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. Annals of Emergency Medicine; 2006. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Jeffcoach DR et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

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

Pediatric Emergency Playbook

AUGUST 1, 2017

2006; 26:1485-1500. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 2006; 22:1021-1024. J Ultrasound. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PEMBlog

OCTOBER 26, 2023

Ultrasound and CT may not differentiate it from normal bowel. 2006 Oct;99(10):501-5. 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. Meckel diverticulum. Meckel’s diverticulum: a systematic review.

Radiology 64

Radiology Radiology Administration Resuscitation 64

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Her point-of-care ultrasound (POCUS) shows appropriate-appearing global ejection fraction and no marked wall motion abnormalities. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). Many of these OHCAs are due to ventricular fibrillation or pulseless VT.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2006; 113: 2313-2319. Ghosh D, Mainali G, Khera J, Luciano M. Complications of Intrathecal Baclofen Pumps in Children: Experience from a Tertiary Care Center. Pediatr Neurosurg. 2013; 49:138–144. Yang TF, Wang JC, Chiu JW et al. Childs Nerv Syst. Circulation.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

Taming the SRU

SEPTEMBER 8, 2023

Clinical Critical Care Medicine, 2006, pp. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” Gastroenterology. 2017 Feb;152(3):644-647. doi: 10.1053/j.gastro.2016.12.026. 2016.12.026. Epub 2017 Jan 2. PMID: 28056348. Cross, Timothy, et al. Acute liver failure.”

Radiology 59

Radiology Radiology Ultrasounds EMS 59

PulmCCM

OCTOBER 16, 2023

Most central lines in the ICU are placed under ultrasound guidance in the internal jugular vein, representing a perceived middle ground of risk for pneumothorax and infection prevention. Peripherally-inserted central catheters (PICCs) are inserted through the skin into an arm vein, and advanced under ultrasound into large central veins.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Pediatric Emergency Playbook

FEBRUARY 1, 2017

Renal and bladder ultrasound (RBUS) after the first UTI is recommended (although incompletely followed in practice). 2006 Jan;13(1):76-81. Urachal remnant – a leftover from fetal development, and an abnormal connection between the bladder and the umbilicus. Imaging of choice as an outpatient? Acad Emerg Med.

Dehydration 52

Dehydration Wellness Ultrasounds Pediatrics 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Was there any prenatal care or ultrasound done? 2006; 53:69-84. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? Does this child look volume depleted? Endocrine Emergencies - Could this be congenital adrenal hyperplasia with low sodium, high potassium, and shock?

Seizures 40

Seizures Sepsis Pediatrics Shock 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

Pediatric Emergency Playbook

DECEMBER 1, 2016

Ultrasound Not ready for prime time. Pros and Cons in Audio; the 2006 AAP Guidelines and the 2014 AAP Guidelines use same data to come to divergent recommendations. 2006 Oct;118(4):1774-93. Factors that are predictive of a definite infiltrate are: significant hypoxia ( 39°C). 2016 May 14. pii: S0022-3476(16)30170-6. Pediatrics.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

Dr. Smith's ECG Blog

JUNE 20, 2018

Journal of Emergency Medicine 2006; 31(1):67-77. However, in almost every case, one should confirm absence of OMI (Occlusion MI) at least by contrast ultrasound. 2 comments : 1. 40-50% of acute LAD occlusion have upwardly concave ST segments in all of V2-V5. 40-50% of LAD occlusion have zero reciprocal ST depression. Grauer K.

EKG/ECG 52

EKG/ECG Documentation/Coding Ultrasounds Wellness 52

Pediatric Emergency Playbook

JUNE 1, 2017

Cardiovasculr Ultrasound. 2006; 87:e168-e171. Harm Reduction Journal, 2006; 3(14):1-18. 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.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

SEPTEMBER 1, 2018

Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. Jeff: What a team! Jeff: What a team!

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EB Medicine

OCTOBER 1, 2018

In addition, they also note that our good friend, the point of care ultrasound, likely plays a role, as in one study, POCUS demonstrated a 25% improvement in sensitivity from clinical impression alone. One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF. Jeff : Sounds good.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

JANUARY 20, 2024

Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. Ultrasound findings can show bulging of the interventricular septum into the LVOT , which can be interpreted as a sigmoid-shaped septum on bedside evaluation. 2006 Jul;27(13):1523-9.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

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. Quinn et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Pediatric Emergency Playbook

JANUARY 1, 2017

For example, for a simple forearm fracture, you may opt to give an oral opioid, perform a hematoma block, and offer inhaled nitrous oxide for reduction, rather than a formal intravenous procedural sedation ( Luhmann 2006 ). Ultrasound guidance for pediatric peripheral nerve blockade. 2006 Oct;118(4):e1078-86. Int J Pediatr.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. 2006 Jun;26(6):684-90. 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. Cephalalgia.

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Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

JULY 5, 2023

It has been routine practice in the UK since 2006. The high blood flow velocities through these stenotic segments can be detected using transcranial doppler ultrasound (TCD). How is sickle cell disease diagnosed? Newborn screening: sickle cell screening is donethrough heel-prick blood at five days of life.

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Blood Transfusions Stroke Dehydration Sepsis 126

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. According to a meta-analysis by Chen et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

SEPTEMBER 23, 2024

An ultrasound scan of the graft is usually sufficient to rule out these complications. Creatinine is the primary biochemical marker for assessing renal function. Various equations have been developed to estimate renal function using the Glomerular Filtration Rate (GFR) for different patient groups, including children and adults. Helenius, I.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52