EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. 1-3 As many as 25% of acute PE cases present as sudden cardiac death.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

RebelEM

JUNE 19, 2023

Demographics were well balanced in the two groups. Patients were actively screened for DVT (all received lower extremity ultrasound on or around day 7). Lancet 2010; 376(9734): 23-32. All trial personnel were unaware of trial-group assignments. Broad inclusion (and limited exclusion) criteria increasing external validity.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

Pediatric Emergency Playbook

AUGUST 1, 2017

2010; 26:769-781. 2010; 149(3):386-391. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. J Emerg Med. 2012; 43(1):49-51. Martin V, Shaw-Smith C. Review of genetic factors in intestinal malrotation. Pediatr Surg Int. Nehra D, Goldstein AM. Pyloric Stenosis Aspelund G, Langer JC.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

We did a bedside cardiac ultrasound. You can see that the part of the heart closest to the transducer (top) is the anterior wall and is moving and contracting well. The ECG and ultrasound could not have been differentiated from acute plaque rupture with occlusion of the RCA. The Q-wave in lead III persists.

EKG/ECG 52

EKG/ECG Ultrasounds Resuscitation Wellness 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. Sorry we've been out of the loop lately.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Taming the SRU

OCTOBER 1, 2023

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. J Emerg Med. 2021;61(5):517-528. doi:10.1016/j.jemermed.2021.07.006

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Broome Docs

APRIL 6, 2023

Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. 2010 Oct 5;182(14):1527-32. Epub 2010 Aug 23. PMID: 36688507 You can read Justin’s Full write up here. Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, Kilda A, Malcius D. Emerg Med J.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

RebelEM

JANUARY 25, 2023

2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 2010, (Ch) 92: p 1216-1227. Am Surg 2010; 76:687-691. Absent bowel sounds Peritoneal signs (i.e.

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Dr. Smith's ECG Blog

JUNE 2, 2023

She was awake, alert, well perfused, with normal mental status and overall unremarkable physical exam except for a regular tachycardia, possible rales at both bases, some mild RUQ abdominal tenderness. They are best seen in leads V1,V2 — and a bit less well seen in V3,V4. The diagnosis is not easy (see below).

EKG/ECG 96

EKG/ECG Wellness Ultrasounds EMS 96

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

All went well. Keep your ultrasound handy. .") Another crew did have the prolapsed cord case, and resolved the issue by carrying Mom's stretcher down the stairs head-first providing steep reverse Trendelenburg's position (not clear if genupectoral position was used) to take pressure off the cord. Bisanzo, M. C., & Hutson, H.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Was there any prenatal care or ultrasound done? Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? ACEP/McGraw-Hill, 2013. McGowan et al. Circulation. 2010;122:S909-S919. Okada PJ, Hicks B. 2002; 3:3-13.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

A natural one, and especially suited for increasing capability without regard to physician residency program output of graduates, and in less-well-served rural areas. Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Dr. Smith's ECG Blog

JULY 12, 2020

I found a well appearing young lady in the room with her parents who witnessed the event. So I immediately left the room to get an ultrasound machine. We performed a pericardiocentesis using a triple lumen central line kit under ultrasound guidance in a transthoracic position.

EKG/ECG 40

EKG/ECG Hospitals Ultrasounds Wellness 40

EB Medicine

JULY 8, 2019

Jeff: Well that’s kind worrisome. Additionally, back in 2010, it was estimated that 6.6% Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. million adults!!

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Pediatric Emergency Playbook

MARCH 1, 2016

Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. In other words, feel free to use ultrasound – especially for things that we in the ED will react to and intervene on – but CT may help to manage the traumatized child non-operatively. 2010 Nov;19(4):286-91.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. Critical Care Medicine 38():p S26-S34, February 2010. | N Engl J Med. 2023 Feb 2;388(5):439-452. doi: 10.1056/NEJMra2206346.

Infectious Diseases 89

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

Downeast Emergency Medicine

APRIL 26, 2021

The primary outcome was 30-day mortality with secondary outcomes of 1-year functional neurological outcome based on GCS as well as hospital length of stay. If the trauma center performed screening ultrasounds to evaluate for asymptomatic DVTs, they were not included in this study. Lancet 2010; 376:23-32.[ 67% received TXA.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

AUGUST 1, 2018

It was peer-reviewed by Joseph Habboushe, assistant professor at NYU and Nadia Maria Shaukat, director of the emergency and critical care ultrasound at Coney Island Hospital in Brooklyn, New York. Jeff: And the etiology of CHS is not well understood. Similarly, the exact criteria for CHS are poorly defined.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

AUGUST 6, 2019

Nachi: Well, I’m sure more of those studies are still coming. Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. Nachi: Well that was a ton of information and background on the DOACs. But next we should talk about ultrasound. Show More v Jeff: Fair enough, we’ll take what we can get.

Emergency Department 40

Emergency Department Stroke Wellness Resuscitation 40

EB Medicine

SEPTEMBER 1, 2018

You may have heard of the recommendations for incision / excision, use of venom extraction devices, tourniquets, chill methods and even electroshock therapy – well these methods are all OUT. Jeff: I feel like we should get some entry music for every ultrasound reference because it seems to make its way into just about every episode.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Assessing and managing children’s pain can be challenging, because they may not exhibit typically recognized signs and symptoms ( Srouji 2010 ). Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. Knowing the context of the episode may help.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

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. Vasovagal syncope is generally benign. orthostatic vitals b.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 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

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Prenatal opioid exposure and well-child care in the first 2 years of life: population-based cohort study. Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020. You will find the list is broken down into four sections: 1.Reviews

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

NOVEMBER 13, 2023

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. Semin Ultrasound CT MR 2017, 38 (4), 345-356. Scand J Trauma Resusc Emerg Med 2010, 18 , 61.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

PEMBlog

JANUARY 17, 2024

Well when a break in the skin occurs, normal skin, flora, and bacteria can enter the subcutaneous tissue, where they do not belong, and they can also invade the lymphatic system. You can also see petechiae and hemorrhage, as well as superficial bulla, vesicles, or even echemosis. Well, bacteria, and the most common etiology.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

EMDocs

NOVEMBER 4, 2024

She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. Prevalence and treatment of pain in EDs in the United States, 2000 to 2010. Evaluation by ultrasound of traumatic rib fractures missed by radiography. The pain is worse with activity but improves with rest. Am J Emerg Med. Emerg Radiol.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

ACEP Now

SEPTEMBER 13, 2023

But what if we could measure a patient’s spleen via ultrasound in the emergency department (ED) to guide specific patient care? Practitioners have looked at splenic size on ultrasound and its association with splenic dysfunction. Bloodstream infections in children with sickle cell disease: 2010-2019. Is there a correlation?

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Poisoning 40

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Recent studies have shown that low-dose ketamine can reduce pain in acute painful crises of sickle cell patients as well as being an opioid-sparing drug.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 20, 2025

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

JANUARY 22, 2025

Armed with algorithms and with albuterol in hand, remember to take a deep breath and help your patients to do so as well! 2010 Feb 15;181(4):315-23. Identification of asthma phenotypes using cluster analysis in the Severe Asthma Research Program. Am J Respir Crit Care Med. doi: 10.1164/rccm.200906-0896OC. 200906-0896OC.

COPD 80

COPD CDC Research Emergency Department 80

Mind The Bleep

JANUARY 24, 2025

Doppler Ultrasound: Non-invasive assessment of blood flow. Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain. Look for signs of bone injury that may be associated with arterial and nerve damage. Annals of surgery. Journal of wound care.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Taming the SRU

JULY 24, 2024

A study that began in 2010 and is currently ongoing has found that approximately 25% of women experience some sort of physical or sexual violence or stalking by a partner in their lifetimes. Victims of IPV are likely to seek care at emergency departments at higher rates than the general population. What is an IUP?

Domestic Violence 52

Domestic Violence Leadership Ultrasounds Academics 52