RebelEM

FEBRUARY 12, 2024

“Mp50-20 national imaging trends for acute kidney stone disease: do renal ultrasounds for nephrolithiasis in the emergency department pave the way to computerized tomography? 2011; 18(7):699-707. CT in Detecting Urinary Tract Calculi: Influence on Patient Imaging and Clinical Outcomes Radiology. 2002; 225(2):441-449.

Radiology 69

Radiology Radiology Emergency Department Ultrasounds 69

Resus Review

OCTOBER 9, 2015

However, advancements in percutaneous coronary intervention (such as drug-eluting stents and techniques, risk stratification, and intravascular ultrasound) have increased the viability of this treatment option. Long-term clinical outcomes after unprotected left main trunk percutaneous revascularization in 279 patients.

Stroke 52

Stroke Ultrasounds Outcomes 52

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

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Results of primary extensor tendon repair in relation to the zone of injury and pre-operative outcome estimation. New York, NY: McGraw-Hill Medical; 2011:207-211. Emergency Medicine News 33(12):p 8,9, December 2011. | Plast Reconstr Surg.

EMS 78

EMS Fractures Soft Tissue Injuries Ultrasounds 78

Don't Forget the Bubbles

SEPTEMBER 5, 2024

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. Obesity is considered a contributing factor for some musculoskeletal outcomes. years (IQR 2.5–14.2

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 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. One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study. 2011 Jan 20;364(3):255-64.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Taming the SRU

SEPTEMBER 8, 2023

“Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” 16, 2011, p. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” Journal of Hepatology, vol. 4, 2014, pp. 876–882, [link] Potts, Jonathan R. 2, 2000, pp.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45].

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

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. Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infections.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging.

Operations 92

Operations Ultrasounds Fractures Outcomes 92

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. Sharma, A.P.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

RebelEM

SEPTEMBER 11, 2023

Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. 2022;7(1):e000944.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

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. of patients present initially with acute abdominal pain. Gadiparthi R, W. 2023, June 14).

Shock 93

Shock Wellness Emergency Department Ultrasounds 93

ALiEM

OCTOBER 4, 2024

Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. Are there any other findings on ultrasound that put this pregnancy at higher risk? Confirmation can be done with transabdominal ultrasound but in very early pregnancy may require a transvaginal ultrasound.

Ultrasounds 64

Ultrasounds Academics Emergency Department Hospitals 64

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. 2011 Dec;6:1-4. Emergency department-initiated buprenorphine for opioid dependence with continuation in primary care: outcomes during and after intervention. Annals of Clinical and Laboratory Science. 2023 Jan 1;53(1):140-2. PMID 36889767 Torruella RA.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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. of patients present initially with acute abdominal pain. Gadiparthi R, W. 2023, June 14).

Shock 52

Shock Wellness Emergency Department Ultrasounds 52

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 2011 Nov;71(5):E110-3. 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 69

Soft Tissue Injuries Fractures Dislocations Radiology 69

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Generally 1500 is used as the cutoff.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

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. From 2010 to 2011, the number of ED visits by children aged 12 to 17 years old due to synthetic cannabinoid use also has doubled.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

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. Eur J Pediatr. 2024 Dec;183(12):5085-5101.

Pediatrics 59

Pediatrics Ultrasounds Ethical Issues Hospitals 59

EMDocs

JANUARY 20, 2025

13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. 2024, 33 use of ultrasound may lead to a reduction in mortality, less volume of fluids given, and decreased hospital stay.

Dehydration 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40