Emergency Medicine Ireland

OCTOBER 14, 2024

Similarly loculations can be very easily seen with ultrasound, better than CT it seems but again don’t necessarily correlate that well with empyema. This has been moderately well studied with MIST-2 2011 and the Picollo trial (2014) being commonly quoted trials suggesting benefit. 365, 518–526 (2011). – M.,

Wellness 52

Wellness Ultrasounds 52

ALiEM

SEPTEMBER 13, 2024

Tonometry and ocular ultrasound (US) are generally not recommended as you could squeeze more liquid out of the eye or increase the intraocular pressure even more, pushing the iris further out. Epub 2011 Dec 2. An emergent ophthalmology consult is needed to plan for operative repair. Endophthalmitis following open-globe injuries.

Emergency Department 64

Emergency Department Academics Hospitals Fractures 64

ACEP Now

OCTOBER 9, 2024

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. Furthermore, this genetic cardiac disease is autosomal dominant, presenting 1 in 500 in our general population. References Gersh BJ, Maron BJ, Bonow RO, et al.

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EKG/ECG Fluid Resuscitation Ultrasounds Outcomes 52

Sensible Medicine

AUGUST 19, 2024

NEJM published STITCH in 2011. Couple that with a weak heart on ultrasound. The teaching points extend beyond cardiology. Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.

Outcomes 90

Outcomes Ultrasounds Wellness 90

Don't Forget the Bubbles

AUGUST 9, 2023

His thyroid ultrasound is normal, and thyroid antibodies are negative. Six months later, his weight and height remain normal, he still does not have a goitre and his thyroid ultrasound is unchanged. She has a normal thyroid ultrasound and negative anti-microsomal and anti-thyroglobulin antibodies. She also has a goitre.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Taming the SRU

MAY 27, 2024

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). While historically reported rates were ~20%, more recent literature with ultrasound guidance suggests much lower rates of ~3% (3, 4).

Emergency Department 86

Emergency Department Ultrasounds Radiology Radiology 86

The Skeptics' Guide to EM

NOVEMBER 1, 2022

There was an episode looking at diagnosing rotator cuff injuries ( SGEM#74 ), the best position post-dislocation immobilization ( SGEM#121 ) and using point of care ultrasound (POCUS) to diagnose shoulder dislocations ( SGEM#288 ). The use of ultrasound to guide these procedures has increased their popularity in recent years.

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Dislocations Ultrasounds Emergency Department 61

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. Critical Care; 2011. 2011; 82: 1138-43. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Smith et al.

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Resuscitation Shock Ultrasounds CPR 52

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. ” The Journal of Urology 199.4S (2018): e683-e684. Moore CL, Carpenter CR, Heilbrun ME, et al. 2002; 225(2):441-449.

Radiology 85

Radiology Radiology Emergency Department Ultrasounds 85

RebelEM

NOVEMBER 30, 2022

History, physical examination and ultrasound are all flawed in making the diagnosis. History, physical examination and ultrasound are all flawed in making the diagnosis. Goldfrank’s Toxicologic Emergencies, 9e New York, NY: McGraw-Hill; 2011. The gold standard is surgical exploration. 10, (-) LR = 0.13 10, (-) LR = 0.13

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

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. The median patient age was 8.2 years (IQR 2.5–14.2 years), with a slight male predominance (51.5% were male).

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

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. 2011 Mar;123(16):1788-1830. Circulation. doi: 10.1161/CIR.0b013e318214914f.

Ultrasounds 82

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 82

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. New York, NY: McGraw-Hill Medical; 2011:207-211. Emergency Medicine News 33(12):p 8,9, December 2011. | Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. Medicine (Baltimore).

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EMS Fractures Soft Tissue Injuries Ultrasounds 79

PHEM Cast

DECEMBER 1, 2017

Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Prehospital needle aspiration and tube thoracostomy in trauma victims: a six-year experience with aeromedical crews. The Journal of Emergency Medicine , 13 (2), 155–163. Beckett, A., Pannell, D., Acharya, S.,

Academics 52

Academics Radiology Radiology Resuscitation 52

Don't Forget the Bubbles

JANUARY 17, 2024

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. Children will swallow almost anything. Kim, Y.B., and Kim, J.H.,

Pediatrics 109

Pediatrics Poisoning Ultrasounds Dehydration 109

Pediatric Emergency Playbook

AUGUST 1, 2017

2011; 364(3):255-264. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. 2011; 29:1136-1140.:205-211. 2011; 523-527. 2011; 24: 552-561. Necrotizing Enterocolitis. N Eng J Med. Niño DF et al. Necrotizing enterocolitis: new insights into pathogenesis and mechanisms.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2011; 7:491-500. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2011; 58(11):1183–90 Fraser CD, Jaquiss RDB, Rosenthal DN et al. References Vagus Nerve Stimulators (VNS) Elliott RE, Rodgers SD, Bassani L et al. J Neurosurg Pediatrics.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 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. 2011 Jan 20;364(3):255-64. One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

EMDocs

AUGUST 12, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Emergency Medicine News 33(12):p 8,9, December 2011. | The athlete’s hand: ligament and tendon injury. Semin Musculoskelet Radiol. 2012;16(4):338-349. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823.

EMS 70

EMS Fractures Operations Ultrasounds 70

RebelEM

JANUARY 29, 2024

Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. A prospective, Single-Arm Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. CHEST 2010.

Stroke 137

Stroke Outcomes Hospitals Administration 137

Dr. Smith's ECG Blog

MAY 20, 2024

Annals of Emergency Medicine 2011; Suppl 58(4): S211. And angiographers tell me that it is sometimes difficult to say for certain based on angiogram alone, without intravascular ultrasound or, better yet, optical coherence tomography. Murakami MM. Assuming that was indeed a culprit, then this was ACS.

EKG/ECG 124

EKG/ECG Hospitals Wellness Emergency Department 124

Taming the SRU

SEPTEMBER 8, 2023

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. Optimizing management in autoimmune hepatitis with liver failure at initial presentation.” World Journal of Gastroenterology, vol.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

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

Northwestern EM Blog

DECEMBER 20, 2021

Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. doi:10.1136/archdischild-2011-301245. Ultrasound can be useful when evaluating for septic arthritis and transient synovitis and can be performed at the bedside. 2012;97(5):185-193.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Keep your ultrasound handy. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. Here, then, are some links for Third Trimester Emergencies. Verify your own laws and protocols for your practice before instituting change. Nguyen, H. Steele, R., & Walters, E. Western Journal of Emergency Medicine, 12(4), 571. EMCrit.org.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

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. JACC Cardiovasc Interv 2014;7:29–36. Levine GN, Bates ER, Blankenship JC, et al.

Stroke 52

Stroke Ultrasounds Outcomes 52

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]. Acad Emerg Med.

Infectious Diseases 88

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

Dr. Smith's ECG Blog

JULY 21, 2024

Of interest — the ectopic beats triggering PMVT/VFib in such studies were often mapped to endocardial sites displaying Purkinje potentials within the myocardial scar — suggesting potential responsivity to a 1A agent ( Nogami — Pacing Clin Electrophysiol 34(8): 1034-1049, 2011 ). Administration of Procainamide is 10-17 mg/kg at 20 mg/min.

EKG/ECG 116

EKG/ECG Shock Hospitals Sepsis 116

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

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. 2011; Apr 26;123(16):1788-830. 2011; 39:450. You will see cool, mottled extremities. Circulation.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Dr. Smith's ECG Blog

JUNE 2, 2023

My bedside ultrasound was of insufficient quality, but showed somewhat reduced overall EF, distended IVC without respiratory variation, no pericardial effusion, and diffuse bilateral B lines. == What do you think of her ECG? J Electrocardiol, 42 (2009), pp.

EKG/ECG 82

EKG/ECG Wellness Ultrasounds EMS 82

Pediatric Emergency Playbook

JUNE 1, 2017

Cardiovasculr Ultrasound. 2011; 2(1):70-72. 2011 Jan-Jun; 4(1): 81–83. 2011; 32:492-497. 2011; 552-555. 2011; 128(6):1-6 Munk K et al. Anomalous Origin of the Left Coronary Artery From the Main Pulmonary Artery in Adults. Circulation. 2004; 110:e511-e513. Tomkewicz-Pajak L et al. 2014; 12:15. Liu X et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

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. Sports Med.

Operations 105

Operations Ultrasounds Fractures Outcomes 105

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. and specificity of 88.0% Article: Hilsden R, Mitrou N, Hawel J, Leeper R, Thompson D, Myslik F. Trauma Surg Acute Care Open.

Ultrasounds 69

Ultrasounds Radiology Radiology Emergency Department 69

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. In fact, bedside ultrasound might even find severe aortic stenosis.

EKG/ECG 52

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 52

Pediatric Emergency Playbook

DECEMBER 1, 2015

Ultrasound can be used to troubleshoot when needed. 2011; 40(5):598-604. 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 EKG/ECG Emergency Department Shock 40

Don't Forget the Bubbles

FEBRUARY 7, 2024

What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. This means that Doppler ultrasound can give both false negatives (they had a torsion, but it is not seen in the US) and false positive results (identified as having a torsion when they do not have it).

Pediatrics 109

Pediatrics Ultrasounds Operations Hospitals 109