Taming the SRU

JANUARY 10, 2024

Additionally, ED boarding is a now a larger factor than in 2018. Physicians believe the biggest factors contributing to ED violence are a lack of adequate punitive consequences toward the attacker and the absence of adequate protective mechanisms for staff. It usually takes 4-6 weeks for a coronary artery to heal from dissection.

EKG/ECG 93

EKG/ECG Shock Fractures Emergency Department 93

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

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 Hospitals 52

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 137

Stroke Outcomes Hospitals Administration 137

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 78

COPD Pediatrics Emergency Department Ultrasounds 78

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

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 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

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

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

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 Wellness 52

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 68

Soft Tissue Injuries Fractures Dislocations Radiology 68

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 98

Emergency Department Fractures Burns EMS 98

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 86

Stroke Radiology Radiology Emergency Department 86