Ultrasound Gel

MARCH 15, 2021

Acute chest syndrome is such a great application for lung ultrasound, especially in pediatrics where we do everything we can to dodge the harmful affects of ionizing radiation. This is a recent well-done study that takes another look to see how ultrasound compares to the commonly employed chest radiography.

Ultrasounds 52

Ultrasounds Pediatrics Wellness 52

The Trauma Pro

NOVEMBER 17, 2023

Ever been in a trauma activation where it seems like the first thing that happens is that someone steps up to the patient with the ultrasound probe in hand? Well, it’s not supposed to be that way. The whole point of adhering to the usual ATLS protocol is to ensure that the patient stays alive through and well after your exam.

Resuscitation 278

Resuscitation Ultrasounds Hospitals Wellness 278

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

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

Taming the SRU

MAY 13, 2024

The patient is a well-appearing male who is awake, alert, and oriented. There is also a well-appearing, healed surgical scar. There is also a well-appearing, healed surgical scar. The skin is warm and well perfused with brisk capillary refill. The Ultrasound Journal, 11(1). Notable diagnostics CBC : WBC 19.2,

Ultrasounds 87

Ultrasounds Emergency Department Wellness Operations 87

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. It did not perform as well which is not unusual for a clinical decision instrument [5].

Fractures 77

Fractures Ultrasounds Emergency Department CDC 77

Downeast Emergency Medicine

NOVEMBER 5, 2021

RR 19 Physical exam: On exam he is well appearing and in no distress. Bedside chest ultrasound showed large bilateral pleural effusions. His additional vital signs are as follows: BP 99/53, HR 64, T 95.3, He has a normal work of breathing and no current complaints. He has peripheral edema of his bilateral lower extremities.

Ultrasounds 52

Ultrasounds Emergency Department EMS Wellness 52

Downeast Emergency Medicine

JUNE 7, 2021

Key concepts for Ultrasound Guided IV placement LENGTH Always use long IV (1.88 Use a tourniquet when you LOOK for the vein as well as when you place the IV otherwise the pressure from the probe will compress the veins and you won’t find anything. This lecture was presented at the 2021 Maine Medical Center Winter Symposium.

Ultrasounds 52

Ultrasounds Wellness 52

Taming the SRU

APRIL 14, 2024

You may place cold packs or ice packs to the hernia site to help reduce inflammation and swelling, as well as to assist in local analgesia. Symptoms include persistent tenderness in the area, as well as symptoms of obstruction including nausea, vomiting, and pain, despite reduction. (2) 1) In a study performed by Chen et al.

Ultrasounds 82

Ultrasounds Emergency Department Pediatrics Wellness 82

Mount Sinai EM

NOVEMBER 14, 2022

As Emergency medicine doctors, we rely on ultrasound for so many procedures (central venous access, pericardiocentesis, paracentesis, etc.), Tl;Dr < 5 minutes Ultrasound guided LP increases the rate of success while decreasing procedure time, passes with needle, and pain score Use Ultrasound to only identify anatomy.

Ultrasounds 130

Ultrasounds Wellness 130

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. What findings make a DVT more likely?

Ultrasounds 69

Ultrasounds Wellness Documentation/Coding EMS 69

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

Ultrasound Gel

OCTOBER 23, 2023

Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo? link] [link] Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound.

Ultrasounds 52

Ultrasounds Wellness 52

Emergency Medicine Journal

JUNE 22, 2023

On physical examination, he is a well-appearing adolescent boy lying. He is afebrile with other triage vital signs notable for a BP of 135/77 mm Hg, low-grade tachycardia with an HR of 101 beats/min, a normal RR of 18 breaths/min and a normal oxygen saturation of 100% on room air.

Ultrasounds 40

Ultrasounds Wellness 40

ACEP Now

FEBRUARY 13, 2024

See below: Fascia iliaca Serratus anterior Erector spinae The risks of opioid medications, especially in the elderly, has been well described. published a study, “Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.” The pain scores decreased from 7.4 mean) to 2.8

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

Core Ultrasound

MAY 4, 2023

In this 5 Minute Sono video, we’ll guide you through the process of using ultrasound imaging to identify and diagnose inguinal and femoral hernias. but with ultrasound imaging, healthcare professionals can detect hernias at the bedside with greater accuracy and confidence.

Ultrasounds 52

Ultrasounds Wellness 52

The Trauma Pro

SEPTEMBER 26, 2023

Well, here is just what you need. There are some alternatives available to us, including the good old physical exam, conventional x-rays, and ultrasound. For reference, here it is: Test Dose (mSv) Equivalent background radiation Chest x-ray 0.1 10 days Pelvis x-ray 0.1 Another chart! negligible Pelvis x-ray 0.1

Radiology 288

Radiology Radiology Ultrasounds Wellness 288

Taming the SRU

FEBRUARY 7, 2024

Ultrasound: Make “windows of access”. The Aircare package to increase DASH-1A airways includes placing patient on AirCare monitor, apneic oxygenation, 3 minutes NRB, bagging after paralytic given, starting only when patient > 97%, push dose pressors if needed for hypotension before paralytic, and make sure to use the checklist!

Administration 87

Administration PPE Ultrasounds Poisoning 87

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

PulmCCM

APRIL 1, 2024

That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. ” But less than half of the included studies used ultrasound guidance during central line placements.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Ultrasound Gel

FEBRUARY 28, 2022

Someone does an ultrasound on something cool and then compares it to another test to see how good it is. Well this study is different. In this case, we are taking a tried and true application of POCUS (undifferentiated dyspnea) and comparing a dedicated ultrasound team's POCUS to the treating emergency team's POCUS.

Ultrasounds 52

Ultrasounds Wellness 52

Ultrasound Gel

MAY 9, 2022

They discuss Felipe's take on our coverage of the Quantitative LV Function in PEA article (ep 119) as well as thoughts on ultrasound and cardiac arrest research in general. link] In the first of our new series of author interviews, hosts Zach Risler and Mike Prats interview the illustrious Felipe Teran.

Ultrasounds 52

Ultrasounds Research Wellness 52

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

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). As may be seen in the table below, there are several themes as well a range of stringency. This resource offers additional information on ultrasound assisted LP’s. WHO - Who Needs an LP in the ED?

Infectious Diseases 86

Infectious Diseases Seizures Ultrasounds Sepsis 86

Dr. Smith's ECG Blog

MARCH 26, 2024

There is also STE in lead III with reciprocal depression in aVL and I, as well as some subendocardial ischemia pattern with STD in V5-V6 and STE in aVR. Acute pulmonary embolism was confirmed on CT: The patient did well with treatment. Now another, with ultrasound. For Americans , you need to wait for the FDA. This is a quiz.

EKG/ECG 65

EKG/ECG Shock Ultrasounds Wellness 65

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

Ultrasound Gel

APRIL 26, 2021

We have been ultrasounding hips for a while now. First it asks the question - "Does point-of-care ultrasound (POCUS) in the emergency department lead to a faster diagnosis?". First it asks the question - "Does point-of-care ultrasound (POCUS) in the emergency department lead to a faster diagnosis?". link] [link]

Ultrasounds 52

Ultrasounds Emergency Department Wellness 52

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 79

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 79

Ultrasound Gel

MAY 10, 2021

We have talked about ocular ultrasound many times before - it certainly can be useful in identifying many acute ophthalmologic pathologies. So theoretically this should work well in patients with suspected increased intracranial pressure, such as those with idiopathic intracranial hypertension. But what about papilledema?

Ultrasounds 52

Ultrasounds Wellness 52

SheMD

APRIL 24, 2023

Well there were two other ones that were in morula phase but needed to progress to blastocyst. I waited until my 6 week ultrasound. On my ultrasound day, I had started to feel pregnant. Well that night, I had the residency over for a wellness Thanksgiving dinner. I waited in radiology for my formal ultrasound.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

Don't Forget the Bubbles

JUNE 19, 2023

There were no issues during the pregnancy, and estimated fetal growth by ultrasound was constant. Fetal Growth Restriction (FGR) and dysmaturity are common in neonatology and are a leading cause of morbidity during the neonatal period, as well as later in life. Ultrasound Obstet Gynecol 2016;48:333-9. Francis J et al.

Pediatrics 143

Pediatrics Ultrasounds Hyperthermia / Hypothermia Outcomes 143

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. She also has a goitre.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Cook County EM Blog

MAY 1, 2023

A point-of-care ultrasound was performed, which identified thickening of the skin overlying the elbow with a cobblestone appearance, and an underlying fluid collection consistent with an olecranon bursitis. Ultrasound is often a more useful imaging modality and is readily available at the bedside. and ESR 26. emDocs.net. 2009 Jun 25.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

Dr. Smith's ECG Blog

APRIL 14, 2024

A bedside cardiac ultrasound performed by a true EM expert (Robert Reardon, who wrote the cardiac ultrasound chapter in Ma and Mateer) showed an inferior wall motion abnormality. But there are also new Q-waves, stronly suggesting new infarction. Overall interpretation: this does not look like OMI to me.

EKG/ECG 96

EKG/ECG Ultrasounds EMS Wellness 96

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

Critical Care North Hampton

OCTOBER 12, 2020

So… we put the new iQ+ through its paces and I am very privileged to have Dr Russ Horowitz take us through a paediatric review using the device as well. What did we think then…… The perspective from Adult Anaesthesia and Intensive care Dr Jonny Wilkinson (Lead for Point of Care Ultrasound / Intensivist – Northampton.

Ultrasounds 52

Ultrasounds Wellness 52

ALiEM

OCTOBER 23, 2023

There was a well-healed scar on the bottom eyelid. On ultrasound, it appears as a heterogeneous isoechoic collection that abuts the right globe. The hyperdense foreign body is again seen on CT, as well as a small focus of air within the anterior chamber. The lateral canthus appeared inferiorly displaced.

Academics 111

Academics Emergency Department Ultrasounds Wellness 111