Pediatric EM Morsels

JULY 26, 2024

These females should have imaging with either MRI or CT as well as abdominal or transvaginal ultrasound to assess for ovarian teratoma. Epub 2013 Dec 18. Prevalence decreases with decreasing age. Risk of teratoma is higher in African American and Asian women. Moral of the Morsel It’s NOT always psych! Lancet Neurol.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

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

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial. PoCUS evaluations included lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS).

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

Emergency Medicine Journal

JULY 22, 2024

Background and objectives The ability to rule appendicitis in or out using ultrasound is limited by studies where the appendix is not visualised. For those patients who had formal ultrasound, direct and indirect findings of ultrasound were abstracted from the ultrasound report. 95% CI 1.7 95% CI 3.8 95% CI 1.4

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

Taming the SRU

JULY 22, 2024

perform arthrocentesis ULTRASOUND-GUIDED PROCEDURE Ultrasound-guided (USG) arthrocentesis may be helpful in instances where there is no obvious effusion that can easily be palpated on physical exam. Studies have shown that effusions of as little as 2 to 4 mL can be identified using ultrasound [6]. ANESTHETIZE THE AREA step 7.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

The Trauma Pro

OCTOBER 4, 2024

years from 2013 to 2016. Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. ” This means they probably did not.

Pediatrics 113

Pediatrics Operations Emergency Department Outcomes 113

Taming the SRU

JANUARY 1, 2024

Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. unported license [link] Ultrasound allows us to visualize deeper, typically larger veins in the forearm and upper arm. Place ultrasound machine on the opposite side of the bed to minimize neck strain. Check for flash in the IV chamber.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

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

EMDocs

AUGUST 8, 2023

Keys: Order the ultrasound in a patient with testicular pain, especially with any TWIST score >0. Minimal if any harm to patients by obtaining ultrasound. Even with a normal ultrasound, if the history/exam are concerning – call urology. Repeat ultrasound after manual detorsion to look for normal blood flow.

Ultrasounds 94

Ultrasounds Documentation/Coding Outcomes Emergency Department 94

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Taming the SRU

FEBRUARY 5, 2024

It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. This resource offers additional information on ultrasound assisted LP’s. WHY - Why Not? REFERENCES 1. Zambito Marsala, S., Gioulis, M., & Pistacchi, M. Glimåker, M.,

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

ALiEM

AUGUST 30, 2024

NG/DL) Ultrasound of the neck revealed an enlarged thyroid gland with lobular contours and diffuse hypoechoic echogenicity, without noticeable nodules, fluid collection, or lymphadenopathy. An ultrasound and thyroid antibodies may also be helpful to confirm diagnosis. 2013 Mar;34(3):115-24; quiz 125. No distention or tenderness.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

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. Am J Cardiol 2013.

Stroke 136

Stroke Outcomes Hospitals Administration 136

Northwestern EM Blog

SEPTEMBER 16, 2024

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. The one absolute contraindication for ocular ultrasound is any suspicion for globe rupture, as placing any pressure on the globe can worsen extrusion of intraocular contents.

Ultrasounds 52

Ultrasounds Emergency Department Academics EMS 52

EMDocs

AUGUST 12, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. April 9, 2013. 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. doi:10.1097/MD.0000000000017823 doi:10.1097/MD.0000000000017823

EMS 95

EMS Fractures Operations Ultrasounds 95

Pediatric Emergency Playbook

AUGUST 1, 2017

Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 2013; 95(6): 474-477. 2013; 48:1789-1793. J Ultrasound. 2013; 44(1):53-57. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg. 2007; 16:27-33. Dias SC et al. Insights Imaging.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

JANUARY 16, 2024

VF/asystole), a pulse cannot be identified via Doppler ultrasound for a full minute, or if lack of organized cardiac activity is confirmed on bedside echocardiogram. This is a good time to utilize an arterial line or use the ultrasound to find a central pulse. 2013 Jan 24;368(4):394]. Resuscitation. N Engl J Med. Hypothermia.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Taming the SRU

SEPTEMBER 8, 2023

2013 Sep;145(3):695. 2013 May;58(5):1397-402. 2013 May;58(5):1397-402. Epub 2013 Jan 17. 2, 2013, pp. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” Erratum in: Gastroenterology. Dosage error in article text. Dig Dis Sci. Dig Dis Sci.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

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. 2013; 74: 634-8. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Anneals of EM; 2015: 297-307.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Pediatric Emergency Playbook

JANUARY 1, 2018

Structurally abnormal ovary (including cysts) that causes the ovary to flop over and twist on its vascular axis Hypermobile ovary with vigorous movement twists on its vascular pedicle and cuts off blood supply The Dual Blood Supply to the Ovaries: Why Doppler Flow can Fool You What ultrasound findings suggest ovarian torsion? Think torsion.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

2013; 49:138–144. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2013; 29:347–349. Complications of Intrathecal Baclofen Pumps in Children: Experience from a Tertiary Care Center. Pediatr Neurosurg. Yang TF, Wang JC, Chiu JW et al. Childs Nerv Syst. Yeh RN, Nypaver MM, Deegan TJ, Ayyangar R.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

PHEM Cast

DECEMBER 1, 2017

Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. link] Harcke, H. L., & Mazuchowski, E. Emergency Medicine Journal , 19 , 176–177. link] MD, B.

Academics 52

Academics Radiology Radiology Resuscitation 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

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90

CPR Burns Airway Management Wellness 90

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 Acad Emerg Med 2013; 20(6): 528-44. Absent bowel sounds Peritoneal signs (i.e. Louis, Mosby, Inc.,

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. Sorry we've been out of the loop lately.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Keep your ultrasound handy. Emergency medicine international, 2013. 2013) Trauma and Pregnancy. Here, then, are some links for Third Trimester Emergencies. Verify your own laws and protocols for your practice before instituting change. Phelan MD, Bradley D. de Boisblanc, B., & Suresh, M. Capriola, M. Jeejeebhoy, F.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

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. 2013 Apr;98(4):545-8.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

ACEP Now

OCTOBER 30, 2023

ESEM hosted the second Global Network Collaborative Conference on Emergency Medicine in 2013 and organized its first large scientific conference in Dubai in December 2014. Launched in 2013, the bi-annual newsletter from ESEM marked a significant stride in promoting the field of emergency medicine in the Middle East.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 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. Philadelphia: Elsevier, 2013 (Ch) 26: p. 790-819 Core Ultrasound: Vitreous vs Retinal Detachmen t Post Created By: Anand Swaminathan MD, MPH Post Peer Reviewed By: Salim R.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

EMDocs

MAY 11, 2024

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Brainstem stroke: anatomy, clinical and radiological findings. doi: 10.1053/j.sult.2013.01.004. 2013.01.004. PMID: 23522778.] Gowda SN, Munakomi S, De Jesus O.

Stroke 110

Stroke EMS EKG/ECG Radiology 110

Urgent Care Ultrasounds

JANUARY 17, 2019

link] Also note thoracic aorta posterior to hernia #POCUS #FOAMed pic.twitter.com/v0B2zAWXxm — VCU Ultrasound (@ultrasound_vcu) December 29, 2018 An elderly woman with chest discomfort #ACCFIT @JGrapsa @VLSorrellImages pic.twitter.com/LobfRATs01 — Edgar Argulian (@argulian) October 31, 2018 References 1. Cardiovascular ultrasound.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

Taming the SRU

AUGUST 30, 2023

Similarly, a 2013 meta-analysis of 6 studies with 1,006 patients published in the American Journal of Emergency Medicine showed neither CRP nor PCT are sufficient to rule-in or rule-out infective endocarditis, with PCT having a pooled sensitivity of 64% and specificity of 73% and CRP having a pooled sensitivity of 75% and specificity of 73% [40].

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

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. England: Oxford University Press; 2013. N Engl J Med. 2011 Jan 20;364(3):255-64. Oxford handbook of paediatrics.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). Fortunately, that is exactly what happened.

EKG/ECG 127

EKG/ECG EMS Wellness Operations 127

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. Thus, intracoronary imaging modalities are crucial in this setting.

EKG/ECG 109

EKG/ECG Ultrasounds Wellness Stroke 109

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. 2013 Oct;132(4):663-7. 2013; 41:580-637. 2013; 17:R246. Pericardial Effusion? Pediatrics.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40