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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

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

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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

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.

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Episode 25: Tension pneumothorax 2

PHEM Cast

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. Ultrasound in Emergency Medicine. link] Cullinane, D., Ferrie, E.

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Diagnostics: Inflammatory Markers

Taming the SRU

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. Arthritis Rheum.

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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

Ultrasound diagnosis of occult pneumothorax. 2005 Jun;33(6):1231-8. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J. PMID: 21111115. Crit Care Med. PMID: 15942336. Needleman; Pediatric Chest Pain. link] Hanson MG, Chan B.

EKG/ECG 271
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Academic Emergency Medicine., Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. orthostatic vitals b.

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Residency Spotlight: The University of Utah Emergency Medicine Program

ACEP Now

This allows our residents to graduate with the ability to practice in any setting they choosecritical access, community, or academic. There are ample teaching opportunities for residents, including on-shift teaching, ultrasound, simulation, and didactics. We love it here and hope you will too!