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 Outcomes Documentation/Coding 52

Pediatric EM Morsels

JUNE 16, 2023

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

Emergency Medicine Journal

NOVEMBER 28, 2023

Manipulation performed under ultrasound guidance has the potential to decrease the number of reduction attempts. Methods This multicentre randomised controlled trial was undertaken between December 2018 and July 2020 in the ED of four hospitals in the Netherlands.

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

ALiEM

NOVEMBER 27, 2023

g/dL BMP, lipase, Alk phos/Bili/ALT/AST, PT/PTT, and lactate : Unremarkable Serum HCG : Negative Urinalysis (UA) : Unremarkable COVID : Negative Case Question: Can you identify the abnormalities on the right upper quadrant (RUQ) ultrasound image? Yeungnam Univ J Med 35(1), 127-129 (2018). k/uL Hgb : 10.5 References Moon, Y.H.,

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

Taming the SRU

APRIL 14, 2024

2) Management: Confirmed by CT Surgical consult Utility of Ultrasound Ultrasound can be helpful in identifying hernias and in assisting in reduction. 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) If the ultrasound-guided attempt failed, emergency surgery was scheduled.

Ultrasounds 86

Ultrasounds Emergency Department Pediatrics Radiology 86

Taming the SRU

MAY 13, 2024

A clinical suspicion of stump appendicitis may be confirmed with various imaging modalities, abdominal ultrasound or CT imaging being most common. For ultrasound, it is recommended to scan the most tender area using a linear probe. World J Emerg Surg 13, 22 (2018). The Ultrasound Journal, 11(1). Clin Case Rep. Nelson, B.

Ultrasounds 91

Ultrasounds Emergency Department Wellness Operations 91

ALiEM

FEBRUARY 2, 2024

Laboratory Data Ultrasound reveals a 1.7 Because of the concern for malignancy, a biopsy was performed in the emergency department after the ultrasound and CT scan confirmed there was no extension into the thorax. 2018 Sep;40(9):631-641. It is soft with some slight nodularity on palpation, and only mild tenderness noted.

Ultrasounds 67

Ultrasounds Academics Emergency Department 67

EMDocs

MARCH 4, 2024

12 Ultrasound and computed tomography (CT) can both identify CBD and are available in most emergency departments. Ultrasound is cost-effective and radiation-sparing. Ultrasound has approximately 90% sensitivity for detecting common bile duct dilation. 13 CT is also superior to ultrasound in its ability to detect malignancy.

Emergency Department 86

Emergency Department Ultrasounds EMS Radiology 86

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 Emergency Department Radiology 70

PulmCCM

MARCH 1, 2022

Philippe Rola, who has been organizing this meeting since 2018, will create another captivating experience for all who join. The core of the conference is, no doubt, ultrasound, especially because Philippe has been at the forefront of point of care ultrasound in the intensive care unit.

Ultrasounds 40

Ultrasounds Resuscitation Sepsis 40

Ultrasound Gel

JULY 8, 2019

In October 2018, an all-star group met during the Irish Association for Emergency Medicine annual conference to talk about point-of-care ultrasound. In October 2018, an all-star group met during the Irish Association for Emergency Medicine annual conference to talk about point-of-care ultrasound.

Fractures 52

Fractures Ultrasounds 52

ALiEM

SEPTEMBER 25, 2023

The preferred imaging modality is doppler ultrasound. 2018 Sep 25;11(3):355-357. Phelgmasia Cerulea Dolens Diagnosed by Point-of-Care Ultrasound. 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

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. Ital J Pediatr 44 , 25 (2018).

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

EMDocs

DECEMBER 4, 2023

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. First, examine the patient and risk-stratify them for the diagnosis of DVT before deciding on the clinical utility of an ultrasound. Ultrasound. J Thromb Thrombolysis.

Ultrasounds 70

Ultrasounds Wellness Documentation/Coding EMS 70

PulmCCM

APRIL 1, 2024

.” But less than half of the included studies used ultrasound guidance during central line placements. Ultrasound guidance during CVC placement has been a recommended practice since 2001 by the Agency for Healthcare Research and Quality, with multiple professional societies echoing that recommendation in the following decade.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

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). 2018; 28(1):40. Ultrasound quarterly.

Urgent Care 52

Urgent Care Ultrasounds Wellness Emergency Department 52

ALiEM

FEBRUARY 28, 2024

This blog post provides an update to our 2018 blog articles to reflect these changes. Trick of the trade: getting the last bit of ultrasound gel from the bottle. We also must recognize the important contributions of media such as clinical photographs, radiology images, and ECGs. Video Publications Last Name First Initial. Video Title.

Radiology 52

Radiology Radiology Academics EKG/ECG 52

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. 2018) Epidemiology of lumbar punctures in hospitalized patients in the United States.

Infectious Diseases 90

Infectious Diseases Seizures Ultrasounds Sepsis 90

Urgent Care Ultrasounds

OCTOBER 24, 2018

An Anomalous Incidental – and ode to #POCUS #FOAMed Point of Care Ultrasound is based on the ability to answer binary, yes / no questions. Unfortunately ultrasound is not binary, but rather multiple shades of grey. Building a memory bank of normal and abnormal ultrasound findings is vital to help make sense of the unexpected.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Hospitals 52

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. Philadelphia: Elsevier, 2018 (Ch) 61: p. 790-819 Core Ultrasound: Vitreous vs Retinal Detachmen t Post Created By: Anand Swaminathan MD, MPH Post Peer Reviewed By: Salim R.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

The Skeptics' Guide to EM

MARCH 15, 2019

Ann Emerg Med 2018. Ann Emerg Med 2018. You have a colleague in the room who is proficient at ultrasound and asks if there is a role for bedside ultrasound in this situation. Date: March 12th, 2019 Reference: Gottlieb, Holladay and Peksa. He hosts a great #FOAMed blog and podcast called TOTAL EM.

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 22, 2018

[display_podcast] Date: September 17th, 2018 Reference: Meltzer, A. JAMA Internal Med, 2018. display_podcast] Date: September 17th, 2018 Reference: Meltzer, A. JAMA Internal Med, 2018. Bedside emergency department ultrasound is safe and has several advantages over CT for the diagnosis of kidney stones.

Ultrasounds 52

Ultrasounds Emergency Department 52

ACEP Now

SEPTEMBER 5, 2024

What Is the Sensitivity of Ultrasound for Detecting Volvulus in Infants When Compared to An Upper GI Study? But what about ultrasound? In cases where the clinical suspicion is lower for a midgut volvulus, but you feel it still needs to be explored, can ultrasound help? Not all studies included all of these ultrasound signs.

Ultrasounds 52

Ultrasounds Wellness Pediatrics Poisoning 52

ACEP Now

OCTOBER 30, 2023

In December 2014, ESEM brought together a group of local emergency physicians with specialized training in emergency ultrasound, establishing the emergency ultrasound committee, a key step in ESEM’s mission to maintain the highest practice standards and promote professional growth in emergency medicine within the UAE.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

EMDocs

NOVEMBER 18, 2023

A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Published 2018 Mar 6. Vital signs: HR 118, BP 103/68, RR 20, T 99.8. LFTs are in the thousands. Pediatr Radiol. 2021;51(2):248-256.

EMS 69

EMS Ultrasounds Emergency Department Outcomes 69

Urgent Care Ultrasounds

APRIL 17, 2019

Suspecting pneumonia, an ultrasound examination began over the site of the crackles at the left posterio-lateral chest. However the presence of fluid within the pleural and adjoining pericardial spaces has reduced the acoustic impedance mismatch allowing the unimpeded transmission of the ultrasound waves. What pathology can you see?

Ultrasounds 52

Ultrasounds Urgent Care Hospitals Wellness 52

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

The Skeptics' Guide to EM

MAY 26, 2018

[display_podcast] Date: May 16th, 2018 Reference: Beltaief K et al. 2018 Guest Skeptic: Dr. Tony Seupaul is the Chairman of the Department of Emergency Medicine, University of Arkansas. display_podcast] Date: May 16th, 2018 Reference: Beltaief K et al. J Pain Res. J Pain Res.

Emergency Department 52

Emergency Department Ultrasounds 52

Urgent Care Ultrasounds

OCTOBER 7, 2020

Dr Tay attended a weekend training course with Wellington Ultrasound and UIE , and after purchasing a Butterfly iQ he quickly showed that you do not need to be an old dog to learn new tricks. The following ultrasound images were obtained, A diagnosis of a large pericardial effusion prompted acute referral to the Cardiology service.

Urgent Care 40

Urgent Care Ultrasounds Hospitals 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

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Urgent Care Ultrasounds

JANUARY 17, 2019

[link] Also note thoracic aorta posterior to hernia #POCUS #FOAMed pic.twitter.com/v0B2zAWXxm — VCU Ultrasound (@ultrasound_vcu) December 29, 2018 An elderly woman with chest discomfort #ACCFIT @JGrapsa @VLSorrellImages pic.twitter.com/LobfRATs01 — Edgar Argulian (@argulian) October 31, 2018 References 1. 1995; 75(4):308-10.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

The Skeptics' Guide to EM

MAY 11, 2019

JAMA Surgery 2018 Guest Skeptic: Dr. Robert Leeper is an assistant professor of surgery at Western University and the London Health Sciences Centre. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. Reference: Sceats et al.

Documentation/Coding 52

Documentation/Coding Operations Academics Ultrasounds 52

RebelEM

FEBRUARY 12, 2024

“Mp50-20 national imaging trends for acute kidney stone disease: do renal ultrasounds for nephrolithiasis in the emergency department pave the way to computerized tomography? ” The Journal of Urology 199.4S (2018): e683-e684. Moore CL, Carpenter CR, Heilbrun ME, et al.

Radiology 58

Radiology Radiology Emergency Department Ultrasounds 58

PulmCCM

JUNE 26, 2023

After the 2018 MIND-USA trial found neither haloperidol nor ziprasidone reduced delirium in the ICU, critical care guidelines advised against their wide use. The prior requirement for mechanical ventilation excluded patients on high-flow oxygen, whose use has expanded dramatically.

Outcomes 98

Outcomes Ultrasounds Hospitals Wellness 98

The Skeptics' Guide to EM

JANUARY 14, 2018

[display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. display_podcast] Date: January 9th, 2018 Reference: Soleimanpour H et al. One issue that has been to use CT or ultrasound for the diagnosis. first appeared on The Skeptics Guide to Emergency Medicine. A study from Bindman et al.

Emergency Department 52

Emergency Department Ultrasounds Hospitals 52

Don't Forget the Bubbles

NOVEMBER 20, 2023

These may require surgical drainage following confirmation on ultrasound scan. Difficulty swallowing, stridor or altered voice should prompt urgent ENT assessment. Simple lymphadenitis can progress into fluctuant masses, suggesting abscess formation. Local guidelines should be consulted around antibiotic choice. Dermatopathology.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Hospitals 124