Taming the SRU

OCTOBER 23, 2023

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Laboratory evaluation reveals a hemoglobin and hematocrit of 12.6/37.1

Ultrasounds 87

Ultrasounds Operations Radiology Radiology 87

ALiEM

APRIL 12, 2023

You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin. Note that some ultrasound manufacturers do not recommend the use of isopropyl alcohol on their transducers.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

Medagadget

AUGUST 22, 2023

Researchers at MIT have developed a wearable ultrasound system that is intended to allow women at high risk of breast cancer to perform an ultrasound scan on themselves at home, and may also let patients with early-stage malignancy or suspicious lesions to monitor how they are progressing.

Ultrasounds 76

Ultrasounds Research Radiology Radiology 76

Taming the SRU

JULY 24, 2023

A bedside right upper quadrant ultrasound was performed, and the images are below. The following day, Interventional Radiology placed a percutaneous cholecystostomy tube. Ultrasound is the gold standard for diagnosing cholelithiasis because it is more sensitive for detecting gallstones. Gallbladder visualized in long axis.

Ultrasounds 68

Ultrasounds Sepsis Radiology Radiology 68

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. What is the utility of point-of-care ultrasound in identifying lens dislocation?

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

ALiEM

FEBRUARY 16, 2024

This patient was admitted to the hospital’s general surgical service and treated with IV broad-spectrum antibiotics and a percutaneous cholecystostomy tube placed by interventional radiology. Gangrenous cholecystitis: diagnosis by ultrasound. doi: 10.1148/radiology.148.1.6856839. Ultrasound, 30: 270-274.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

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. Horseshoe Kidney: Radiology Reference Article. Images are seen below.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

The Trauma Pro

SEPTEMBER 26, 2023

The American College of Radiology notes that exposures less than 100 mGy are “probably too subtle to be clinically detectable.” There are some alternatives available to us, including the good old physical exam, conventional x-rays, and ultrasound. negligible Pelvis x-ray 0.1 negligible Pelvis x-ray 0.1

Radiology 288

Radiology Radiology Ultrasounds Wellness 288

Taming the SRU

APRIL 14, 2024

2) Management: Confirmed by CT Surgical consult Utility of Ultrasound Ultrasound can be helpful in identifying hernias and in assisting in reduction. 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) If the ultrasound-guided attempt failed, emergency surgery was scheduled.

Ultrasounds 82

Ultrasounds Emergency Department Pediatrics Wellness 82

ALiEM

FEBRUARY 28, 2024

We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. Photographs, ECGs, Radiology Images These fall into the category of “other multimedia” in the AMA Manual of Style, and here is my best attempt to interpret this to clinical media. Apps App Title app. Version number.

Radiology 52

Radiology Radiology Academics EKG/ECG 52

RebelEM

FEBRUARY 12, 2024

The panel included physicians from Emergency Medicine, Urology and Radiology and was published in major journals of all three specialities. Research from our very own SIUH department of radiology recommended that contrast-enhanced CT scans can safely exclude obstructive urolithiasis just as well as noncontrast CTs. 2011; 18(7):699-707.

Radiology 57

Radiology Radiology Emergency Department Ultrasounds 57

ALiEM

SEPTEMBER 29, 2023

doi: 10.1148/radiology.216.2.r00jl25356. Author information Andrew Shannon, MD, MPH Ultrasound Director Associate Professor of Emergency Medicine Lakeland Regional Health | The post SAEM Clinical Images Series: Only a Flesh Wound appeared first on ALiEM. Múnera F, Soto JA, Palacio D, Velez SM, Medina E. 2000 Aug;216(2):356-62.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

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. The radiologic evaluation of an ultrasound examination showed a small hypoechoic mass in the area of right adrenal gland that was smaller than previously recorded prenatally.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

EMergucate

MAY 17, 2016

– CT – MRI – Nuclear Medicine – Radiation – Ultrasound

Radiology 40

Radiology Radiology EMS Ultrasounds 40

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

EM Ottawa

APRIL 4, 2024

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023.

Ultrasounds 73

Ultrasounds Infectious Diseases COPD Shock 73

ALiEM

MARCH 7, 2024

Given her pain with a history of intermittent hematuria and dysuria, you perform a renal and bladder point of care ultrasound (POCUS) examination. Pre-warmed ultrasound gel is helpful when available. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit.

Ultrasounds 70

Ultrasounds Pediatrics Emergency Department Radiology 70

EMDocs

MARCH 4, 2024

12 Ultrasound and computed tomography (CT) can both identify CBD and are available in most emergency departments. Ultrasound is cost-effective and radiation-sparing. Ultrasound has approximately 90% sensitivity for detecting common bile duct dilation. 13 CT is also superior to ultrasound in its ability to detect malignancy.

Emergency Department 86

Emergency Department Ultrasounds EMS Radiology 86

EMergucate

MAY 11, 2020

30 year old male presents to ED with onset of right sided chest pain 2 hours ago. pain is pleuritic in nature and is associated with some Shortness of breath. His Vitals are HR 90, BP 130/70, RR 18…

Ultrasounds 52

Ultrasounds Radiology Radiology 52

EMDocs

DECEMBER 4, 2023

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. First, examine the patient and risk-stratify them for the diagnosis of DVT before deciding on the clinical utility of an ultrasound. Ultrasound. J Thromb Thrombolysis.

Ultrasounds 70

Ultrasounds Wellness Documentation/Coding EMS 70

SheMD

APRIL 24, 2023

I waited until my 6 week ultrasound. On my ultrasound day, I had started to feel pregnant. A colleague met me at the hospital and performed an ultrasound once more to confirm. My friend did an ultrasound and we saw free fluid- a lot of it. I waited in radiology for my formal ultrasound.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Mind The Bleep

MAY 12, 2023

The first step is confirmation of pleural effusion clinically or radiologically (chest x-ray or ultrasound). The management will vary depending on the causes of pleural effusion, therefore the diagnostic approach is important. mmol/L (110 mg/dL), is diagnostic.

Radiology 52

Radiology Radiology Ultrasounds 52

The Skeptics' Guide to EM

DECEMBER 28, 2019

He is also the Chief for the Section of Emergency Ultrasound and […] The post SGEM Xtra: Come Together, Right Now – Over Renal Colic first appeared on The Skeptics Guide to Emergency Medicine. He is also the Chief for the Section of Emergency Ultrasound and Director of the Emergency Ultrasound Fellowship. NEJM 2014 ).

Radiology 40

Radiology Radiology Ultrasounds Emergency Department 40

EMergucate

MAY 12, 2020

30 year old male presents to ED with onset of right sided chest pain 2 hours ago. pain is pleuritic in nature and is associated with some Shortness of breath. His Vitals are HR 90, BP 130/70, RR 18…

Ultrasounds 40

Ultrasounds Radiology Radiology 40

PEMBlog

OCTOBER 26, 2023

Ultrasound and CT may not differentiate it from normal bowel. Radiology of Meckel’s Diverticulum. The feeding artery of the Meckel diverticulum is an anomalous superior mesenteric artery branch. It has a long and non-branching course and ends toward the right lower quadrant. References Dixon P & Nolan D. Clin Radiol.

Radiology 64

Radiology Radiology Administration Shock 64

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. However, ultrasound does have its limitations especially in obese patients or those unable to comply with the exam for reasons such as pain.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

EMDocs

NOVEMBER 4, 2023

An ultrasound of the testes reveals the following: What is the diagnosis? Radiology Key. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. Tracy CR, Steers WD, Costabile R. Diagnosis and management of epididymitis. Testicular.

EMS 67

EMS Ultrasounds Emergency Department Infectious Diseases 67

EMergucate

MAY 17, 2016

Introduction Advantages: Does not involve ionising radiation Used quite freely for antenatal scanning, children Safe for repeated examinations No evidence … Continue reading →

Ultrasounds 40

Ultrasounds EMS Radiology Radiology 40

Mind The Bleep

AUGUST 5, 2023

Example of pneumoperitoneum following perforated NEC Other Investigations Blood tests and abdominal ultrasound. Abdominal ultrasound may show bowel wall thickening, altered vascular state and free fluid. Bloods may show anaemia, thrombocytopenia, leukocytosis/leukopenia, hyponatraemia, raised CRP, metabolic acidosis.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

ACEP Now

JULY 7, 2023

You perform a biliary ultrasound (US) in the ED (BUSED) which shows a gallbladder (GB) full of stones, some GB wall thickening and a positive Murphy’s sign. Will this be enough for the general surgeon, or will they want an US performed by the radiology department to make their surgical decision? Click to enlarge. 2022;7(1):e000944.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

EMergucate

JANUARY 12, 2014

The following ultrasound images are from a 38 year old, with a h/o 8 weeks LMP, who presented with PV bleed. What radiological sign can you see in the images?

Radiology 40

Radiology Radiology Ultrasounds EMS 40

EMDocs

JUNE 22, 2023

The radiology tech has his hand on a weak femoral pulse. Have you done an ultrasound yet?” This guy is an ultrasound guru. Nurses are throwing on monitor leads, and we completely expose him and do a fast roll to look at his back. No other injuries. The automated blood pressure cuff is going, and my nurse cannot get a manual.

Resuscitation 96

Resuscitation Ultrasounds Critical Access Documentation/Coding 96

ACEP Now

MAY 4, 2023

Baughman is staff physician in the department of radiology at MetroHealth Medical Center in Cleveland, Ohio, including Case Western Reserve University School of Medicine in Cleveland, Ohio. He is also system-wide clinical ultrasound co-chair at MetroHealth Medical Center in Cleveland, Ohio.

EMS 52

EMS Fractures Operations Ultrasounds 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

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 79

CPR Burns Airway Management Wellness 79

Urgent Care Ultrasounds

JANUARY 17, 2019

The Case A 70 year old woman had been waiting in the radiology department for an x-ray to be taken. Cardiovascular ultrasound. After standing for some time, she started to feel light headed, then collapsed. She was brought down to the urgent care clinic for assessment. Admitted for surgical repair. The American journal of cardiology.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

Pediatric Emergency Playbook

JANUARY 1, 2018

Structurally abnormal ovary (including cysts) that causes the ovary to flop over and twist on its vascular axis Hypermobile ovary with vigorous movement twists on its vascular pedicle and cuts off blood supply The Dual Blood Supply to the Ovaries: Why Doppler Flow can Fool You What ultrasound findings suggest ovarian torsion? Think torsion.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52