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Diagnostics and Therapeutics: Thoracentesis in the Emergency Department

Taming the SRU

Shortness of breath is one of the most common complaints presenting to emergency departments. Ultrasound in recent years has become a very helpful tool in diagnosing smaller effusions, and is noted to be almost 100% sensitive for effusions > 100 mL (2). Overview - what is a pleural effusion and how can i fix it?

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PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). Describe the technique for performing lung POCUS.

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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

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.

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Is the blind Subclavian “trauma line” a thing of the past?

Greater Sydney Area HEMS

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)

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

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.

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POCUS in the ED: Is Confirmatory RUQ US Still Necessary?

RebelEM

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%

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SAEM Clinical Images Series: What’s Coming Out of Your Eye?

ALiEM

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. An emergent ophthalmology consult is needed to plan for operative repair.