ALiEM

MAY 19, 2023

Esophageal Balloon Tamponade Devices – Linton-Nachlas, Sengstaken-Blakemore, Minnesota Tubes (image courtesy of Dr. Mark Ramzy at REBEL EM) What are esophageal balloon tamponade devices? Additional trick: If the x-ray is delayed, you can pre-check with ultrasound [7]. 2012 Feb;33(1):46-54. Acute variceal bleeding.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

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. 2012; 73: 102-10. Critical Care; 2012. Anneals of EM; 2015: 297-307. Survival and neurological outcome after OOH TCA in pediatric & adult populations: a systematic review.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

RebelEM

NOVEMBER 30, 2022

History, physical examination and ultrasound are all flawed in making the diagnosis. Take Home Points Consider the diagnosis of testicular torsion in all patients with acute testicular pain Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage. OR = 58.8 (Ben-Israel

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Note – again please do not use this location! link] Inaba, K.,

Academics 52

Academics Radiology Radiology Resuscitation 52

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive. years ( 2 ).

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

Northwestern EM Blog

MAY 16, 2022

What is your initial imaging test of choice, ultrasound (US) or non-contrast CT, and why? Would you be confident in a point-of-care-ultrasound evaluation or a formal ultrasound? Many patients in the ultrasound groups did get additional imaging, but this was not the majority. How do you proceed? In this study, 40.7%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

RebelEM

MARCH 8, 2023

Signs Shafer’s sign (tobacco dust) May see a Weiss ring when the posterior vitreous (PV) detaches from the optic disc margin Visualization with ultrasound. 790-819 Core Ultrasound: Vitreous vs Retinal Detachmen t Post Created By: Anand Swaminathan MD, MPH Post Peer Reviewed By: Salim R. >10 floaters, (+) LR 8.1-36

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

Taming the SRU

OCTOBER 7, 2024

history of VTE, increased calf circumference, pain and swelling), then the next step is to attain a compressible ultrasound of the affected leg. However, if clinical suspicion is high enough, doppler ultrasound, MR venography, or serial compressive ultrasound imaging can all be considered. Epub 2012 Oct 12. Haematologica.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advocacy for Trauma Care and EMS Development. Development of EM Residencies. Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. Organized EM supporting Rapid Sequence Intubation and other airway advances. EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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 J Trauma Acute Care Surg 2012; 73(5): S362-9. PMID: 23758299 Maung AA et al. PMID: 23114494 Paradis M.

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

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 95

EKG/ECG Wellness Ultrasounds EMS 95

ACEP Now

MARCH 15, 2024

Many thanks to Dr. Arun Sayal and Dr. Matt Distefano for their tag-teamed contributions to the EM Cases podcast which inspired this column. Anatomy for emergency medicine 018: EM Ireland website. Published June 11, 2012. Chances are they’ll be surprised to learn that the answer is distal radius fracture. German] Rontgenpraxis.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Dr. Smith's ECG Blog

MARCH 15, 2023

Her bedside cardiac ultrasound was normal We decided to cardiovert her since the time of onset was very recent. IF the Patient is Younger and Athletic: The mechanism of AFib in younger, athletic individuals is often heavily influenced by increased vagal tone ( Rao and Shipon — ACC, 2019 — and — Calvo et al — Br J Sports Med, 2012 ).

EKG/ECG 52

EKG/ECG Dehydration Stroke Shock 52

EB Medicine

MARCH 1, 2019

Nachi: And if the prehospital team is lucky enough, or maybe unlucky enough, i don’t know, to have a credentialed provider who can perform ultrasound for those suspected of having a blunt cardiac injury, the general prehospital data on ultrasound is sparse. Jeff: Great, let’s move onto ED care, beginning with the H&P.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

RebelEM

JANUARY 24, 2024

You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging.

Operations 90

Operations Ultrasounds Fractures Outcomes 90

EMDocs

OCTOBER 23, 2023

Author: Kristine Jeffers, MD ( EM Physician , San Antonio Uniformed Services Health Education Consortium) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2012 APR; 52(2): 121-7. Half of all embolisms occur within the first 24 hours and 75% will present by postoperative day 3.

OB/GYN 86

OB/GYN Operations EMS Ultrasounds 86

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. 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.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. According to data from 2012, of the 130 million people reporting illicit drug use within their lifetime, 25% were children between 12 and 17 years of age.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. Bedside ultrasound shows hypokinesis of the basal portion of the left ventricle with an apparent sigmoid-shaped septum and a dilated inferior vena cava. The oral mucosa is moist. Electrocardiogram shows sinus tachycardia with ST elevation in leads V1, V2, and V3.

EMS 93

EMS Fluid Resuscitation Shock EKG/ECG 93

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Semin Ultrasound CT MR 2017, 38 (4), 345-356. Lancet Neurol 2012, 11 (4), 307-314. Arch Neurol 2012, 69 (3), 346-351. DOI: 10.1161/strokeaha.118.023173

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

SEPTEMBER 9, 2023

We’ll keep it short, while you keep that EM brain sharp. Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2

EMS 97

EMS Fractures Soft Tissue Injuries Ultrasounds 97

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Point-of-care ultrasound (POCUS) can evaluate for Achilles tendon rupture with a high sensitivity (96-100%) and specificity (83-100%) [8,9]. 2012 Nov; 470(11):3270-3274. J Am Acad Orthop Surg.

Fractures 77

Fractures Dislocations Operations Radiology 77

The Skeptics' Guide to EM

AUGUST 26, 2023

Her interests are quality improvement, Free Open Access Medical Education (FOAMEd) and point of care ultrasound (POCUS). The Skeptics Guide to Emergency Medicine was a few years behind, emerging into the #FOAMEd-o-sphere in 2012, but as Harry and his world developed through the books, so has the SGEM.

Academics 59

Academics Research Ultrasounds Hospitals 59

EMDocs

JANUARY 20, 2025

Over the last few years, however, ultrasound has been increasingly playing an important role in the conversation with multiple studies looking at using ultrasound to predict fluid responsiveness in septic patients – for example, using the velocity time integral with passive leg raise. According to a meta-analysis by Chen et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Taming the SRU

OCTOBER 28, 2024

She is a graduate from the UC EM residency, class of 2018. Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. 2012 Mar-Apr;11(2):58-63. References 1. Rizvi S, Wehrle CJ, Law MA. PubMed] 15.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79