ALiEM

SEPTEMBER 25, 2023

The preferred imaging modality is doppler ultrasound. Epub 2008 Feb 15. Phelgmasia Cerulea Dolens Diagnosed by Point-of-Care Ultrasound. Phlegmasia Cerulea Dolens tends to affect the iliofemoral segment of the lower extremities and is commonly associated with malignancy. References Bazan HA, Reiner E, Sumpio B. Ann Vasc Dis.

Ultrasounds 60

Ultrasounds Academics 60

PHEM Cast

DECEMBER 1, 2017

Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Awareness of site for needle thoracocentesis. Emergency Medicine Journal , 22 (11), 788–789. link] Fitzgerald, M., Mackenzie, C. Marasco, S., Hoyle, R., & Kossmann, T. Injury , 39 (1), 9–20. link] Givens, M.

Academics 52

Academics Radiology Radiology Resuscitation 52

Pediatric Emergency Playbook

AUGUST 1, 2017

J Med Genet 2008; 45:1. J Pediatr Gastroenterol Nutr 2008; 46:13. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 2008; 15-21. J Ultrasound. 2010; 149(3):386-391. Hirschprung Disease Amiel J, Sproat-Emison E, Garcia-Barcelo M, et al. Arshad A, Powell C, Tighe MP. Hirschsprung's disease.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 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. 2008; 64: 9-14/ 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Traumatic Cardiac Arrest. Sperry et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

EMDocs

MAY 11, 2024

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 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.] Gowda SN, Munakomi S, De Jesus O. Brainstem Stroke.

Stroke 111

Stroke EMS EKG/ECG Radiology 111

Urgent Care Ultrasounds

JANUARY 17, 2019

link] Also note thoracic aorta posterior to hernia #POCUS #FOAMed pic.twitter.com/v0B2zAWXxm — VCU Ultrasound (@ultrasound_vcu) December 29, 2018 An elderly woman with chest discomfort #ACCFIT @JGrapsa @VLSorrellImages pic.twitter.com/LobfRATs01 — Edgar Argulian (@argulian) October 31, 2018 References 1. Cardiovascular ultrasound.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. Omar et al published a study in 2008 showing just how safe laparoscopic appendectomies have become. It is a good, and generally very safe operation, with a high rate of patient satisfaction.

Operations 52

Operations Academics Ultrasounds Hospitals 52

Dr. Smith's ECG Blog

FEBRUARY 14, 2009

A bedside ultrasound revealed a possible anterior wall motion abnormality. This is seen commonly, but only recently reported on by de Winter, Verouden, Wilde, and Wellens' in a long letter to the New England Journal (NEJM 359(19):2071-2073; Nov. Today the discomfort is associated with multiple episodes of vomiting and it is unremittant.

EKG/ECG 52

EKG/ECG Burns Ultrasounds 52

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. first appeared on The Skeptics Guide to Emergency Medicine.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

Northwestern EM Blog

DECEMBER 20, 2021

Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. 2008 Jul;90(7):940-5. Ultrasound can be useful when evaluating for septic arthritis and transient synovitis and can be performed at the bedside. Acta Orthop. 2017;88(1):96-100. 90B7.20691.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Northwestern EM Blog

FEBRUARY 14, 2022

Interestingly, when vasopressin was studied in 2008, it similarly did not show a mortality benefit when added to norepinephrine infusion in septic shock2. NEJM 2008; 358(9): 877 – 87. However, one limitation of the study was that it was underpowered to demonstrate a mortality difference. Crit Care 2014; 18(5): 534.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Taming the SRU

AUGUST 30, 2023

A 2008 review in the International Journal of Medicine on spinal epidural abscess (SEA) agreed that inflammatory markers (specifically ESR and CRP) are generally sensitive in the diagnosis of SEA, but are not specific. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. Cleve Clin J Med.

Infectious Diseases 89

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

ACEP Now

SEPTEMBER 3, 2024

billion dollars in one of the largest leveraged buyouts since the 2008 financial crisis, of which over 7 billion dollars was new debt obligation.18 Her primary interests are in ultrasound, machine learning, and health justice. This was cited as a cause for its eventual bankruptcy. 2,5,18 Envision had been acquired for 9.9

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

The downside is that it can last 30 minutes or more, but it may be a good choice for an abdominal ultrasound or CT head in unruly toddlers. 2008 Oct;5(10):1159-68. Dex is safe, if titrated, and does not depress airway reflexes or respiration. mcg/kg IN, and can add another 1 mcg/kg if needed. Before You Go: The “Semmelweiss reflex”.

Administration 40

Administration Seizures Emergency Department Ultrasounds 40

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

DECEMBER 1, 2015

Ultrasound can be used to troubleshoot when needed. 2008; 15:988-994. If the patient can’t tolerate this or the barb appears particularly embedded, inject with local lidocaine and make a small superficial incision with an 11-blade scalpel just large enough to allow passage. In a review of tasers used by law enforcement, Vilke et al.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

EB Medicine

JULY 8, 2019

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status. Jeff: Next up is ultrasound.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. Mansuria S.M, Donnellan N.M

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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. 2008 Mar;155(3):408-17.

EMS 102

EMS Fluid Resuscitation Shock EKG/ECG 102

EMDocs

JUNE 21, 2023

Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 2008 Feb;466(2):432-5. 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.

Soft Tissue Injuries 96

Soft Tissue Injuries Fractures Dislocations Radiology 96

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. BJOG 2008; 115:1473. Half of all embolisms occur within the first 24 hours and 75% will present by postoperative day 3. 2020 Sep;127(10):1269-1279.

OB/GYN 95

OB/GYN Operations EMS Ultrasounds 95

Pediatric Emergency Playbook

JANUARY 1, 2017

Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). Topical ethyl chloride vapo-coolant offers transient pain relief due to rapid cooling and may be used just prior to an IV start ( Farion 2008 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

APRIL 5, 2024

Her primary interests are in ultrasound, machine learning, and health justice. 2008 council resolution 21: excited delirium. This organizational shift represents an opportunity to reflect on the real-world consequences of that influence, and on the responsibility that comes with it. References Gehrke D. Miami Herald April 2, 1990:1A.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

Dr. Smith's ECG Blog

MARCH 6, 2020

A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. A cutoff of 1200 pg/ml for patients with a normal eGFR is very specific for heart failure. A diagnostic NT-proBNP cutoff of 900 pg/mL has been suggested in adults 50-75 years of age in absence of renal failure."

EKG/ECG 52

EKG/ECG Ultrasounds Hospitals 52

EB Medicine

FEBRUARY 1, 2019

Nachi: Unfortunately, the 2008 ACEP guideline and 2012 AHA guidelines still recommend a lumbar puncture in those being worked up for SAH. Anyway, the last test to discuss is our good friend the ultrasound, specifically the ocular ultrasound. In addition, one 2016 study demonstrated a LR of 0.01 No complaints here, I’ll take it.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. Jan 23 2008;(1):CD000396. 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

ALiEM

OCTOBER 28, 2024

If ultrasound imaging is equivocal, CT is the next best step in differentiating the mass origination. If ultrasound is equivocal, CT imaging is the next best step. 2008 Oct;5(10):551-60. Here a large homogenous mass initially appears to be projecting from the liver, but it can also be seen protruding out of the right kidney.

Pediatrics 64

Pediatrics Ultrasounds Academics Wellness 64

Taming the SRU

OCTOBER 28, 2024

2008 Nov 03;3:59. Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. 2008 Dec;65(6):1340-5. [PubMed] 2. Al-Mufarrej F, Badar J, Gharagozloo F, Tempesta B, Strother E, Margolis M.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

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. 2008 Sep;1(3):170-7. Tullo et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

RebelEM

FEBRUARY 7, 2024

Chorioamnionitis is a bacterial infection of fetal amnion and chorion membranes. Labor and Delivery and Their Complications. In: Marx, J et al, ed. Rosen’s Emergency Medicine. Philadelphia, PA: Elsevier Saunders; 2014:2331-2350. Gorgas, D. “Infections related to pregnancy.” ” Emerg Med Clin North Am 26 (2): 345-366, viii.

Sepsis 102

Sepsis Shock Hospitals Ultrasounds 102

Don't Forget the Bubbles

JANUARY 2, 2025

Other New Year’s resolutions might include: staying alert when asked to attend the delivery of a foetus with a major congenital heart defect, avoiding planning pre-referral ultrasounds for cryptorchidism, and keeping an eye out for behavioural interventions that include a digital component. JAMA Pediatr. 2024 Dec 1;178(12):1270-1279.

Pediatrics 59

Pediatrics Ultrasounds Ethical Issues Hospitals 59