Taming the SRU

APRIL 5, 2023

THE CASE An elderly female patient presents to the emergency department (ED) with 1 week of generalized weakness leading to numerous falls. IMAGING WITH ULTRASOUND In patients with a horseshoe kidney, there are several differences that make point-of-care ultrasound (POCUS) evaluation difficult. 2022 Nov 28.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

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

ALiEM

APRIL 14, 2023

After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to related to procedures in the Emergency Department. More specifically, we identified 2 AIR and 4 Honorable Mentions.

EMS 98

EMS Ultrasounds Academics Fractures 98

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 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) The results revealed a rate of emergency surgery of 9.8%

Ultrasounds 91

Ultrasounds Emergency Department Pediatrics Radiology 91

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. 2022 PMID: 35206981 2. World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Healthcare.

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Resuscitation Administration Emergency Department Hospitals 102

The Skeptics' Guide to EM

DECEMBER 10, 2022

Date: November 30th, 2022 Reference: Johnson et al. Date: November 30th, 2022 Reference: Johnson et al. Bone Joint J 2022 Guest Skeptic: Dr.Matt Schmitz is an Orthopaedic Surgeon specializing in Adolescent Sports Medicine and Young Adult Hip Preservation. 0.23) * Ultrasound 0.27 (0.13–0.56) Initial X-ray 0.24 (0.07–0.79)

Operations 52

Operations Fractures Military Emergency Department 52

Broome Docs

JANUARY 30, 2023

2022 Nov 6. Covered or uncovered: A randomized control trial of Tegaderm versus no Tegaderm for ocular ultrasound. Am J Emerg Med. 2022 Nov;61:87-89. Epub 2022 Aug 28. Acad Emerg Med. 2022 Nov;29(11):1403-1404. Epub 2022 Aug 17. 2022 Aug 1;5(8):e2226809. 2022 Sep 1;5(9):e2235575.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

Mind The Bleep

AUGUST 18, 2024

Problems with salivary glands are often seen at GPs and in emergency departments. Ultrasound scans are the gold standard to look at the gland itself and show any dilation in the ducts. It is important to be able to differentiate between different causes of facial pain and swelling. References Payne, K.F., Goodson, A.M.,

Emergency Department 52

Emergency Department Ultrasounds 52

Cook County EM Blog

APRIL 22, 2022

The Case: A 68-year-old male with a history of CHF, COPD, CAD s/p stenting, HTN, and DM presents to the emergency department with worsening dyspnea and bilateral lower extremity edema for one week with associated orthopnea, and increased home oxygen requirement. Point of Care Ultrasound is shown below: Clip 1. VS: T 36.6,

Ultrasounds 40

Ultrasounds COPD Emergency Department 40

Dr. Smith's ECG Blog

OCTOBER 18, 2023

If you were working in a busy emergency department, would you like to be interrupted to interpret these ECGs or can these patients safely wait to be seen because of the normal computer interpretation? Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. Am J Emerg Med.

EKG/ECG 121

EKG/ECG Documentation/Coding Emergency Department Outcomes 121

The Skeptics' Guide to EM

NOVEMBER 1, 2022

Date: October 27th, 2022 Reference: Hayashi et al. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com Case: A 19-year-old man presents to the emergency […] The post SGEM#381: Put Your Hand on My Shoulder and Reduce It first appeared on The Skeptics Guide to Emergency Medicine.

Dislocations 60

Dislocations Ultrasounds Emergency Department 60

The Skeptics' Guide to EM

DECEMBER 3, 2022

Date: November 16th, 2022 Reference: Lipsett SC, Monuteaux MC, Shanahan KH, et al. Pediatrics 2022 Guest Skeptic: Dr. Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX.

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

The Skeptics' Guide to EM

JANUARY 14, 2023

AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. first appeared on The Skeptics Guide to Emergency Medicine. AJEM 2022 Guest Skeptic: Dr. Kevan Sternberg is a urologist/endourologist. Date: January 13, 2023 Reference: Razi et al. Date: January 13, 2023 Reference: Razi et al. Reference: Razi et al.

Emergency Department 52

Emergency Department Ultrasounds 52

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2022 Sep;24(6):579-581.

Ultrasounds 82

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 82

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. Published 2022 Jan 3. 2022;19(1):501.

Hyperthermia / Hypothermia 84

Hyperthermia / Hypothermia Resuscitation CPR EMS 84

ALiEM

MAY 19, 2023

A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. Additional trick: If the x-ray is delayed, you can pre-check with ultrasound [7]. Updated 2022 Jun 5]. PulmCrit Wee: Ultrasound-guided blakemore tube placement.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

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

EMDocs

SEPTEMBER 9, 2023

Treasure Island (FL): StatPearls Publishing; November 15, 2022. Dec 21, 2022. The value of ultrasound for detecting hand fractures: A meta-analysis. 2021.0052 Emergency Department Management of Extensor Tendon Lacerations – Page 3 of 4. Ann Emerg Med. J Emerg Med. August 29, 2022.

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EMS Fractures Soft Tissue Injuries Ultrasounds 78

EMDocs

JULY 29, 2023

A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. WikEM, The Global Emergency Medicine Wiki. RR 18, SpO2 97% on RA.

EMS 71

EMS Dehydration Ultrasounds Emergency Department 71

Don't Forget the Bubbles

OCTOBER 4, 2023

The utility of point-of-care ultrasound protocol to confirm central venous catheter placement in the preterm infant. Staphylococcus aureus Bacteremia in the Pediatric Emergency Department and Predictors of Poor Outcome. 2023 Sep 27:archdischild-2022-325239. 2023 Sep 26:archdischild-2022-324861. Eur J Pediatr.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

EMDocs

AUGUST 12, 2023

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. The value of ultrasound for detecting hand fractures: A meta-analysis. Ann Emerg Med. Emergency Medicine Residents’ Association; 2022:10-11.

EMS 69

EMS Fractures Operations Ultrasounds 69

ACEP Now

MAY 4, 2023

A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. Dr. Jones is professor of emergency medicine at Case Western Reserve University School of Medicine in Cleveland, Ohio. 2022; 22(11):432-439. 2022; 276:221-234.

EMS 52

EMS Fractures Operations Ultrasounds 52

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. Journal of The Korean Society of Emergency Medicine , 33 (1), pp.134-138. Clinical and Experimental Emergency Medicine , 7 (4), p.330.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Taming the SRU

MAY 5, 2023

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. 2022), ideally with antibiotics administered within one hour of sepsis recognition by the treating provider (Evans, Rhodes et al.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Taming the SRU

OCTOBER 1, 2023

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Treasure Island (FL): StatPearls Publishing; November 28, 2022. Ann Emerg Med. The "lung point": an ultrasound sign specific to pneumothorax. Ann Emerg Med.

Fractures 94

Fractures COPD Hospitals Emergency Department 94

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]. role of consulting services, emergent closed reduction, need for vascular imaging). Most frequent reasons for emergency department visits, 2018. Updated 2022 Nov 23].

Fractures 75

Fractures Dislocations Operations Radiology 75

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 – B scan (ultrasound of the eye), for visualisation of the retina when there is a poor view (i.e 2022 Mar;14(3):e23201. Ninth Edition. 655–687 p. Shahid A, Iqbal K, Iqbal SM, Ghaffar Z, Tariq M, Jehanzeb Tahir M, et al.

Operations 52

Operations Emergency Department Ultrasounds 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. As always, we should consider new data as it emerges. PMID: 34932040.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. Studies have shown that effusions of as little as 2 to 4 mL can be identified using ultrasound [6]. ANESTHETIZE THE AREA step 7. Step 1: Prepare STEP 2.

Ultrasounds 94

Ultrasounds Emergency Department EMS 94

EMDocs

MAY 11, 2024

Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Available from: [link] American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Use of Intravenous tPA for Ischemic Stroke:; Brown MD, Burton JH, Nazarian DJ, Promes SB. Ann Emerg Med. Erratum in: Ann Emerg Med. June 26, 2022.

Stroke 89

Stroke EMS EKG/ECG Radiology 89

Dr. Smith's ECG Blog

MARCH 6, 2023

Regional wall motion abnormality-inferolateral (this is the formal ultrasound location of a posterior wall motion abnormality). 2022 ACC expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department: A report of the American college of cardiology solution set oversight committee. •

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds EMS 52

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. For department chairs, think bigger picture; ask questions about bigger changes in the department.

Research 98

Research Academics Hospitals Administration 98

Taming the SRU

OCTOBER 27, 2023

Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). 39, 655–661 (2022). The use of ultrasound in the diagnosis and management of musculoskeletal injuries is becoming more common. Jarman, R.

Dislocations 93

Dislocations Fractures Ultrasounds Emergency Department 93

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

A emergent cardiology consult can be helpful for equivocal cases. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Emerg Med J. 2023;40(10):700-707.

Ultrasounds 122

Ultrasounds Outcomes COPD Hospitals 122

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The children’s Emergency department sees approximately 50,000 presentations per year. Emerg Med J. doi: 10.1136/emermed-2022-212931. PMID: 38212934.

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Hospitals Sepsis Fractures Emergency Department 78