Broome Docs

SEPTEMBER 9, 2023

This month I am back on the SGEM podcast – this time on the all new Paeds section with Dr Dennis Ren. 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. This […]

Fractures 120

Fractures Ultrasounds Outcomes 120

Downeast Emergency Medicine

DECEMBER 9, 2021

Similar to last month’s images this view is showing a “D-sign” which is an indication of increased right sided pressures pushing the interventricular septum over to create the D-shaped cross-sectional appearence of the left ventricle. The red arrow is highlighting a small pericardial effusion.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

ACEP Now

MAY 10, 2024

In conjunction with multimodal oral and topical pain regimens, this motor sparing block can provide both acute pain control and lasting relief for weeks to months following the injection for patients with severe knee pain. Chronic knee pain is common and debilitating. 2,3 Sonoanatomy FIGURE 1. Click to enlarge.)

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

Pediatric EM Morsels

JUNE 30, 2023

I’m sure you can recall at least several parents who bring their children into the ED for concern of recurrent pneumonias. Often the parents focus on a possible underlying immunodeficiency. Fortunately, most commonly these pneumonias are due to viral infections, and we can often offer reassurances to the parent.

Ultrasounds 208

Ultrasounds Pediatrics Operations EMS 208

Taming the SRU

MAY 13, 2024

Of note, the patient had a prior appendectomy three months prior due to an acute suppurative appendicitis that was otherwise uncomplicated. Of note, the patient had a prior appendectomy three months prior due to an acute suppurative appendicitis that was otherwise uncomplicated. Respiratory and cardiovascular exams are normal.

Ultrasounds 87

Ultrasounds Emergency Department Wellness Operations 87

Mount Sinai EM

NOVEMBER 14, 2022

This pearl is inspired by an overnight Elmhurst A-side shift I had several months ago with a patient requiring a Lumbar Puncture. As Emergency medicine doctors, we rely on ultrasound for so many procedures (central venous access, pericardiocentesis, paracentesis, etc.), What probe/settings am I using on the Ultrasound?

Ultrasounds 130

Ultrasounds Wellness 130

Sensible Medicine

DECEMBER 28, 2023

The results: At 12 months, the rates of the primary end point for efficacy were 55% in the percutaneous-repair group and 73% in the surgery group (P=0.007) Primary MR: What about clipping the mitral valve for primary MR? To say that the FDA is a rubber stamp is ludicrous. I don’t know. I will address Sam’s comment at the end.)

Stroke 125

Stroke Ultrasounds Outcomes Hospitals 125

Core Ultrasound

APRIL 9, 2024

I’ve had the pleasure of working with many ultrasound companies over the past 10 years, both as a consumer and as an ultrasound director of a large academic hospital. I’ve enjoyed all of the iterations of the Butterfly ultra-portable ultrasound transducer, but I love their third version (the iQ3), the best!

Ultrasounds 52

Ultrasounds Academics Hospitals 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Welcome to this month’s Primary survey. This month’s journal has a variety of topics from trauma, paediatrics, ultrasound and malpractice. The mean difference in verbal dyspnoea scale between patients in the serial ultrasound and the control group was –1.09 (95% CI –1.51

Ultrasounds 52

Ultrasounds 52

The Trauma Pro

SEPTEMBER 26, 2023

10 days CT head 2 8 months CT cervical spine 3 1 year Plain c-spine 0.2 10 days CT head 2 8 months CT cervical spine 3 1 year Plain c-spine 0.2 There are some alternatives available to us, including the good old physical exam, conventional x-rays, and ultrasound. 10 days Pelvis x-ray 0.1 10 days Pelvis x-ray 0.1 Another chart!

Radiology 288

Radiology Radiology Ultrasounds Wellness 288

PulmCCM

FEBRUARY 5, 2024

Fever in the ICU: Guideline Update The Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA) issued an interim update to their 2008 recommendations for the management of fever in the ICU. PulmCCM is not affiliated with SCCM or IDSA. You can read the document here. What’s a Fever? °C (100.9°F).

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

Broome Docs

APRIL 30, 2024

Another month and another batch of fascinating papers from the Morgenstern vaults. This month is heavy on dermatology for some reason… but still plenty of EBM, Crit care and laughs. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. You could use these for your own local journal club. doi: 10.1097/TA.0000000000003554.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

ALiEM

NOVEMBER 27, 2023

A 24-year-old G1P0010 female with a PMHx of ovarian cyst (unknown laterality) and emergency contraceptive use 3 months prior presented with sudden onset abdominal pain (upper > lower) that awoke her from sleep four hours prior to presentation with associated nausea and mild lower back pain. The pain is 10/10, sharp, stabbing, and diffuse.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

PulmCCM

APRIL 24, 2024

When a ventilator-dependent patient survives their acute illness but will be dependent on hospital care for weeks or months, they often need a tracheostomy and a percutaneous gastrostomy tube before discharge to a long-term acute care hospital (LTACH). Accessing the esophagus will be new to most intensivists, but certainly not difficult.)

Ultrasounds 52

Ultrasounds Hospitals Operations Outcomes 52

Don't Forget the Bubbles

AUGUST 9, 2023

His thyroid ultrasound is normal, and thyroid antibodies are negative. Six months later, his weight and height remain normal, he still does not have a goitre and his thyroid ultrasound is unchanged. She has a normal thyroid ultrasound and negative anti-microsomal and anti-thyroglobulin antibodies. A TSH between 4.5

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

ALiEM

OCTOBER 2, 2023

An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 The mother reported a history of travel to Ecuador one month prior to symptom onset. cm in the long axis diameter.”

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

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

ALiEM

FEBRUARY 2, 2024

An 18-year-old-female with no known past medical history presented with a lesion on her back that had been present and enlarging for five months. Laboratory Data Ultrasound reveals a 1.7 Laboratory Data Ultrasound reveals a 1.7 It was not painful unless she touched it, and then only mildly tender. There is no fluctuance.

Ultrasounds 67

Ultrasounds Academics Emergency Department 67

Mind The Bleep

NOVEMBER 7, 2023

The NHS offers several screening programmes, following recommendations set by the UK National Screening Committee. They are designed to aid early detection of serious conditions (such as cancers) in asymptomatic patients. Although screening is run at a national level, when patients have questions or worries they will often direct them to their GP.

Ultrasounds 52

Ultrasounds Outcomes 52

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. Welcome to the AIR Procedures Module! The other subset is for “Honorable Mention” posts.

EMS 98

EMS Ultrasounds Academics Fractures 98

EMDocs

MARCH 4, 2024

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department 85

Emergency Department Ultrasounds EMS Radiology 85

Core Ultrasound

JUNE 14, 2023

Also, there are 5 other reasons to watch: I’ll share with you my favorite ultrasound cases of the past few months. I’m so proud to be living my truth and sharing my story with you all! Join me in this special episode where I share just a little bit of my journey of coming out to the rest of the world as a transgender woman.

Ultrasounds 52

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? We’ll keep it short, while you keep that EM brain sharp. For the past two days, she describes worsening pain and intermittent vomiting.

EMS 67

EMS Ultrasounds Emergency Department Outcomes 67

RebelEM

DECEMBER 18, 2023

Barium contrast X-ray CT scan Magnetic resonance imaging Ultrasound FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Burkart JM, Bleyer A. A 55-year-old woman with a history of end-stage kidney disease on peritoneal dialysis presents due to abdominal pain. She has had pain and redness at the site of her catheter exit site.

EMS 57

EMS Ultrasounds 57

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. The patient reports that over the past year his roommate had been abusing him physically.

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown. This study aims to assess the feasibility of conducting a definitive randomised controlled trial to assess the use of ultrasound to guide these fracture manipulations.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

Don't Forget the Bubbles

JANUARY 1, 2024

Adenotonsillectomy did not significantly improve executive function or attention at 12 months. Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital).

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

PulmCCM

APRIL 1, 2024

Does early mobilization in the ICU increase adverse effects or mortality? Providing physical therapy early in the ICU is a recommended practice that appears to prevent ICU-related weakness at the time of discharge, based on limited evidence. Any longer-term benefits remain unknown, due to a paucity of research.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Don't Forget the Bubbles

JANUARY 17, 2024

However, their small size and appealing appearance can pose significant health risks to young children. What are Orbeez made of? Orbeez are made from a superabsorbent polymer (SAP), primarily composed of cross-linked polyacrylate. In Orbeez, these monomers are typically derivatives of acrylic acid, giving the beads their unique absorbent properties.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

RebelEM

JUNE 19, 2023

Coagulopathy of Severe Trauma (COAST Score) Outcomes: Primary: Survival with a favorable functional outcome at 6 months assessed using the Glasgow Outcome Scale – Extended (GOS-E). Secondary Death within 24 hours, 28 days and 6 months after injury. Background: Injuries are a major cause of death worldwide.

Outcomes 99

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 99

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. Her vital signs are within normal limits.

Ultrasounds 69

Ultrasounds Wellness Documentation/Coding EMS 69

PEMBlog

OCTOBER 16, 2023

This case was submitted by… A 12-year-old female was brought to your emergency department by her mother for 1 month of diffuse abdominal and back pain. This case was submitted by… A 12-year-old female was brought to your emergency department by her mother for 1 month of diffuse abdominal and back pain. OHVIRA syndrome E.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69

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. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

SheMD

APRIL 24, 2023

As Editor of SheMD, I'm sharing my story of #PhysicianInfertility, because we have to start the conversation. We have to talk about the fact that we, female physicians, have INCREASED rates of infertility. Physician infertility isn't something we learn about in medical school. I had not even TRIED to get pregnant. Or so I thought. Only eight.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

ALiEM

OCTOBER 23, 2023

A 32-year-old man with a history of traumatic globe rupture from a stab wound two months ago, status post repair, presented to the emergency department for worsening right eye pain and green malodorous drainage for the past three days. On ultrasound, it appears as a heterogeneous isoechoic collection that abuts the right globe.

Academics 111

Academics Emergency Department Ultrasounds Wellness 111

EB Medicine

NOVEMBER 1, 2021

Also, this month use code ACEP21! It is in Beta and your feedback is welcome. ,* Also, this month use code ACEP21! EMplify – November 2021 Announcements: The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. Coming to Google Play soon.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

EMDocs

MARCH 19, 2024

Today on the emDOCs cast with Jess Pelletier and Brit Long, we discuss the challenging diagnosis of spontaneous cervical artery dissection (sCAD). Episode 97: Spontaneous Cervical Artery Dissection Definition/pathophysiology: sCAD refers to a tear or separation of arterial wall layers involving either the carotid or vertebral arteries.

Stroke 91

Stroke EMS Administration Ultrasounds 91