Taming the SRU

OCTOBER 23, 2023

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Laboratory evaluation reveals a hemoglobin and hematocrit of 12.6/37.1

Ultrasounds 97

Ultrasounds Operations Radiology Radiology 97

Taming the SRU

JULY 24, 2023

A bedside right upper quadrant ultrasound was performed, and the images are below. The presence of gallstones outside of the gallbladder wall, striated appearance of the gallbladder wall, and adjacent fluid collections, abscesses or fistulas are other findings that could be seen on ultrasound (5, 8). World J Emerg Surg 13, 9 (2018).

Ultrasounds 77

Ultrasounds Sepsis Radiology Radiology 77

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 Documentation/Coding Outcomes 52

RebelEM

DECEMBER 10, 2023

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Not so FAST- Chest ultrasound underdiagnoses traumatic pneumothorax. PMID: 34932040.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

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

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. How can this situation be rectified or has the use of ultrasound rendered this blind subclavian “trauma line” a thing of the past? One approach to obtaining BCV origin access (fig.1) 2020;35(3):303-321.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

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

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial. PoCUS evaluations included lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS).

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Ultrasounds Outcomes COPD Hospitals 130

Northwestern EM Blog

SEPTEMBER 16, 2024

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. The one absolute contraindication for ocular ultrasound is any suspicion for globe rupture, as placing any pressure on the globe can worsen extrusion of intraocular contents.

Ultrasounds 52

Ultrasounds Emergency Department Academics EMS 52

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 95

Ultrasounds Emergency Department EMS 95

The Trauma Pro

OCTOBER 25, 2024

Here are the factoids: The original data were derived from a 17-center study conducted from 2018-2020; this study only included 1,387 patients who had pelvic fractures (as well as other injuries). DVT was detected using duplex ultrasound, and PE was detected by CT angiography.

Fractures 147

Fractures Head Injuries Operations Ultrasounds 147

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

Mount Sinai EM

OCTOBER 11, 2024

2018 , compared a random sampling of patients from 12 Southern California Kaiser centers which adopted a PTA algorithm of medical management and ENT follow up the next day, with subsequent I+D if needed vs patients from seven centers in the same system that opted for initial surgical drainage. in the medical cohort and 6.2%

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Oka, 2023) Abdominal ultrasound with doppler can also be used to measure the angle, and with a trained ultra-sonographer was found to be as sensitive as CTA. (Oka, 2023) Female to male predominance with a ratio of 3:2.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

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 92

Ultrasounds Emergency Department Pediatrics Radiology 92

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 97

Ultrasounds Emergency Department Wellness Operations 97

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

Sensible Medicine

JUNE 17, 2024

Proponents wrote back in 2018 that longer-term safety studies are needed that specifically assess…”cerebral microemboli assessed by magnetic resonance imaging.” The bubbles seen on ultrasound imaging during PFA was enough for the proponents to write in 2018 that brain safety was an issue to be studied.

Shock 123

Shock Stroke Operations Ultrasounds 123

EMDocs

NOVEMBER 13, 2024

Ultrasound can assist: confirm ascites, evaluate for best site, abdominal wall thickness, blood vessels along needle track. 2018 Apr;36(4):689-698. Safety of ultrasound-guided thoracentesis in patients with abnormal preprocedural coagulation parameters. 2018 Dec;15:41-47. Send fluid for cell count and culture.

Hyperthermia / Hypothermia 72

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 72

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 Documentation/Coding Wellness EMS 70

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

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 96

Infectious Diseases Seizures Ultrasounds Sepsis 96

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

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

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

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

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 Fractures 52

EMDocs

OCTOBER 29, 2024

Critical Care Ultrasound in Shock: A Comprehensive Review of Ultrasound Protocol for Hemodynamic Assessment in the Intensive Care Unit. doi:10.1136/BCR-2018-225879 Dawood S, Hill A, Al Rawi O. J Thorac Dis. 2015;7(9):E365-E369. doi:10.3978/J.ISSN.2072-1439.2015.09.22 2072-1439.2015.09.22 J Clin Med. 2024;13(18):5344.

Shock 86

Shock EMS Sepsis Resuscitation 86

PEMBlog

SEPTEMBER 24, 2024

With improved access to prenatal care and ultrasounds, CLMs are commonly detected prenatally. 2018 Jul;48(3):247-250. Epub 2018 Apr 6. Singh J, Dalal P, Rattan KN. Congenital pulmonary airway malformation mimicking as pulmonary tuberculosis in five paediatric patients: a diagnostic dilemma. doi: 10.1177/0049475518765305.

Pediatrics 52

Pediatrics Ultrasounds Hospitals Wellness 52

Taming the SRU

OCTOBER 7, 2024

history of VTE, increased calf circumference, pain and swelling), then the next step is to attain a compressible ultrasound of the affected leg. However, if clinical suspicion is high enough, doppler ultrasound, MR venography, or serial compressive ultrasound imaging can all be considered. original drawing by dr zinter.

Ultrasounds 63

Ultrasounds CDC Research Stroke 63

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

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

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