Pediatric EM Morsels

SEPTEMBER 20, 2024

Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. 2021 May;232:200-206.e4. Epub 2021 Jan 5. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Clin Pediatr (Phila). 2010 May;49(5):418-21.

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

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 98

Ultrasounds Operations Radiology Radiology 98

Mount Sinai EM

OCTOBER 10, 2024

2021) of 16 prospective studies with 619 total patients found a sensitivity of 90% and specificity of 85% for elevated ICP, as compared to invasive ICP monitoring. Image Credit: POCUS Toronto Contraindications to Evaluation : Globe rupture The Evidence: A meta-analysis (Ohle et al., A meta-analysis (Aletreby et al.,

Urgent Care 232

Urgent Care Ultrasounds 232

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 79

Ultrasounds Sepsis Radiology Radiology 79

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).

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

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 Radiology Radiology 70

Pediatric EM Morsels

JULY 26, 2024

These females should have imaging with either MRI or CT as well as abdominal or transvaginal ultrasound to assess for ovarian teratoma. 2021 Oct 9;22(20):10911. Prevalence decreases with decreasing age. Risk of teratoma is higher in African American and Asian women. Moral of the Morsel It’s NOT always psych! Int J Mol Sci.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

PulmCCM

SEPTEMBER 4, 2024

Kenny MD [ @heart_lung ] Since its first description [1], the Venous Excess Ultrasound Score [VExUS] has received much research attention. Subsequently in the late 1970s, Sivaciyan and Ranganathan [9] confirmed these findings with Doppler ultrasound of the IJV. The ultrasound journal 12: 1-12 2. Jon-Emile S. Echocardiography 7.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

Cook County EM Blog

MARCH 28, 2023

On point-of-care ocular ultrasound of the affected eye using the linear probe a round, mobile structure was noted in the posterior chamber with an absence of the lens in its typical position, consistent with posterior lens dislocation. What is the utility of point-of-care ultrasound in identifying lens dislocation? 2021, [link]

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

RebelEM

FEBRUARY 19, 2024

The 2021 Surviving Sepsis Campaign Guidelines suggest starting vasopressors peripherally rather than delaying infusion until a CVC is placed [2]. of cases) Catheter ultrasound confirmation: 49.8% (i.e. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med 2021.

Administration 137

Administration Sepsis EMS Shock 137

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]. 2021, October 28).

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. The evidence was not robust enough back in 2021 to confidently use this potential tool.

Fractures 86

Fractures Ultrasounds Emergency Department CDC 86

Northwestern EM Blog

DECEMBER 27, 2021

Congratulations to all of the authors with the most popular posts of 2021! Take-Home Point: Bedside pericardiocentesis is a rare but important procedure that can be performed emergently using ultrasound or landmark guidance. Consider exchanging the needle for a drain once the pericardium is accessed to bridge to definitive therapy.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

Ultrasound Gel

JUNE 21, 2021

These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year. These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year.

Academics 52

Academics Ultrasounds 52

Pediatric EM Morsels

JUNE 16, 2023

2021) Morel-Lavallee lesion , Orthobullets. 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 154

Soft Tissue Injuries Dehydration Fractures Operations 154

Emergency Medicine Journal

MAY 28, 2024

While FIB using ultrasound is preferred, there is no current standardised training technique or assessment scale. We aimed to create a valid and reliable tool to assess ultrasound-guided FIB. Background Fascia iliaca block (FIB) is an effective technique for analgesia. Content validity was established using the Delphi method.

Ultrasounds 52

Ultrasounds 52

Critical Care North Hampton

AUGUST 6, 2021

Get yourself accredited within one of the most comprehensive ultrasound training schemes out there! But dip in and see what we have chosen as the top topics recently within ICU and Critical care. Headliners FUSIC-HD is out! Now in HD!! CPAP saves lives? TTM might be the. Continue Reading →

Ultrasounds 52

Ultrasounds 52

Downeast Emergency Medicine

JUNE 7, 2021

This lecture was presented at the 2021 Maine Medical Center Winter Symposium. Key concepts for Ultrasound Guided IV placement LENGTH Always use long IV (1.88 The effect of vessel depth, diameter and location on ultrasound-guided peripheral catheter longevity. For more information on the symposium click here. 1] Fields JM et al.

Ultrasounds 52

Ultrasounds Wellness 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Background Serial point-of-care ultrasound (PoCUS) can potentially improve acute patient care through treatment adjusted to the dynamic ultrasound findings. Methods This was a randomised, controlled, blinded-outcome trial conducted in three EDs in Denmark between 9 October 2019 and 26 May 2021.

Ultrasounds 52

Ultrasounds Outcomes 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 40

Ultrasounds Wellness Pediatrics Poisoning 40

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. Methods Traditional and grey-literature searches were performed on 1 June 2021. Overall, LUS was found to be 87.2% 95% CI 2.3

Ultrasounds 52

Ultrasounds Operations Research Hospitals 52

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 93

Ultrasounds Emergency Department Pediatrics Radiology 93

EMDocs

AUGUST 8, 2023

Keys: Order the ultrasound in a patient with testicular pain, especially with any TWIST score >0. Minimal if any harm to patients by obtaining ultrasound. Even with a normal ultrasound, if the history/exam are concerning – call urology. Repeat ultrasound after manual detorsion to look for normal blood flow.

Ultrasounds 94

Ultrasounds Documentation/Coding Outcomes Emergency Department 94

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. 2021; 9:e04871. The Ultrasound Journal, 11(1). Clin Case Rep. Monsomboon, A., Nelson, B.

Ultrasounds 98

Ultrasounds Emergency Department Wellness Operations 98

Downeast Emergency Medicine

DECEMBER 9, 2021

Review of her records show she was diagnosed with multifocal pneumonia in July, 2021 and treated with dual therapy of Augmentin and Azithromycin. Ultrasound pearls Assessing for a valvular vegetation is not one of the main assessments while performing point-of-care echocardiograms in the emergency department.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

Don't Forget the Bubbles

JANUARY 17, 2024

2021 A plain abdominal X-ray shows multiple dilated loops of bo wel. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. 2021 These beads, once hydrated inside the body, reached considerable sizes. His abdominal X-ray looked a lot like this.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

University of Maryland CC Project

NOVEMBER 24, 2021

Maryland Critical Care Conference 2021 with various talks on the topic of Resuscitation.

Resuscitation 40

Resuscitation Outcomes CPR Ultrasounds 40

EMDocs

FEBRUARY 12, 2025

She had previously undergone carbon ion radiotherapy, receiving a cumulative dose of 75 GyE in 20 fractions over two courses from December 2020 to January 2021. Symptoms of radiation-induced skin injury began on the eighth day after initiating radiotherapy, and by January 18, 2021, the lesion had progressed to Grade IV radiation dermatitis.

Best Practices 56

Best Practices Documentation/Coding Radiology Radiology 56

Dr. Smith's ECG Blog

OCTOBER 1, 2023

This is a re-post of an excellent case from 2021. Gallbladder ultrasound was negative for stones. See the full post here == MY Comment , by K EN G RAUER, MD ( 10/1 /2023 ): == It is often insightful to "look back" — and see from where we have come, which Dr. Meyers skillfully does with today's repost from October 5, 2021.

EKG/ECG 127

EKG/ECG EMS Ultrasounds Wellness 127

EMDocs

JANUARY 16, 2024

VF/asystole), a pulse cannot be identified via Doppler ultrasound for a full minute, or if lack of organized cardiac activity is confirmed on bedside echocardiogram. This is a good time to utilize an arterial line or use the ultrasound to find a central pulse. Accidental Hypothermia: 2021 Update. 2009;338:b2085. Resuscitation.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Sensible Medicine

NOVEMBER 6, 2023

The original SWISS APERO trial results came in 2021. The more typical way to evaluate for leaks is with echocardiography (ultrasound). Today I will tell you about one-year results of the SWISS-APERO trial—which compared outcomes with the two most common types of closure devices. This study report included only 45-day outcomes.

Stroke 133

Stroke Outcomes Ultrasounds Wellness 133

Don't Forget the Bubbles

NOVEMBER 20, 2023

These may require surgical drainage following confirmation on ultrasound scan. April 2021 Russell F, Lowe D. Difficulty swallowing, stridor or altered voice should prompt urgent ENT assessment. Simple lymphadenitis can progress into fluctuant masses, suggesting abscess formation. DOI: 10.1016/j.joms.2006.11.039 Dermatopathology.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. Introduction to Bedside Ultrasound, iBook Ch 2, Basic Cardiac, Pg 27.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

EMDocs

AUGUST 12, 2023

McGraw Hill; 2021. November 9, 2021. The value of ultrasound for detecting hand fractures: A meta-analysis. Rosh Review Website Link References: Park CW, Juliano ML, Woodhall D. Tendon Lacerations. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed June 24, 2023. In: StatPearls.

EMS 95

EMS Fractures Operations Ultrasounds 95

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? McGraw Hill; 2021. 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 95

EMS Ultrasounds Emergency Department Outcomes 95

JournalFeed

OCTOBER 9, 2021

It’s the JournalFeed Podcast for the week of October 4-8, 2021. We cover post-intensive care syndrome, timing of advanced airway in OHCA, opioids and ICU delirium, ultrasound guidance and central line infection risk, and an easier way to find the cricothyroid membrane.

Ultrasounds 52

Ultrasounds 52

RebelEM

FEBRUARY 12, 2024

Chang 2021 ) This systematic review was used as the basis for a 9 member panel to develop consensus guidelines on CT imaging for patients with suspected renal colic in 29 scenarios. 2021 Sep;47:70-73. Epub 2021 Mar 22. ” The Journal of Urology 199.4S (2018): e683-e684. Moore CL, Carpenter CR, Heilbrun ME, et al.

Radiology 77

Radiology Radiology Emergency Department Ultrasounds 77