Don't Forget the Bubbles

NOVEMBER 8, 2023

Ultrasound has been associated with lower rates of negative appendicectomy. In a meta-analysis of 26 paediatric studies, the pooled sensitivity and specificity of ultrasound for diagnosing appendicitis in children were 88% and 94%, respectively [10]. JAMA, 2007. Bachur, R.G., Pediatrics, 2012. 129 (5): p. Bundy, D.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Sensible Medicine

JULY 24, 2023

At the time, in 2007, the cardiology world was stunned to learn that opening partially blocked coronary arteries—in stable patients—did not lead to fewer heart attacks or less cardiac death compared to tablets alone. Last week I wrote about the COURAGE trial. There were no differences in physical limitation scores.

Academics 98

Academics Documentation/Coding Ultrasounds Wellness 98

Pediatric Emergency Playbook

AUGUST 1, 2017

2007; 16:27-33. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. 2007; 298(4):438-451. The non-diagnostic ultrasound in appendicitis: is a non-visualized appendix the same as a negative study? Ultrasound Evaluation for Appendicitis. 2007; 25:1009-1040.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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

EMDocs

MAY 11, 2024

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 2007 Jan 27;369(9558):293-8. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Brainstem stroke: anatomy, clinical and radiological findings. doi: 10.1053/j.sult.2013.01.004. 2013.01.004. PMID: 23522778.] Brainstem Stroke.

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Stroke EMS EKG/ECG Radiology 111

PHEM Cast

DECEMBER 1, 2017

Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Tension pneumothoraces not responding to needle thoracocentesis. Emergency Medicine Journal , 19 , 176–177. C., & MD, J. The American Journal of Emergency Medicine , 1–5. link] MD, B. B., & MD, J.-M.

Academics 52

Academics Radiology Radiology Resuscitation 52

Mind The Bleep

AUGUST 5, 2023

Example of pneumoperitoneum following perforated NEC Other Investigations Blood tests and abdominal ultrasound. Abdominal ultrasound may show bowel wall thickening, altered vascular state and free fluid. Bloods may show anaemia, thrombocytopenia, leukocytosis/leukopenia, hyponatraemia, raised CRP, metabolic acidosis. Pneumoperitoneum.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Taming the SRU

SEPTEMBER 8, 2023

doi: 10.1055/s-2007-1007253. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” Coagulopathy: Pereira SP, Langley PG, Williams R. The management of abnormalities of hemostasis in acute liver failure. Semin Liver Dis. 1996 Nov;16(4):403-14. PMID: 9027953. 8, 2014, pp.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Keep your ultrasound handy. 2014) Medscape.com Sullivan, MG (2007) Time Is Critical for Success in Perimortem C-Section ACEP News. Here, then, are some links for Third Trimester Emergencies. Verify your own laws and protocols for your practice before instituting change. de Boisblanc, B., & Suresh, M. Perimortem Cesarean Delivery.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Pediatric Emergency Playbook

JUNE 1, 2016

Cardiogenic Shock: Act Use point-of-care cardiac ultrasound : Good Squeeze? It’s seen easily enough on point of care ultrasound. Tamponade: if any sign of shock, pericardiocentesis, preferentially ultrasound-guided. 2007; 35:64-8. You will see cool, mottled extremities. Pericardial Effusion? Get ready to aspirate.

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EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Diagnosis of appendicitis, in a pregnant patient, ultrasound vs. mri. Jeff: Next we have everybody’s favorite, the ultrasound. Jeff: Indeed. Sounds familiar.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Pediatric Emergency Playbook

JUNE 1, 2017

2007; 2:2-11. Cardiovasculr Ultrasound. 2007; 5(3):172-176. Summary Acute MI is a challenging presentation in children: Easily missed: uncommon and atypical Varied etiology Respect vague symptoms with a non-reassuring H&P Try to detect it: CATH IT! References Congenital AboulHosn JA et al. Congenit Heart Dis. Circulation.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. This means that Doppler ultrasound can give both false negatives (they had a torsion, but it is not seen in the US) and false positive results (identified as having a torsion when they do not have it).

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Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

JUNE 21, 2023

Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 2007 Aug;21(7):442-3. The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds. J Orthop Trauma. 2013 Sep;27(9):509-14. PMID: 23412508. Kongkatong M, et al. J Emerg Med. 2019 Sep;57(3):362-366.

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Soft Tissue Injuries Fractures Dislocations Radiology 96

Pediatric Emergency Playbook

JANUARY 1, 2017

Surgical pain is not “erased” by opioids ( Thomas 2003 , Poonai 2014 ); treating pain improves specificity to certain surgical emergencies with retained diagnostic accuracy ( Manterola 2007 ). Skin and Soft tissue Skin and soft tissue injuries or abscesses often require solid non-pharmacopoeia in addition to local anesthetics.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

OCTOBER 23, 2023

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. Half of all embolisms occur within the first 24 hours and 75% will present by postoperative day 3. VTE is one of the most common complications of gynecological surgery (2).

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OB/GYN Operations EMS Ultrasounds 95

EMDocs

JULY 17, 2023

3 Point of care ultrasound (POCUS) can be highly sensitive for free fluid and pneumoperitoneum when used by a trained physician in the appropriate patient population. 2007 Jan 21;13(3):432-7. However, a negative plain radiograph should not be used to rule out obstruction and cannot usually determine the etiology of colonic dilatation.

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Operations EMS Fluid Resuscitation Resuscitation 98

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). 2007 Oct; 33(3): 233–239. Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. orthostatic vitals b.

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). .; 2007, Mar). Bellomo, R. 2014, Jan). link] Kamath, P.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. You will find the list is broken down into four sections: 1.Reviews Sethi SK, et al. Pediatr Nephrol.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Broome Docs

JANUARY 27, 2025

Diagnosis of acute aortic syndromes with ultrasound and D-dimer: the PROFUNDUS study. ’ Economic Botany, 61(3), 2007, pp. PMID: 39383344 Profundus Trial – Can we actually exclude acute aortic syndromes with this protocol? 100% seems too good to be true Morello et al., If it looks like a brain – your should eat it?

Sepsis 101

Sepsis Anaphylaxis Hospitals Ultrasounds 101

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. 2007 Feb;24(2):124125. Tullo et al.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

RebelEM

FEBRUARY 7, 2024

Mulik (2007). “Complications of second and third trimester pregnancies.” ” Emerg Med Clin North Am 21 (3): 695-710, vii. PMID: 12962354 Apantaku, O. “Maternal intra-partum fever.” ” J Obstet Gynaecol 27 (1): 12-15. PMID: 17365450 Desai, S. Labor and Delivery and Their Complications.

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Sepsis Shock Hospitals Ultrasounds 102

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. Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

SheMD

APRIL 23, 2023

The rate was down two percent from 2017, and “has fallen by about 15 percent since 2007.” Your next steps will include an evaluation of the following: Ovarian reserve This is evaluated by ultrasound and blood work done between cycle day 2-5 typically – so you will likely still be menstruating at this time. In addition, “there were 59.1

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Ultrasounds Wellness Operations 52