Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun;38(6):1733-1751. 2023 May 16;28(3):172-183. 2023 Jun 6;28(4):205-251. 2023 Jun 6;28(4):252-266. 2023 Jun 1;177(6):559-560. Original clinical studies Distribution and pattern of hand fractures in children and adolescents.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Broome Docs

APRIL 6, 2023

2023 Jan 21. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. 2023 Feb;64:206.e1-206.e3. 2023 Jan 30. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 76

Fractures Dislocations Operations Radiology 76

EMDocs

SEPTEMBER 9, 2023

Accessed June 24, 2023. Accessed June 8, 2023. Accessed June 6, 2023. 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. McGraw Hill; 2021. link] Dy CJ, Rosenblatt L, Lee SK. 2013;29(2):261-268. Dec 21, 2022.

EMS 78

EMS Fractures Soft Tissue Injuries Ultrasounds 78

EMDocs

AUGUST 12, 2023

Accessed June 24, 2023. Treasure Island (FL): StatPearls Publishing; February 5, 2023. Accessed June 10, 2023. January 29, 2023) Isolated Flexor Digitorum Profundus Injuries in Flexor Zone II of the Hand: A Report of Five Cases. The value of ultrasound for detecting hand fractures: A meta-analysis.

EMS 70

EMS Fractures Operations Ultrasounds 70

Taming the SRU

JANUARY 1, 2024

Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. unported license [link] Ultrasound allows us to visualize deeper, typically larger veins in the forearm and upper arm. Place ultrasound machine on the opposite side of the bed to minimize neck strain. Check for flash in the IV chamber.

Emergency Department 90

Emergency Department Ultrasounds Administration Burns 90

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. World J Emerg Surg 2023 PMID: 36918947 3. 2023 PMID: 37502742 11 Schwalbach KT et al. This study also showed the median time for IO placement was only 1.2 minutes CVC group.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. Among patients with multiple rib fractures, the mortality rate can reach a staggering 33%, and this risk doubles for individuals above the age of 65. ED Physicians are already well-versed in the use of ultrasound.

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

RebelEM

JANUARY 29, 2024

Clin Exp Emerg Med 2023. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. Clin Exp Emerg Med 2023. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE? Click here for Direct Download of the Podcast Paper: Aykan AC et al.

Stroke 134

Stroke Outcomes Hospitals Administration 134

ALiEM

SEPTEMBER 13, 2024

Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. Tonometry and ocular ultrasound (US) are generally not recommended as you could squeeze more liquid out of the eye or increase the intraocular pressure even more, pushing the iris further out. 2023, March 23). Visual acuity: able to count fingers.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

The Skeptics' Guide to EM

MARCH 25, 2023

Date: March 22, 2023 Reference: Hilsden et al. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Date: March 22, 2023 Reference: Hilsden et al. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Taming the SRU

JANUARY 10, 2024

2768 aka the SAVE act (introduced for the 3rd time 9/12/2023) which establishes a new criminal offense for knowingly assaulting or intimidating hospital personnel during the performance of their official duties in a manner that interferes with their performance of the duties or limits their ability to perform the duties. 2663 & S.1176

EKG/ECG 92

EKG/ECG Shock Fractures Emergency Department 92

ACEP Now

OCTOBER 15, 2023

Fracturing the larynx requires considerable force, and the great majority of fractures are from blunt high-velocity trauma. Is there an open neck wound or palpable cartilage fracture? Reconstructive computed tomography can assess the laryngeal framework to avoid missing laryngeal fracture and, hopefully, long-term comorbidities.

Fractures 52

Fractures Dislocations Airway Management Operations 52

ALiEM

FEBRUARY 28, 2024

September 18, 2023. Both bone forearm fracture with dorsal displacement AP. Trick of the trade: getting the last bit of ultrasound gel from the bottle. Media title. Date Published. Date Accessed. Brief Description for: Article Title. Publication. DOI (if available). Example: Mason J. Trismus from Ludwig angina. CorePendium.

Radiology 52

Radiology Radiology Academics Fractures 52

Taming the SRU

OCTOBER 16, 2024

Ultrasound can be used to support the diagnosis by identifying anechoic or hypoechoic fluid within the flexor tendon sheath. Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture. X-ray imaging should be obtained to evaluate for avulsion fracture.

Airway Management 73

Airway Management Fractures CDC Pediatrics 73

EMDocs

JUNE 6, 2023

High-velocity projectiles or direct blunt trauma to the globe should raise concern for OGI, especially if there are associated facial fractures or injuries to the adnexa. 2023 Feb;64:113-120. Visual prognosis is determined by the time to surgical intervention. Consider fungal coverage for soil involvement or cases of IOFB. 2022.11.036.

Fractures 75

Fractures Documentation/Coding Ultrasounds Wellness 75

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. Carries the advantage of being able to detect displaced rib fractures, foreign bodies, mediastinal or diaphragmatic changes [17]. 10/2/2023

Fractures 95

Fractures COPD Hospitals Emergency Department 95

Don't Forget the Bubbles

MAY 8, 2024

2024 Apr 25:archdischild-2023-326533. 2024 Apr 18:fetalneonatal-2023-326679. 2024 Apr 16:archdischild-2023-326247. 2024 Apr 16:archdischild-2023-326331. Use of neonatal lung ultrasound in European neonatal units: a survey by the European Society of Paediatric Research. 2024 Apr 8:archdischild-2023-326175.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Taming the SRU

OCTOBER 28, 2024

Potential causes include: -Trauma: Blunt or penetrating thoracic injuries, rib fractures, esophageal rupture (Boerhaave syndrome). StatPearls Publishing; Treasure Island (FL): Jul 24, 2023. Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. Updated 2023 May 1]. References 1.

COPD 77

COPD Pediatrics Emergency Department Ultrasounds 77

Taming the SRU

AUGUST 30, 2023

Specific Evidence: Septic arthritis: According to the European Journal of Bone and Joint Infection’s 2023 guidelines for septic arthritis of native joints (SANJO), no blood tests have adequate sensitivity or specificity to either diagnose or exclude SANJO. 2023 Feb 2;388(5):439-452. Updated 2023 Apr 24]. 2023 Jul 10.

Infectious Diseases 87

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 87

Don't Forget the Bubbles

SEPTEMBER 5, 2024

doi: 10.1136/archdischild-2023-326407. A recent systematic review found that children with obesity at school entry are more likely to experience back pain, slipped capital femoral epiphysis or fractures during childhood. 2023 Aug 23;11:1225087. 2023 Aug;108(8):632-639. doi: 10.1136/archdischild-2023-325343.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

ACEP Now

MAY 9, 2024

6 The increasing mortality rate led to an additional emergency regulation in 2022 requiring the consenting physician to perform the critical steps of the case, limiting surgeons to three cases per day, and mandating continuous, recorded ultrasound guidance for gluteal AFT procedures. References Garcia SE. Butt Lifts Are Booming.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Don't Forget the Bubbles

OCTOBER 4, 2023

In this issue of the Archives , we read a large retrospective study about gastric acid suppression in infancy and the increased risk of fractures. The intriguing finding of this study was the fact that non-fracture injuries increased, which could suggest that another factor (the temperament of the child rather than gastrin or VitB metabolism?)

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. Diagnostic accuracy of point-of-care ultrasound versus radiographic imaging for pediatric distal forearm fractures: A randomized controlled trial.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

ALiEM

OCTOBER 30, 2024

Clinical impact: The patient’s DVT ultrasounds were negative. A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. 2023 Aug 1;89(2):231. 2023 [book].

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

EMDocs

OCTOBER 7, 2023

Accessed February 3, 2023. Accessed 21 February 2023. Accessed 15 August 2023. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Nephrol Dial Transplant. 1994;9(6):637-641.

EMS 74

EMS Fluid Resuscitation Fractures Resuscitation 74

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. An ultrasound scan of the graft is usually sufficient to rule out these complications. Kidney transplant recipients are at higher risk of rickets and fractures. (13) Ask about the frequency of intermittent catheterization, if applicable. Any history of injury?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 99

Emergency Department Fractures Burns EMS 99

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. Batheja, V.;

Stroke 87

Stroke Radiology Radiology Emergency Department 87