Pediatric EM Morsels

JUNE 16, 2023

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

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Note – again please do not use this location! Ferrie, E.

Academics 52

Academics Radiology Radiology Resuscitation 52

PHEM Cast

APRIL 16, 2018

Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. EMJ; 2005: 22-24. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Phil Trans R Soc. Doi: 1098/rstb.2010.0232

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr 2005; 146:787. J Pediatr Surg 2005; 40:197. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 2005; 40:1848-1851. J Ultrasound. J Pediatr Gastroenterol Nutr 2008; 46:13. De Lorijn F, Reitsma JB, Voskuijl WP, et al. Hirschsprung's disease and mimicking conditions. Semin Pedaitr Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Taming the SRU

SEPTEMBER 8, 2023

2005 May;41(5):1179-97. 2005 Mar;42(3):365-70. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” LaFollette is co-editor of TamingtheSRU.com References General Information: Polson J, Lee WM; American Association for the Study of Liver Disease. Hepatology.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

Next stop – ultrasound… Right anterior chest – multiple B lines Left anterior chest – again multiple B lines Normal LV systolic function Disposition The ultrasound findings of bilateral B lines (B profile) with normal LV systolic function supported the presumtive diagnosis of swimming induced pulmonary oedema.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 40

Pediatric Emergency Playbook

OCTOBER 1, 2017

2005; 29: 493–500. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. Groves DA, Brown VJ. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. Panebianco M, Rigby A,Weston J,Marson AG. 2015; 4, Art.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Keep your ultrasound handy. Here, then, are some links for Third Trimester Emergencies. Verify your own laws and protocols for your practice before instituting change. Understand the application of the EMTALA law (Emergency Medical Treatment and Active Labor Act [ USA ]) to your situation. de Boisblanc, B., & Suresh, M.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

However the patient continued to have chest pain and bedside ultrasound showed hypokinesis of the septum with significantly reduced LVEF. About 2 hours later the patient arrived at a PCI-capable center and repeat ECG was obtained: The transferring EMS crew noted “runs of VT” during transport. Circulation , 63 (2), 333–340. link] Meine, T.

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EKG/ECG EMS Emergency Department Wellness 107

The Skeptics' Guide to EM

FEBRUARY 6, 2021

An ultrasound does not show any free fluids or any signs of an Ileus, appendicitis or gallbladder disease. Roche and Foster quickly reported in 2005 that this was not an isolated problem to the Adelaide Hills of South Australia. On examination, his vital signs are normal, and he is afebrile. Laboratory values are unremarkable.

Hospitals 40

Hospitals Emergency Department Ultrasounds EMS 40

Taming the SRU

AUGUST 30, 2023

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. 2005 Nov;6(11):1045-56. 2005 Feb 15;53(1):33-8. J Zhejiang Univ Sci B.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Taming the SRU

FEBRUARY 19, 2024

12) Axillary While axillary arterial line placement has been uncommon, in the age of facile ultrasound operators it may become a more advantageous and accessible site particularly in patients with high BMIs. Crit Care Med 2005; 33: 1276 –1280 6. Placement is theoretically faster and easier than a radial arterial line. Broadstock, A.

Shock 59

Shock Resuscitation Ultrasounds Research 59

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

On arrival, the patient was in shock, was intubated, and had an immediate cardiac ultrasound. What does a heart look like on ultrasound when the EKG looks like that? Here you go: It's not the world's greatest cardiac ultrasound video, but it does appear to show poor function and low volume. They transported to the ED.

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. EM makes a strong push into bedside use of ultrasound sonography. Emergency Ultrasound is one of the greatest advances in emergency care. EDNA->ENA. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

ACEP Now

OCTOBER 15, 2023

Flexible laryngoscopy, CT scan, direct laryngoscopy under general anesthesia, esophagoscopy, ultrasound, or chest X-ray may all be requested by the surgical consultant. The Difficult Airway: A Brief Overview of the Airway Disruption Algorithm The American Society of Anesthesiologists (ASA) in 2005 modified the ASA Difficult Airway Algorithm.

Fractures 52

Fractures Dislocations Airway Management Operations 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

Beware a negative Bedside ultrasound. There is a literature on this subject ( GGF van der Schoot et al: Neth Heart J 28(6):301-308, 2020 — and — Egred et al — Postgrad Med 81(962): 741-745, 2005 — to name just 2 reports ). Chest Pain in a Male in his 20's; Inferior ST elevation: Inferior lead "early repol" diagnosed. Pericarditis?

EKG/ECG 52

EKG/ECG Wellness Ultrasounds Outcomes 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: He was managed medically with Clopidogrel.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

Pediatric Emergency Playbook

JUNE 1, 2017

Cardiovasculr Ultrasound. 2005; 237(1):75-82. Anomalous Origin of the Left Coronary Artery From the Main Pulmonary Artery in Adults. Circulation. 2004; 110:e511-e513. Tomkewicz-Pajak L et al. Arterial stiffness in adult patients after Fontan procedure. 2014; 12:15. Varghese MJ et al. Images Paediatr Cardiol. 2010; 12(3): 3–8.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

PHEM Cast

DECEMBER 1, 2017

[link] Firstly, go and read Simon and Tim Harris’ great 2005 paper on the subject which we reference repeatedly in the podcast. If you want to know about ultrasound findings of pneumothorax, check out this great R.E.B.E.L. 2005; 22:8-16. It is available free open access here. References: Leigh-Smith S, Harris T.

Ultrasounds 52

Ultrasounds EMS 52

Dr. Smith's ECG Blog

APRIL 8, 2015

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). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Good History and Physical exam, including a.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Intensive Blog

FEBRUARY 9, 2023

Other investigations to consider include imaging of the liver with ultrasound and computerised tomography (CT) to assess for any changes to the liver parenchyma or vasculature, such as portal vein thrombosis or Budd Chiari Syndrome (hepatic venous outflow obstruction). 2005, 2005/01/01/). Royal Botanical Gardens Victoria.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EB Medicine

JANUARY 2, 2019

So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound. Nachi: Definitely concerning, but this is all the more reason you need to employ our favorite imaging modality… the ultrasound. For a threatened abortion, the os would be closed with an IUP seen on ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

Semin Ultrasound CT MR 2017, 38 (4), 345-356. AJR Am J Roentgenol 2005, 185 (3), 772-783. Am Fam Physician 2005, 72 (8), 1492-1500. DOI: 10.1161/strokeaha.118.023173 118.023173 From NLM. (4) 4) Madhuripan, N.; Tenenbaum, M. Computed Tomography Angiography in Head and Neck Emergencies. DOI: 10.1053/j.sult.2017.02.003 Fischer, S.;

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. 2005 Jul-Aug 2005;12(4):311-9. Osteopathic Manipulative Treatment for Inhaled Rib Somatic Dysfunction. Journal of Osteopathic Medicine. 2020;120(10):696-697. doi:10.7556/jaoa.2020.109 2020.109 Turk F, Kurt AB, Saglam S. Emerg Radiol. Nov 2010;17(6):473-7.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

ACEP Now

FEBRUARY 19, 2025

There are ample teaching opportunities for residents, including on-shift teaching, ultrasound, simulation, and didactics. There are no limitations to which patients can be seen by interns or residents, ensuring our residents have valuable training in managing varying acuities each shift. We love it here and hope you will too!

Academics 64

Academics Emergency Department Ultrasounds Pediatrics 64

EMDocs

JANUARY 20, 2025

Over the last few years, however, ultrasound has been increasingly playing an important role in the conversation with multiple studies looking at using ultrasound to predict fluid responsiveness in septic patients – for example, using the velocity time integral with passive leg raise. 2005 Oct 19;294(15):1944-56.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Mind The Bleep

JANUARY 24, 2025

Doppler Ultrasound: Non-invasive assessment of blood flow. The incidence and management of peripheral nerve injury in England (2005-2020). Look for signs of bone injury that may be associated with arterial and nerve damage. CT Angiography: Detailed imaging of arterial injuries. It is particularly useful in preoperative planning.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52