across a range of respiratory diseases, including previous viral epidemics.

Ultrasounds 52

Ultrasounds Operations Research Hospitals 52

Taming the SRU

MAY 27, 2024

The pleural cavity is a potential space between the lung and chest wall. Within this cavity there is trace fluid (10-20 mL) that serves as a lubricant between the lung and musculoskeletal structures during inhalation and exhalation. Overview - what is a pleural effusion and how can i fix it?

Emergency Department 76

Emergency Department Ultrasounds Radiology Radiology 76

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana.

Ultrasounds 209

Ultrasounds Pediatrics Operations EMS 209

EMDocs

MAY 28, 2024

ACS is lung injury due to vaso-occlusion in the pulmonary vasculature; many with ACS will have a concomitant vaso-occlusive pain crisis. Ultrasound Sensitivity 88-100%, specificity 68-94% LR+ of 14.6 (95% Use lung protective ventilation Tidal volume 6 ml/kg Peak airway and plateau pressures < 30 cmH 2 O.

Blood Transfusions 74

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 74

EMDocs

MAY 15, 2024

ACS is lung injury due to vaso-occlusion in the pulmonary vasculature; many with ACS will have a concomitant vaso-occlusive pain crisis. Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% 10-20% of patients admitted for a pain crisis develop ACS ACS accounts for 25% of deaths in SCD patients.

Blood Transfusions 77

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 77

Downeast Emergency Medicine

FEBRUARY 14, 2023

Credits: Andrew fried, md A point-of-care lung ultrasound is performed, with the following findings on the left lung fields. Point of Care Ultrasound of the Left Lung Fields. Point of Care Ultrasound of the Left Lung Fields. Want to learn more about Lung Ultrasound? Am J Med Sci.

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 52

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Rib fractures can cause lung splinting and therefore, pain management is a very important part of the management of rib fractures.

Fractures 75

Fractures Ultrasounds Emergency Department CDC 75

Emergency Medicine Journal

OCTOBER 26, 2023

On examination, his trachea was shifted towards right side and there was decreased air entry on right lung. Chest X-ray ( figure 1 ) and point of care ultrasound were performed ( figure 2 ). Question What is the tubular structure seen in the ultrasound image?

Ultrasounds 40

Ultrasounds Emergency Department 40

Pediatric Education

FEBRUARY 4, 2024

A right-sided suprarenal mass had been identified on routine ultrasound during the third trimester that was thought to likely be an adrenal hemorrhage. His heart and lungs were normal. Over months this mass was noted to decrease in size and disappear on serial ultrasound exams. The diagnosis of a healthy male was made.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

Greater Sydney Area HEMS

DECEMBER 3, 2023

Show notes: Reference on pulmonary embolism : [link] Reference on pulmonary contusion: [link] Reference on pulmonary contusion lung ultrasound : [link] See some show notes below for more resources. Thanks for listening!

Burns 52

Burns Shock Ultrasounds 52

Taming the SRU

FEBRUARY 7, 2024

Ultrasound: Make “windows of access”. Lung and heart views are most critical in HEMS as they determine interventions that change patient care. Keep your upper chest and sternum clear. Chest down E-FAST is an efficient and faster way to find these intervention needing pathologies.

Administration 87

Administration PPE Ultrasounds Poisoning 87

EMDocs

FEBRUARY 26, 2024

She is dyspneic with a respiratory rate of 31 bpm, SPO 2 of 86% on room air (RA), and has equal air entry in both lungs with no adventitious breath sounds. 2 Before the routine implementation of prophylactic measures against PJP, the incidence of infection in lung transplant patients was up to 88%. g/dL) and marked lymphopenia.

Radiology 86

Radiology Radiology Outcomes Ultrasounds 86

PulmCCM

FEBRUARY 5, 2024

Ultrasound Is Upvoted The panel weakly suggested bedside ultrasound for patients with fever and an abnormal chest radiograph, but only if an expert is available to interpret the often complex or borderline results. Ultrasound can quickly and more accurately identify significant biliary disease (e.g.,

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Don't Forget the Bubbles

MAY 28, 2024

The baby takes their first breath, replacing fluid in the lungs with air (usually without help or support). Then, the closure of fetal circulatory shunts, such as the foramen ovale and ductus arteriosus, reconfigures the circulation to support oxygenation by the lungs rather than the placenta. Does the baby look septic?

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Core Ultrasound

JANUARY 10, 2023

Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. Peer Reviewed by Ben Smith, MD 1/10/23 Intubation 5MS Lung 5MS vids Youtube Page Peer Reviewed by Ben Smith, MD 1/10/23 Intubation 5MS Lung 5MS vids Youtube Page

Ultrasounds 52

Ultrasounds 52

ALiEM

FEBRUARY 16, 2024

C, Pulse 115, Resp 20, SpO2 95% General : Nontoxic appearing, no distress Heart : Regular, no murmurs Lungs : Clear bilaterally, normal work of breathing Abdomen : Diffusely tender, greatest in left upper quadrant Laboratory Data CBC with differential : WBC 14.1, Gangrenous cholecystitis: diagnosis by ultrasound. 148.1.6856839.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

Taming the SRU

JULY 19, 2023

Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS (..)

Ultrasounds 73

Ultrasounds Leadership Hyperthermia / Hypothermia Poisoning 73

Cook County EM Blog

APRIL 22, 2022

Lungs are clear to auscultation bilaterally. Point of Care Ultrasound is shown below: Clip 1. Right upper quadrant ultrasound. Q1: What abnormal finding is visible in the thorax on this lung ultrasound? Notably, lung ultrasound is limited in the ability to distinguish between types of pleural effusions (i.e.

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

RebelEM

DECEMBER 10, 2023

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Not so FAST- Chest ultrasound underdiagnoses traumatic pneumothorax. PMID: 34932040.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

Don't Forget the Bubbles

JANUARY 31, 2024

Reviewed by: Dr. Rebecca Kassam Article 2: How good is lung US compared to a CXR in non-critically ill children? The authors compared 100 POCUS (Point-Of-Care-UltraSound ) images captured by trained physicians (in FUSIC/CACTUS). Ultrasound by specialist radiologists is over 90% sensitive and specific for testicular torsion in children.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Ultrasound Gel

SEPTEMBER 14, 2020

We haven't discussed COVID-19 for a long time, despite the explosion of POCUS articles on how ultrasound can be used during this pandemic. Many of the articles have focused on the accuracy of POCUS for making the diagnosis, or comparing the ultrasound findings to those on CT. link] [link]

Ultrasounds 52

Ultrasounds 52

Mind The Bleep

MAY 12, 2023

The first step is confirmation of pleural effusion clinically or radiologically (chest x-ray or ultrasound). congestive heart failure, post-lung transplantation and chronic exudative pleurisy etc). The management will vary depending on the causes of pleural effusion, therefore the diagnostic approach is important.

Radiology 52

Radiology Radiology Ultrasounds 52

Ultrasound Gel

OCTOBER 28, 2019

Suspected acute heart failure is a great reason to use point-of-care ultrasound. Knowing that interstitial edema is more common in dependent areas of the lung, one would think that the lateral areas of the lung fields would be most sensitive for the diagnosis. But is this actually true?! These authors investigate the issue.

Ultrasounds 52

Ultrasounds 52

Taming the SRU

OCTOBER 1, 2023

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. link] Lung POCUS: Sensitivity 91-98.6%, Specificity 85.5-99% 99% [24-25].

Fractures 85

Fractures COPD Hospitals Emergency Department 85

Critical Care North Hampton

DECEMBER 16, 2021

I’ve been delivering Tweetorials on various aspects of ultrasound over the year. Jump links: Heart Lung Diaphragm Liver Gastric Aorta DVT Airway JW HEART 1/13 Today’s Tweetorial for you! So, here’s a festive Tweet (sad!), All in one post! Enjoy and happy scanning… look after yourselves.

Ultrasounds 52

Ultrasounds 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? Kenji Inaba. 2015 Marik PE, Cavallazzi R.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

PulmCCM

NOVEMBER 17, 2023

’ This could be done with the Venous Excess Ultrasound Score [VExUS] [5, 6]. Kenny JS: A framework for heart-lung interaction and its application to prone position in the acute respiratory distress syndrome. The ultrasound journal 2020, 12(1):1-12. Ultrasound J 2022, 14(1):36. How does it work? References 1.

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

Urgent Care Ultrasounds

JULY 17, 2019

The more I use POCUS to examine the lungs, the more I realise how poor my auscultation findings are at predicting the presence of pneumonia. POCUS examination of her lungs began posteriorly. Left PLAPS point Despite the obvious consolidation on ultrasound the CXR is clear. Ultrasound quarterly. 2018; 34(1):3-10.

Urgent Care 52

Urgent Care Ultrasounds Wellness Emergency Department 52

Core Ultrasound

MARCH 25, 2024

For example a pt in the ED with sepsis, and a collapsible IVC, dry lungs and no peripheral edema is more likely to benefit from fluid than be harmed Take that same pt, with the same US and physical exam findings and make it 72-hrs later in the ICU after 6-10 L. For this we use clinical judgement, US findings, PE findings.

Administration 98

Administration Sepsis Ultrasounds Outcomes 98

Dr. Smith's ECG Blog

MARCH 26, 2024

No doubt the patient also had hypoxia with no B-lines, clear lungs on auscultation, and no infiltrate or pulmonary edema on chest X-ray, all of which would shout "Pulmonary embolism". Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Now another, with ultrasound.

EKG/ECG 66

EKG/ECG Shock Ultrasounds Wellness 66

RebelEM

AUGUST 31, 2023

CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Acute Lung Injury: 0.5% Non-inferiority margin was set at 2.5% later adjusted to INR > 3.0)

Ultrasounds 59

Ultrasounds Outcomes Wellness Research 59

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. 1-3 As many as 25% of acute PE cases present as sudden cardiac death.

Ultrasounds 80

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 80

EM Literature of Note

JULY 27, 2023

Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more. This prospective, randomized trial evaluated whether, in patients with thrombocytopenia, a platelet transfusion was necessary before central venous catheter placement.

Allergic Reactions 74

Allergic Reactions Outcomes Ultrasounds Hospitals 74