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. Want to learn more about diagnosing tendon injuries with bedside ultrasound?

Ultrasounds 52

Ultrasounds Fractures Operations Emergency Department 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Manipulation performed under ultrasound guidance has the potential to decrease the number of reduction attempts. Patients aged ≥16 years presenting to the ED with a distal radius fracture requiring closed reduction were randomised to either point-of-care ultrasound (PoCUS)-guided or standard reduction.

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

Pediatric EM Morsels

MARCH 1, 2024

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Scrutinize that CXR for an Air-Fluid Level… and maybe use your Ultrasound to increase your sensitivity!!

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

His practice is in trauma, […] The post SGEM#345: Checking In, Checking Out for Non-Operative Treatment of Appendicitis first appeared on The Skeptics Guide to Emergency Medicine. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation.

Operations 52

Operations Academics Ultrasounds Hospitals 52

Taming the SRU

APRIL 5, 2023

Given her age, history of nephrolithiasis, and frequent urinary tract infections, a bedside renal ultrasound was performed to assess for hydronephrosis due to concern her generalized weakness may be secondary to an infected stone or obstructive uropathy. Point-of-care ultrasound in pediatric nephrology. Images are seen below.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

RebelEM

JANUARY 24, 2024

Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols. Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. Total Achilles tendon rupture. Sports Med. 1998; 25(2): 79-100. PMID: 9519398 Kayser R et al. Br J Sports Med.

Operations 74

Operations Ultrasounds Outcomes Fractures 74

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. Meta-analysis was carried out using established open-source packages in R. Heterogeneity was determined using the I 2 statistic.

Ultrasounds 52

Ultrasounds Operations Research Hospitals 52

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

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 208

Ultrasounds Pediatrics Operations EMS 208

Taming the SRU

MAY 13, 2024

Acute stump appendicitis without evidence of perforation or abscess (Figure 1) HOSPITAL Course Acute Care Surgery was consulted from the ED and recommended admission for operative resection of a 3 cm remnant of the appendix. For ultrasound, it is recommended to scan the most tender area using a linear probe. Clin Case Rep. Nelson, B.

Ultrasounds 87

Ultrasounds Emergency Department Wellness Operations 87

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami. References Garcia SE. Healing Is No Joke.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

PulmCCM

APRIL 1, 2024

” But less than half of the included studies used ultrasound guidance during central line placements. Ultrasound guidance during CVC placement has been a recommended practice since 2001 by the Agency for Healthcare Research and Quality, with multiple professional societies echoing that recommendation in the following decade.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

ALiEM

NOVEMBER 27, 2023

g/dL BMP, lipase, Alk phos/Bili/ALT/AST, PT/PTT, and lactate : Unremarkable Serum HCG : Negative Urinalysis (UA) : Unremarkable COVID : Negative Case Question: Can you identify the abnormalities on the right upper quadrant (RUQ) ultrasound image? Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. k/uL Hgb : 10.5 Theofanakis, C.P.,

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

PulmCCM

APRIL 24, 2024

Perc trachs do not require operating room time or a surgeon, and can significantly shorten ICU stays. Now, a few intensivists are going for the gut, with a new bedside ultrasound-guided Seldinger-style procedure that could displace percutaneous endoscopic gastrostomy tubes (PEGs) placed by gastroenterologists or interventional radiologists.

Ultrasounds 52

Ultrasounds Hospitals Operations Outcomes 52

PulmCCM

NOVEMBER 11, 2023

Diagnosis because P ra is non-invasively transduced with ultrasound, for instance via the size and collapsibility of the inferior vena cava [1] and/or the Venous Excess Ultrasound Score [VExUS] [2-4]. The dependent variable is the operating point [i.e., The ultrasound journal 2020, 12(1):1-12. Can these data deduce CO?

Ultrasounds 87

Ultrasounds Operations Shock 87

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. Do they need surgery, an ERCP or just analgesia and non-operative care?

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Ultrasound Gel

SEPTEMBER 28, 2020

The VExuS (Venous Excess UltraSound) grading system has been described as a way to use the IVC in combination with abdominal organ doppler in order to determine the degree of venous congestion. This is the first study that takes a look at the VExUS system to see if it can predict acute kidney injury in post-operative patients.

Operations 52

Operations Ultrasounds 52

Broome Docs

APRIL 30, 2024

Don’t forget Justin has a stream on his Youtube channel that does include this podcast and his deeper dives into the data – HERE You can also check out some random ultrasound education and other goodies on the Broomedocs Youtube channel Avoiding calls to neurosurgery?! 2024 Mar 18:e240762. doi: 10.1001/jama.2024.0762.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

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. We were not able to identify a study specifically comparing US-guided CVC compared to IO placement.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

The Skeptics' Guide to EM

DECEMBER 3, 2022

You order an ultrasound and find that he has acute appendicitis without evidence of perforation or appendicolith. Background: The SGEM has covered diagnosing appendicitis using speed bumps ( SGEM#23 ), a clinical decision instrument ( SGEM#155 ) and point of care ultrasound ( SGEM#274 ).

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

EMDocs

AUGUST 12, 2023

Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. The value of ultrasound for detecting hand fractures: A meta-analysis. Inoculation usually occurs by penetrating injury , which seeds the tendon sheath. There are no extensor tendon sheaths (A) in the hand.

EMS 68

EMS Fractures Operations Ultrasounds 68

EB Medicine

NOVEMBER 1, 2021

Anatomy Fig 1 Pre-hospital ED evaluation History Physical Exam Imaging Nexus Chest Decision Instrument in Blunt Trauma ACR criteria for imaging CT vs xray Ultrasound Treatment Meds Binders Kinesiotaping – Fig 4 Respiratory support Operative fixation Special Populations Elderly Cancer patients Pediatrics Disposition Battle Score Rib Score FVC EMplify (..)

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Don't Forget the Bubbles

JANUARY 1, 2024

However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. Lung ultrasound for the sick child: less harm and more information than a radiograph. They enrolled 459 children aged 3 to 12.9 You will find the list is broken down into four sections: 1.Reviews

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

ACEP Now

MAY 4, 2023

On hospital day 2, he was taken to the operating room for surgical rib fixation. The direct movement of air into the chest wall was improved with the placement of a pigtail catheter and ultimately treated with operative repair. He is also system-wide clinical ultrasound co-chair at MetroHealth Medical Center in Cleveland, Ohio.

EMS 52

EMS Fractures Operations Ultrasounds 52

EMDocs

NOVEMBER 18, 2023

A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Liver Transplantation: Operative Techniques and Medical Management. Vital signs: HR 118, BP 103/68, RR 20, T 99.8. Pediatr Radiol.

EMS 67

EMS Ultrasounds Emergency Department Outcomes 67

Mount Sinai EM

AUGUST 13, 2023

The AAOS states that “Multimodal analgesia incorporating pre-operative nerve blocks is recommended to treat pain after a hip fracture” The Pericapsular Nerve Group Bbock (PENG block) is a novel approach to provide analgesia to the hip joint without affecting the motor function of the quadriceps muscle or altering the sensory exam.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

Taming the SRU

MAY 22, 2023

Point-of-care ultrasound (POCUS) can evaluate for Achilles tendon rupture with a high sensitivity (96-100%) and specificity (83-100%) [8,9]. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g.,

Fractures 69

Fractures Dislocations Operations Radiology 69

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. first appeared on The Skeptics Guide to Emergency Medicine.

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

Don't Forget the Bubbles

JANUARY 17, 2024

Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. Point-of-care ultrasound may show well-demarcated, round, and hypoechoic material in the stomach and first part of the duodenum, though it can underestimate the number of beads present. Kim, Y.B.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

ACEP Now

FEBRUARY 11, 2024

The ultrasound-guided clavipectoral plane block (CPB) is a newly described technique in the emergency medicine literature. Ultrasound Survey Scan FIGURE 1A: Ultrasound probe should be placed at the clavicle with the probe marker facing cephalad (toward the head). FIGURE 1B: Ultrasound image with labeled relevant anatomy.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

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. Despite being common practice, the necessity of routine prophylactic transfusions is now being called into question.

Ultrasounds 57

Ultrasounds Outcomes Wellness Research 57

ACEP Now

JUNE 21, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. 15 Some of these training opportunities previously considered unique (i.e.,

EMS 114

EMS Academics Telemedicine Operations 114

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

EB Medicine

MARCH 19, 2020

24:36 What are your surgeons, who cannot operate, currently doing? 26:36 How do you use ultrasound for COVID-19 patients in the ED? 32:20 What are you looking for on ultrasound examination? 24:36 What are your surgeons, who cannot operate, currently doing? 26:36 How do you use ultrasound for COVID-19 patients in the ED?

PPE 40

PPE Emergency Department Ultrasounds Operations 40

Resus Review

APRIL 10, 2015

The ECMO ultrasound flow sensors require a conductive interface between the sensor and the circuit. While it is useful to use for ultrasound exams, when exposed to air it dries out quickly which interferes with the flow sensor operation. It clamps over the circuit tubing going to the oxygenator. This is usually a gel or paste.

Ultrasounds 52

Ultrasounds Operations Emergency Department EMS 52

The Skeptics' Guide to EM

FEBRUARY 16, 2019

Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. Louis and the Emergency Medicine Point of Care Ultrasound Section Chief. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. AEM January 2019.

Ultrasounds 52

Ultrasounds Operations Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

It was notable for a normal cardiac ultrasound with no pericardial fluid, normal LV and RV function (though the quality was not sufficient to evaluate for wall motion abnormalities) and normal IVC dynamics. Bedside ultrasound is another very important piece. Ultrasound can be very helpful to distinguish causes of hypotension.

Ultrasounds 52

Ultrasounds EKG/ECG EMS Radiology 52