Remove 2014 Remove Emergency Department Remove Ultrasounds
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Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

ALiEM

You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin. Note that some ultrasound manufacturers do not recommend the use of isopropyl alcohol on their transducers.

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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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Using Point-of-Care Ultrasound to Identify the Gallbladder

EMDocs

1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be difficult to locate the gallbladder, as it is not a fixed organ. 2, 3 Biliary POCUS can help decrease patient length of stay in the Emergency Department. Ultrasound. Acad Emerg Med.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. A bedside ultrasound is completed to assess the location of the pregnancy. She reports that her previous ectopic pregnancy was treated medically.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. May 2014; PMID: 24495437. Sanfilippo F, et al.

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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Emerg Med J. 2023;40(10):700-707.