ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. Collaborating with one of my ultrasound faculty, we conducted a bedside echocardiogram to explore potential cardiac anomalies. Our workup started with an ultrasound and EKG.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Outcomes 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In this study, the Broselow tape had the best overall accuracy, with 50.7% (vs 30.88% for APLS 2011) of estimates occurring within 10% of measured weight and 80.0% (vs 55% for APLS 2011) estimates within 20% of measured weight. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053. 2024.04.053. Epub 2024 May 3.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. doi:10.1136/archdischild-2011-301245. 2012;97(5):185-193.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

PEMBlog

JANUARY 17, 2024

2011 Mar;127(3):e573-80. Epub 2011 Feb 21. Clin Infect Dis 2011; 52:e18. If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound. Now, some facilities have a short stay unit, like in their emergency department.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

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. Pulmonary embolism in the pediatric emergency department. 2011; Apr 26;123(16):1788-830.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

ALiEM

MARCH 7, 2024

Given her pain with a history of intermittent hematuria and dysuria, you perform a renal and bladder point of care ultrasound (POCUS) examination. Pre-warmed ultrasound gel is helpful when available. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. 2011; 364(3):255-264.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2011 Mar;123(16):1788-1830.

Ultrasounds 93

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 93

RebelEM

SEPTEMBER 11, 2023

Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% 1 It is a quickly deployable and easily interpreted study that can be done in real time to guide decisions in the Emergency Department. Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8%

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. In fact, it’s use is so ubiquitous that the newer generation of emergency physicians are largely inexperienced in the insertion of central lines as a blind technique. One approach to obtaining BCV origin access (fig.1)

Ultrasounds 98

Ultrasounds Shock Research Operations 98

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. 2021.0052 Emergency Department Management of Extensor Tendon Lacerations – Page 3 of 4. Ann Emerg Med. Emergency Medicine Residents’ Association; 2022:10-11. Extensor tendon repair in the emergency department. J Emerg Med.

EMS 90

EMS Fractures Soft Tissue Injuries Ultrasounds 90

ALiEM

OCTOBER 4, 2024

A 31-year-old female G3P2 presented to the emergency department with vaginal spotting for one week and worsening lower abdominal cramping. Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. 2011 Jul;118(1):184-196. Crit Ultrasound J 3, 91–92 (2011).

Ultrasounds 64

Ultrasounds Academics Emergency Department Hospitals 64

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. The value of ultrasound for detecting hand fractures: A meta-analysis. Emergency Medicine Residents’ Association; 2022:10-11. 2012;16(4):338-349.

EMS 81

EMS Fractures Operations Ultrasounds 81

Pediatric Emergency Playbook

JANUARY 1, 2017

neutropenia) ( Babl 2011 , Dokko 2014 ). Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). Intranasal ketamine for analgesia in the emergency department: a prospective observational series.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. ng/mL, 0.25-0.5

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

Pediatric Emergency Playbook

DECEMBER 1, 2015

Ultrasound can be used to troubleshoot when needed. Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician. Emergency department evaluation after conducted energy weapon use: review of the literature for the clinician. J Emerg Med. 2011; 40(5):598-604.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

ACEP Now

APRIL 5, 2024

It’s important that we focus quickly and intently on stabilizing these patients, especially in the out of hospital environment, so that we can safely get them to an emergency department.” Dr. Lee is a second-year resident in emergency medicine at Highland Hospital in her hometown of Oakland, California. References Gehrke D.

Forensics 49

Forensics Psychiatric Burns Hospitals 49

Mind The Bleep

JUNE 17, 2023

A study in 2011 of 258 children admitted to hospital with pneumonia found that 8.5% Kirovski I, 2011) It’s important to think about the possibility of an empyema or bad pneumonia in a child with difficulty in breathing, fever and abdominal pain. Open Access Emergency Medicine , 283-291. Annals of Paediatric Surgery.

Shock 93

Shock Wellness Emergency Department Ultrasounds 93

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2011 Dec;6:1-4. Annals of Clinical and Laboratory Science. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. What is the role of ultrasound? Normal testicle buddy view with colour.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Mind The Bleep

JUNE 17, 2023

A study in 2011 of 258 children admitted to hospital with pneumonia found that 8.5% Kirovski I, 2011) It’s important to think about the possibility of an empyema or bad pneumonia in a child with difficulty in breathing, fever and abdominal pain. Open Access Emergency Medicine , 283-291. Annals of Paediatric Surgery.

Shock 52

Shock Wellness Emergency Department Ultrasounds 52

EMDocs

JANUARY 20, 2025

the FEAST trial 29 from 2011 conducted in Uganda, Kenya, and Tanzania, also showed significantly increased harms in the aggressive volume resuscitation group in children with sepsis and signs of shock. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay. Tullo et al.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69