The Skeptics' Guide to EM

MAY 28, 2017

[display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. display_podcast] Date: May 24th, 2017 Reference: Georgiou et al. Pediatrics 2017. His blood work shows an elevated WBC count and the ultrasound is consistent with acute uncomplicated appendicitis (AUA). Pediatrics 2017.

Pediatrics 40

Pediatrics Operations Emergency Department Ultrasounds 40

The Skeptics' Guide to EM

FEBRUARY 2, 2018

AEM Dec 2017. AEM Dec 2017. Might his examination be enough to convince the urologists to take him straight to the operating room without a preceding diagnostic ultrasound? Ultrasound imaging of the scrotum is the gold standard for diagnosis of testicular torsion, however can lead to delays in definitive care.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

Taming the SRU

AUGUST 30, 2023

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. 2017 Dec 14;9(6):7204-7218. days (secondary endpoint) [51]. Oncotarget. Chavez, S.

Infectious Diseases 89

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

ACEP Now

NOVEMBER 16, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. government. 13 Some of these training opportunities previously considered unique (i.e., 2022.05.014.

Academics 52

Academics EMS Telemedicine Research 52

Northwestern EM Blog

DECEMBER 20, 2021

Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. Management is orthopedic consultation for operative stabilization [12]. Published 2017 Jul 18. Physical exam classically shows external rotation and abduction of the hip during hip flexion.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

EB Medicine

JULY 8, 2019

Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time. Patients present with abd pain, n/v, and peritonitis.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

DECEMBER 13, 2019

The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 Beware a negative Bedside ultrasound. I’ve excerpted in Figure-1 , relevant paragraphs from a 2017 ESC ( European Society of Cardiology ) article on this subject by Xanthopoulos & Skoularigis ( ESC: Vol.

EKG/ECG 52

EKG/ECG Operations Ultrasounds Wellness 52

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S. Congential pulmonary airway malformations: state-of-the-art review for pediatrician’s use. Eur J Pediatr.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. How unstable is this patient?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 94

OB/GYN Operations EMS Ultrasounds 94

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 3 Point of care ultrasound (POCUS) can be highly sensitive for free fluid and pneumoperitoneum when used by a trained physician in the appropriate patient population. Cancers (Basel ). 2021;13(9):2025. 2018;13:36.

Operations 98

Operations EMS Fluid Resuscitation Resuscitation 98

EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Diagnosis of appendicitis, in a pregnant patient, ultrasound vs. mri. Jeff: Next we have everybody’s favorite, the ultrasound. Jeff: Indeed. Sounds familiar.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. 2017; 15:47-50. Cardiovasculr Ultrasound. Summary Acute MI is a challenging presentation in children: Easily missed: uncommon and atypical Varied etiology Respect vague symptoms with a non-reassuring H&P Try to detect it: CATH IT! References Congenital AboulHosn JA et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% What is the role of ultrasound? This dropped to 79.3% of patients were first seen by a junior specialist trainee.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

NOVEMBER 4, 2024

million patient complaints in 2017, making it the second most common ED complaint. National Hospital Ambulatory Medical Care Survey (NHAMCS) 2017 Emergency Department Summary Tables (2017). Evaluation by ultrasound of traumatic rib fractures missed by radiography. 2017 Apr 4;166(7):514-530. Epub 2017 Feb 14.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

EB Medicine

JANUARY 2, 2019

Nachi: This month’s issue was authored by Dr. Ryan Pedigo, you may remember him from the June 2017 episode on dental emergencies, though he is perhaps better known as the director of undergraduate medical education at Harbor-UCLA Medical center. A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Good History and Physical exam, including a. Sivilotti, M.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). Semin Ultrasound CT MR 2017, 38 (4), 345-356. J Neurointerv Surg 2017, 9 (2), 122-126. Kaller, C.

Stroke 106

Stroke Radiology Radiology Emergency Department 106

ACEP Now

OCTOBER 29, 2024

The patient was started on antibiotics covering Klebsiella species (grown from urine culture obtained during the first visit) and the SPC was immediately replaced with confirmation of placement into the bladder with ultrasound. Suprapubic catheter insertion using an ultrasound-guided technique and literature review. Hong Kong Med J.

Ultrasounds 52

Ultrasounds Best Practices Radiology Radiology 52

Mind The Bleep

JANUARY 24, 2025

7) Allergies Social History Hand dominance Profession and hobbies Could influence the operation performed in cases where the restoration of hand function is vitally important e.g. in musicians; or where speed of recovery and need to return to work take precedence. Doppler Ultrasound: Non-invasive assessment of blood flow. Safety Sci.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

SheMD

APRIL 23, 2023

While most of the attributed blame for these findings has focused on older age and demanding working conditions of pregnant surgeons [or one might extrapolate this to physicians in general]; the authors note that “there are reproductive hazards present in the operating room that might also be contributing.” Aghajanova et al.

Ultrasounds 52

Ultrasounds Wellness Operations 52

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. The high blood flow velocities through these stenotic segments can be detected using transcranial doppler ultrasound (TCD). Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126