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. CHEST 2010.

Stroke 133

Stroke Outcomes Hospitals Administration 133

Don't Forget the Bubbles

DECEMBER 25, 2023

In the BUCKLED trial that looked at whether ultrasound was non-inferior to X-ray in diagnosing forearm fractures, the primary outcome was physical function of the affected arm at four weeks. doi:10.1136/bmjebm-2018-110891 Perkins GD, Ji C, Deakin CD, et al. They are the variables that matter most to the patient. We love POOs.

Research 83

Research Outcomes Fractures Pediatrics 83

ALiEM

FEBRUARY 28, 2024

This blog post provides an update to our 2018 blog articles to reflect these changes. Both bone forearm fracture with dorsal displacement AP. Trick of the trade: getting the last bit of ultrasound gel from the bottle. The American Medical Association (AMA) Manual of Style released its 11th edition in 2020. Video Title.

Radiology 52

Radiology Radiology Academics Fractures 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

ACEP Now

MAY 9, 2024

1,2 You’ll also find the story of Sheila Powell, a woman who suffered a pneumothorax during her 2018 Miami BBL and whose 16-year-old daughter worried that in “just a blink of the eye, I could have lost my mom.” 6 Theoretically, ultrasound guidance should decrease this risk, which formed the basis for the 2022 Florida Medical Board regulation.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

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%. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19. ng/mL, 0.25-0.5 DOI: 10.1097/CCM.0b013e3181c98d21

Infectious Diseases 89

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

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. Which is reasonable, as that is the crux of our job as emergency physicians. Jeff: Indeed. Sounds familiar.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

All Ohio EM

JANUARY 14, 2019

Without palpating, you can already tell that the patient will have many facial fractures. Remember, ultrasound can help you identify the thyroid and cricoid cartilage, ideally enabling you to better identify the membrane connecting the two. It is difficult to discern where the teeth are supposed to be in relation to the hard palpate.

Pediatrics 52

Pediatrics EMS Fractures Ultrasounds 52

EB Medicine

NOVEMBER 1, 2018

In total, they pulled references from 1966 until 2018. Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Jeff: If not already done, an ultrasound should be obtained as well and a two week follow up ultrasound will be needed. Keep a low threshold to XR or CT any potentially injured body region.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

JUNE 21, 2023

Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds. 2018 Jun;39(6):736-740. 2018 Jun;39(6):736-740.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. Tenenbaum, M.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

OCTOBER 28, 2024

Potential causes include: -Trauma: Blunt or penetrating thoracic injuries, rib fractures, esophageal rupture (Boerhaave syndrome). She is a graduate from the UC EM residency, class of 2018. Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. References 1. Rizvi S, Wehrle CJ, Law MA.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79