EMDocs

DECEMBER 1, 2024

2017 Feb;166:16-24. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Tsioutis C, Zafeiri M, Avramopoulos A, Prousali E, Miligkos M, Karageorgos SA. Clinical and laboratory characteristics, epidemiology, and outcomes of murine typhus: A systematic review. doi: 10.1016/j.actatropica.2016.10.018.

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EMS Infectious Diseases Shock Airway Management 104

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 97

Ultrasounds Emergency Department EMS 97

RebelEM

JANUARY 24, 2024

2017; 99-B(1): 78-86. Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27,607 patients. Bone Joint J. PMID: 28053261 Chiodo CP, Wilson MG. Sports Med.

Operations 98

Operations Ultrasounds Fractures Outcomes 98

ALiEM

FEBRUARY 16, 2024

Case Discussion Take-Home Points Look out for “hole signs” with adjacent fluid collection on your gallbladder ultrasounds which would suggest perforation. Indian J Gastroenterol 36, 66–67 (2017). Gangrenous cholecystitis: diagnosis by ultrasound. Ultrasound, 30: 270-274. References Indiran, V., Prabakaran, N. &

Radiology 64

Radiology Radiology Ultrasounds COPD 64

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

Mount Sinai EM

OCTOBER 11, 2024

2017 of three RCTS totaling 153 patients (unable to pool given heterogeneity) administered adjuvant steroids after PTA drainage, showed statistically significant improvement in body temperature in all three RCTs. However, if still unsuccessful consider getting additional static views with the endocavitary probe vs using dynamic guidance.

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

Cook County EM Blog

MAY 1, 2023

A point-of-care ultrasound was performed, which identified thickening of the skin overlying the elbow with a cobblestone appearance, and an underlying fluid collection consistent with an olecranon bursitis. Ultrasound is often a more useful imaging modality and is readily available at the bedside. 2017 Oct;53(4):475-484.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Outcomes 52

The Skeptics' Guide to EM

MAY 7, 2017

[display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. display_podcast] Date: May 1st, 2017 Reference: Poonai et al. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Value of abdominal radiography, colonic transit time, and rectal ultrasound scanning in the diagnosis of idiopathic constipation in children: a systematic review. Clinical guideline [CG99] Published: 26 May 2010 Last updated: 13 July 2017. 2017;191:179-183. doi:10.1016/j.jpeds.2017.08.075 2012;161(1):44–50.e502. 2022;251:127-133.

Pediatrics 133

Pediatrics Emergency Department Radiology Radiology 133

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. EMJ 2017; 34: 860-900. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. 2012; 73: 102-10. A866) Impact brain apnoea: Wilson et al. Resuscitation.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

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

ALiEM

SEPTEMBER 25, 2023

The preferred imaging modality is doppler ultrasound. Phelgmasia Cerulea Dolens Diagnosed by Point-of-Care Ultrasound. 2017 Mar 13;1(2):104-107. Phlegmasia Cerulea Dolens tends to affect the iliofemoral segment of the lower extremities and is commonly associated with malignancy. References Bazan HA, Reiner E, Sumpio B.

Ultrasounds 60

Ultrasounds Academics 60

Don't Forget the Bubbles

NOVEMBER 8, 2023

Ultrasound has been associated with lower rates of negative appendicectomy. In a meta-analysis of 26 paediatric studies, the pooled sensitivity and specificity of ultrasound for diagnosing appendicitis in children were 88% and 94%, respectively [10]. 2017 May;24(5):523-551. Benabbas R, Hanna M, Shah J, Sinert R. Acad Emerg Med.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Urgent Care Ultrasounds

JULY 17, 2019

Left PLAPS point Despite the obvious consolidation on ultrasound the CXR is clear. In all three there was clear ultrasound evidence of pneumonia. However I am becoming increasingly convinced that an answer to this question is the use of point of care lung ultrasound (LUS). Ultrasound quarterly. 2017; 96(3):e5713.

Urgent Care 52

Urgent Care Ultrasounds Wellness Emergency Department 52

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

Taming the SRU

SEPTEMBER 8, 2023

2017 May;66(5):1047-1081. 2017 Feb;152(3):644-647. 2017 Feb;152(3):644-647. Epub 2017 Jan 2. 2017 May;37(5):473-482. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” doi: 10.1016/j.jhep.2016.12.003. 2016.12.003. PMID: 28417882. 2016.12.026.

Radiology 59

Radiology Radiology Ultrasounds EMS 59

EB Medicine

APRIL 30, 2017

The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice. The podcast is based on the full-length review published in the May 2017 issue of Emergency Medicine Practice.

Outcomes 40

Outcomes Burns Best Practices 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

ACEP Now

JUNE 21, 2023

ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. American board of emergency medicine report on residency and fellowship training information (2017-2018). 15 Some of these training opportunities previously considered unique (i.e., Ann Emerg Med. Jul 2022;80(1):74-83.e8.

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

APRIL 10, 2024

3] If performing a nerve block with ultrasound guidance, always know where the tip of your needle is. [5] The Third American Society of Regional Anesthesia and Pain Medicine Practice Advisory on Local Anesthetic Systemic Toxicity: Executive Summary 2017. Epidemiology Most common cause: inadvertent intravascular injection. BMJ Case Rep.

Advances Cardiac Life Support (ACLS) 111

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 111

Emergency Medicine Ireland

OCTOBER 14, 2024

Similarly loculations can be very easily seen with ultrasound, better than CT it seems but again don’t necessarily correlate that well with empyema. 153, e129–e146 (2017). Similarly loculations can be very easily seen with ultrasound, better than CT it seems but again don’t necessarily correlate that well with empyema.

Wellness 52

Wellness Ultrasounds 52

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

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. 2017 Jun;32:660-6. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Journal of general internal medicine. PMID 28194688 D’Onofrio G, O’Connor PG, Pantalon MV, et al.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

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

The Skeptics' Guide to EM

JULY 2, 2017

[display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al. JACC March 2017 Guest Skeptic: Dr. Kirsty Challen (@KirstyChallen) is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals Trust (North West England). display_podcast] Date: June 21st, 2017 Reference: Konstantinides et al.

Fractures 40

Fractures Emergency Department Ultrasounds Outcomes 40

EMDocs

MAY 11, 2024

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 2017 Nov;70(5):758. 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.] Brainstem Stroke. 2015.06.031.

Stroke 111

Stroke EMS EKG/ECG Radiology 111

The Skeptics' Guide to EM

MARCH 4, 2018

JAMA May 2017. JAMA May 2017. With point of care ultrasound, you diagnose cellulitis without the presence of an abscess affecting a 6cm diameter area. JAMA May 2017. [display_podcast] Date: February 27th, 2018 Reference: Moran et al. display_podcast] Date: February 27th, 2018 Reference: Moran et al.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

Dr. Smith's ECG Blog

OCTOBER 18, 2023

A majority (62.5%) of those presenting with ‘normal’ ECGs had the cath lab activated without any ECG being labeled ‘STEMI’ by automated interpretation – based on signs of Occlusion MI including ECG changes, regional wall motion abnormality on bedside ultrasound, or refractory ischemia. 2017 ; 24 ( 1 ): 120 - 124 2. Acad Emerg Med.

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EKG/ECG Documentation/Coding Emergency Department Outcomes 118

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 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

Broome Docs

JANUARY 30, 2023

2017 Dec 7;377(23):2240-2252. Covered or uncovered: A randomized control trial of Tegaderm versus no Tegaderm for ocular ultrasound. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. doi: 10.1056/NEJMoa1615066. PMID: 29211671 Marks A, Patel D, Chottiner M, Kayarian F, Peksa GD, Gottlieb M.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

Northwestern EM Blog

DECEMBER 20, 2021

Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. Published 2017 Jul 18. Ultrasound can be useful when evaluating for septic arthritis and transient synovitis and can be performed at the bedside. PMID: 18591607. BMC Musculoskelet Disord.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

PEMBlog

SEPTEMBER 24, 2024

With improved access to prenatal care and ultrasounds, CLMs are commonly detected prenatally. 2017 Jan;5(1). Bronchopulmonary sequestration is a rare type of congenital lung malformation (CLM) in which a section of lung tissue is nonfunctional and does not communicate with the normal tracheobronchial tree. 2018 Jul;48(3):247-250.

Pediatrics 52

Pediatrics Ultrasounds Hospitals Wellness 52

Northwestern EM Blog

FEBRUARY 14, 2022

The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. The study was designed as a phase III multicenter randomized placebo control trial taking place across 75 intensive care units in the United States from 2015 to 2017. L/min/m2).

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

ACEP Now

NOVEMBER 16, 2023

ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. American Board of Emergency Medicine report on residency and fellowship training information (2017-2018). 13 Some of these training opportunities previously considered unique (i.e., Jul 2022;80(1):74-83.e8. 2022.05.014.

Academics 52

Academics EMS Telemedicine Research 52

Don't Forget the Bubbles

MAY 28, 2024

Were there any abnormalities on ultrasounds? So here, we must think about the risk factors for PPHN. Does the baby look septic? Are they covered in meconium? Were there any concerns during the pregnancy? Identifying the cause (if at all possible) definitely helps treatment. How do you manage PPHN? Lakshminrusimha, S., & Steinhorn, R.

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Dr. Smith's ECG Blog

DECEMBER 13, 2019

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. 15-9/6/2017 ). Pericarditis? Figure-1: Excerpt from ESC review on acute pericarditis ( See text ).

EKG/ECG 52

EKG/ECG Operations Ultrasounds Wellness 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. Jeff: Next up is ultrasound.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40