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

EMDocs

DECEMBER 1, 2024

2016 Oct;29(5):433-9. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus. Curr Opin Infect Dis. Perera P, Mailhot T, Riley D, Mandavia D.

EMS 105

EMS Infectious Diseases Shock Airway Management 105

The Skeptics' Guide to EM

JULY 30, 2022

Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

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

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Answer : Bedside ultrasound! Smith : RV infarct may also have this appearance on ultrasound. So hypoxia without B lines on lung ultrasound strongly weights toward PE. What do you do clinically when the ECG looks like this? How do you emergently triage the patient to cath lab or possibly IR suite for thrombectomy?

EKG/ECG 128

EKG/ECG Ultrasounds Shock EMS 128

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 Outcomes Operations Emergency Department 113

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. Glennie, L.,

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

EMDocs

AUGUST 8, 2023

2016 validation study 0 points for low risk, 1-5 for intermediate risk and 6-7 for high risk. 2016 validation study 0 points for low risk, 1-5 for intermediate risk and 6-7 for high risk. Keys: Order the ultrasound in a patient with testicular pain, especially with any TWIST score >0. Horizontally lying testicle.

Ultrasounds 95

Ultrasounds Documentation/Coding Outcomes Emergency Department 95

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

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. J Pediatr Surg Case Rep.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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 87

Emergency Department Ultrasounds Radiology Radiology 87

RebelEM

APRIL 29, 2024

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. 2016 PMID:27075364 13 Astasio-Picado Á et al. This study also showed the median time for IO placement was only 1.2 minutes compared to a mean placement time of 10.7 minutes CVC group.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Mount Sinai EM

OCTOBER 11, 2024

2016 performed a Cochrane systematic review and meta-analysis of 11 studies (614 patients) that compared needle aspiration with incision and drainage. Hennepin Ultrasound has a blog post on how to perform this both statically and dynamically–visualizing the needle as it aspirates the PTA.

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

EMDocs

NOVEMBER 4, 2023

An ultrasound of the testes reveals the following: What is the diagnosis? December 27, 2016. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. Tracy CR, Steers WD, Costabile R. Diagnosis and management of epididymitis.

EMS 96

EMS Ultrasounds Emergency Department Infectious Diseases 96

ALiEM

MAY 19, 2023

Additional trick: If the x-ray is delayed, you can pre-check with ultrasound [7]. PulmCrit Wee: Ultrasound-guided blakemore tube placement. Published May 4, 2016. Then fill the gastric balloon with 50 cc of air. Verify the placement of the gastric balloon with a chest x-ray. Semin Respir Crit Care Med. 2012 Feb;33(1):46-54.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

Taming the SRU

JUNE 24, 2024

LaFollette is an Associate Professor in Emergency Medicine at the University of Cincinnati and co-editor of TamingtheSRU.com References Adult Bradycardia Algorithm , 2020, cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_bradycardia_200612.pdf. Bektas, Firat, and Secgin Soyuncu. 2090–2093, [link] Moayedi, Siamak, et al.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

Don't Forget the Bubbles

MARCH 4, 2024

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. Paediatr Int Child Health.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

ACEP Now

FEBRUARY 13, 2024

published a study, “Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.” 1 The authors describe a retrospective study of 420 patients who received ultrasound guided nerve blocks. Case Resolution This study reaffirms the safety and efficacy of ultrasound nerve blocks.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 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. 2016 Mar-Apr;27(2):89-94.

Ultrasounds 64

Ultrasounds CDC Research Stroke 64

RebelEM

JANUARY 29, 2024

Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. PMID: 27422214 Wang C et al. CHEST 2010. PMID: 19741062 Kucher N et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

Core Ultrasound

APRIL 1, 2024

Pericardial effusion Old 5MS vid (2016) Pericardial Tamponade Courses The post 5 Min Sono – Pericardiocentesis (2024) first appeared on Core Ultrasound.

Ultrasounds 40

Ultrasounds 40

EMDocs

FEBRUARY 12, 2025

In 2016, about 3.05 Imaging: In severe cases, imaging with ultrasound, CT or MRI may be useful in assessing the extent of tissue injury and in further evaluating other etiologies including infection and worsening malignancy. 7 Additionally, vascular damage reduces blood flow, worsening hypoxia and tissue breakdown. million by 2030.

Best Practices 57

Best Practices Documentation/Coding Radiology Radiology 57

Don't Forget the Bubbles

JANUARY 31, 2024

Edelman J, Taylor H, Goss A, et al Point-of-care ultrasound as a diagnostic tool in respiratory assessment in awake paediatric patients: a comparative study Archives of Disease in Childhood Published Online First: 14 December 2023 What’s it about? All of which leads to easier image acquisition. Accredited trainers are currently lacking.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Cook County EM Blog

APRIL 22, 2022

Point of Care Ultrasound is shown below: Clip 1. Right upper quadrant ultrasound. Q1: What abnormal finding is visible in the thorax on this lung ultrasound? Notably, lung ultrasound is limited in the ability to distinguish between types of pleural effusions (i.e. J Ultrasound Med. Ultrasound G.E.L.

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

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. 2016; 105: 52-58. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. EMJ 2017; 34: 860-900. Resuscitation.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2016; 13:590-600. Eur J Pediatr Surg 2016; 26:192. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. Necrotizing Enterocolitis. N Eng J Med. 2011; 364(3):255-264. Niño DF et al. Necrotizing enterocolitis: new insights into pathogenesis and mechanisms. Walsh MC et al. Pediatr Rev.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Pediatric Emergency Playbook

JANUARY 1, 2022

Ultrasound shows a pylorus of greater than 3 mm wide and 14 mm long. 2016 May;58(5):369-71. Memory aid: 3.14 In pyloric stenosis, π-lorus > 3 x 14 Treatment Various options, may be deferred depending on age, availability, severity of illness, including: Pyloromyotomy — definitive. J Pediatr Surg. 2014 Jun;49(6):995-9.

Dehydration 52

Dehydration Pediatrics Ultrasounds 52

Taming the SRU

JANUARY 10, 2024

R4 Case Follow-up: SCAD WITH dr. Martella Spontaneous Coronary Artery Dissection (SCAD) is a diagnosis confirmed via imaging: Coronary Angiography, Optical Coherence Tomography, Intravascular Ultrasound Therefore, treatment in the ED is the same as atherosclerotic ACS: ASA, heparin gtt and possible statin.

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

Urgent Care Ultrasounds

MAY 15, 2018

The importance of patient positioning, probe position and patience, for the detection of small pneumothoraces Ultrasound to rule out a pneumothorax is easy! If you are using ultrasound in the primary care setting as a rule out test, you really don’t want to miss any pneumothorax, however small. Well, maybe.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

Next stop – ultrasound… Right anterior chest – multiple B lines Left anterior chest – again multiple B lines Normal LV systolic function Disposition The ultrasound findings of bilateral B lines (B profile) with normal LV systolic function supported the presumtive diagnosis of swimming induced pulmonary oedema.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 40

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.

Dislocations 49

Dislocations Ultrasounds Emergency Department 49

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. EM makes a strong push into bedside use of ultrasound sonography. Emergency Ultrasound is one of the greatest advances in emergency care. Accessed 2/29/2016. Accessed 2/29/2016.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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. Eye Emergencies, in Tintinalli J et al (eds): Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, Seventh Edition New York City: McGraw-Hill 2016 (Ch) 241 Guluma K, Lee JE.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

RebelEM

AUGUST 31, 2023

CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Despite being common practice, the necessity of routine prophylactic transfusions is now being called into question.

Ultrasounds 58

Ultrasounds Outcomes Wellness Research 58

SheMD

APRIL 24, 2023

They will take a detailed history, do a physician exam, and perform a transvaginal ultrasound. During this time frame, patients will get bloodwork and transvaginal ultrasounds performed every 2-3 days, for a total of usually 4-5 visits. Oct 2016; 25 (10): 1059-1065. Feb 2016; 105 (2): 459-66. J Womens Health.

Ultrasounds 52

Ultrasounds Outcomes Wellness 52

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. first appeared on The Skeptics Guide to Emergency Medicine.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

Taming the SRU

FEBRUARY 24, 2024

Providers should use ultrasound as early as possible to evaluate for cardiac dysfunction, pulmonary edema, and fluid status. Patients will typically present in acute respiratory distress. They tend to be hypertensive, tachycardic, tachypneic, and hypoxic. Do not always appear volume overloaded on exam.

Leadership 94

Leadership EMS Pediatrics Stroke 94