Taming the SRU

MAY 13, 2024

Acute stump appendicitis without evidence of perforation or abscess (Figure 1) HOSPITAL Course Acute Care Surgery was consulted from the ED and recommended admission for operative resection of a 3 cm remnant of the appendix. For ultrasound, it is recommended to scan the most tender area using a linear probe. Clin Case Rep. Nelson, B.

Ultrasounds 98

Ultrasounds Emergency Department Wellness Operations 98

Emergency Medicine Journal

MAY 23, 2023

Background Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and there is an established evidence base across a range of respiratory diseases, including previous viral epidemics. Results Twenty studies were included, published between October 2020 and April 2021, providing data from a total of 4314 patients.

Ultrasounds 52

Ultrasounds Operations Research Hospitals 52

Don't Forget the Bubbles

JANUARY 17, 2024

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. They passed away a few days after a second operation. Metro, D.C.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

PulmCCM

NOVEMBER 11, 2023

Diagnosis because P ra is non-invasively transduced with ultrasound, for instance via the size and collapsibility of the inferior vena cava [1] and/or the Venous Excess Ultrasound Score [VExUS] [2-4]. The dependent variable is the operating point [i.e., The ultrasound journal 2020, 12(1):1-12.

Ultrasounds 87

Ultrasounds Operations Shock 87

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. Results 24 patients were eligible during the study period from January 2019 to June 2020 and 20 patients age 33-95 were ultimately enrolled by the 6 operators. 41, 2695–2701 (2022). SD 3.28) and 6.5,

Fractures 98

Fractures Ultrasounds Research Outcomes 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

APRIL 29, 2024

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. We were not able to identify a study specifically comparing US-guided CVC compared to IO placement. Resuscitation. 2012 PMID: 21893125. 9 Zhang W et al. Medicine (Baltimore). Resusc Plus.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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? OPTN/SRTR 2020 Annual Data Report: Liver. Liver Transplantation: Operative Techniques and Medical Management. Pediatr Radiol.

EMS 89

EMS Ultrasounds Emergency Department Outcomes 89

ACEP Now

MAY 9, 2024

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

EB Medicine

MARCH 19, 2020

COVID-19 Update 03-18-2020 - An interview with Andrea Duca, MD, Emergency Physician in Bergamo, Italy Time Stamps: 01:29 Dr. Andrea Duca introduction. 24:36 What are your surgeons, who cannot operate, currently doing? 26:36 How do you use ultrasound for COVID-19 patients in the ED? By what criteria? By what criteria?

PPE 40

PPE Emergency Department Ultrasounds Operations 40

ACEP Now

SEPTEMBER 3, 2024

During the legislative fight to pass the federal No Surprises Act of 2020, it was asserted that most balance billing in the U.S. While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. Her primary interests are in ultrasound, machine learning, and health justice. Published March 15, 2020.

Hospitals 113

Hospitals Radiology Radiology Administration 113

Mind The Bleep

JUNE 21, 2024

– B scan (ultrasound of the eye), for visualisation of the retina when there is a poor view (i.e This will not be an issue if oil is used, though this will require another operation to be removed and gain full visual potential. Laser/cryotherapy is applied to seal the break intra-operatively. Community Eye Health.

Operations 52

Operations Emergency Department Ultrasounds 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). Fortunately, that is exactly what happened. The patient did well afterward without any recurrence of symptoms.

EKG/ECG 128

EKG/ECG EMS Wellness Operations 128

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Another emergency medicine colleague I knew did a 2-week rotation in South America to teach ultrasound to physicians. Disclaimer: This post was written before the COVID-19 pandemic.

Research 98

Research Academics Hospitals Operations 98

Mind The Bleep

JANUARY 19, 2024

due to haemorrhage/ dense cataract), then a B scan (ultrasound of the eye) will be performed for better visualisation of the retina. Patients will be advised to posture in a particular position pre-operatively to reduce the risk further progression. (1) Elsevier Limited ; 2020. If there is a poor view to the retina (i.e

Operations 52

Operations Ultrasounds 52

Taming the SRU

AUGUST 30, 2023

Pneumonia A 2020 meta-analysis of 8 studies including 2,215 adults with confirmed community acquired pneumonia in different settings found PCT with a cutoff of 0.5 This finding was not significantly different among operators with different levels of experience, or between adults and children. 2020 Nov 20;99(47):e23315.

Infectious Diseases 89

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

Advanced Medical Reviews

MAY 15, 2018

billion market by 2020. On the provider side, VR could be used to create super-accurate models of patients’ internal organs during the planning of complex operations. Turning ultrasounds, MRIs and CT scans into a VR representation could result in more successful surgeries and easier recoveries during the WC process.

Telemedicine 45

Telemedicine Hospitals Operations Ultrasounds 45

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

This is a case written by Dan Lee (One of our fantastic Hennepin Residents, class of 2020 ) edits by Smith A 60 something-year-old man with a history of ESRD, LVH and prior CABG presented after an episode of hypotension during his hemodialysis, run followed by a syncopal episode which caused his run to be terminated early.

EKG/ECG 52

EKG/ECG Wellness Operations Ultrasounds 52

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. How unstable is this patient?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. Microdosing Methods Help, 2020. A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% What is the role of ultrasound? This dropped to 79.3% of patients were first seen by a junior specialist trainee.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 86

OB/GYN Operations EMS Ultrasounds 86

EMDocs

JUNE 21, 2023

Common operator errors Failing to enter joint capsule before injecting STS. Curr Orthop Pract, 31 (5) (2020 Sept), pp. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 2020 Sep;29(9):1869-1875. When in the joint, you’ll obtain synovial fluid. Not injecting enough STS into the joint. PMID: 23412508.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). Semin Ultrasound CT MR 2017, 38 (4), 345-356. Stroke 2020, 51 (1), 331-334. DOI: 10.1161/strokeaha.118.023173

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. Epub 2020 Oct 31. Epub 2020 Oct 31. 2020 Apr/Jun;42(2):96-102. 2020 Jul;95(7):E160-E163. Epub 2020 May 1. American Society of Hematology 2020 guidelines for sickle cell disease: management of acute and chronic pain.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

MAY 22, 2023

Point-of-care ultrasound (POCUS) can evaluate for Achilles tendon rupture with a high sensitivity (96-100%) and specificity (83-100%) [8,9]. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g.,

Fractures 77

Fractures Dislocations Operations Radiology 77

ALiEM

FEBRUARY 12, 2024

At the time her beta-hCG was 7225 mlU/mL with no intrauterine pregnancy demonstrated on transvaginal ultrasound. Three days later, the patient had declining b-hCG and transvaginal ultrasound again with no intrauterine pregnancy. Case Question: How would you describe the uterine cavity from the ultrasound images? 2, 2021, pp.

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

Don't Forget the Bubbles

JANUARY 1, 2024

However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. During the COVID-19 pandemic (2020-2021), the incidence of IPD reached its lowest level in 20 years. Lung ultrasound for the sick child: less harm and more information than a radiograph.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Published 2020 Dec 21. Results of primary extensor tendon repair in relation to the zone of injury and pre-operative outcome estimation. Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c Medicine (Baltimore). 2019;98(44):e17823.

EMS 97

EMS Fractures Soft Tissue Injuries Ultrasounds 97

Mind The Bleep

JANUARY 24, 2025

7) Allergies Social History Hand dominance Profession and hobbies Could influence the operation performed in cases where the restoration of hand function is vitally important e.g. in musicians; or where speed of recovery and need to return to work take precedence. Doppler Ultrasound: Non-invasive assessment of blood flow. Columb, M.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Mind The Bleep

DECEMBER 6, 2024

Initial Management (whilst Urology team are on their way) Bloods FBC, U/Es, CRP, Coagulation screen, Blood glucose levels, Blood cultures IV Antibiotics as per Trust guidelines (may be under section for Necrotising fasciitis) Urethral catheter- this will help with monitoring urine output and help identify the urethra during the operation.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. If in doubt, ask. CAKUT, catheterization requirement).

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

SheMD

APRIL 23, 2023

While most of the attributed blame for these findings has focused on older age and demanding working conditions of pregnant surgeons [or one might extrapolate this to physicians in general]; the authors note that “there are reproductive hazards present in the operating room that might also be contributing.” Aghajanova et al.

Ultrasounds 52

Ultrasounds Wellness Operations 52