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 87

Emergency Department Ultrasounds EMS Radiology 87

EMDocs

MAY 11, 2024

Cavernous sinus syndrome (B) usually presents with cranial nerve deficits, diplopia, periorbital cellulitis, and facial swelling that may progress to meningitis or sepsis. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41.

Stroke 89

Stroke EMS EKG/ECG Radiology 89

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bedside cardiac ultrasound showed moderately decreased LV function. She was managed for sepsis with antibiotics including azithromycin, had hypotension with arterial and central lines placed and pressors. , but potassium returned normal. She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates.

EKG/ECG 100

EKG/ECG Sepsis Wellness Documentation/Coding 100

Mind The Bleep

AUGUST 5, 2023

Common signs and symptoms include: Abdominal distention with prominent veins and discolouration Umbilical flaring Poor feeding Bilious vomiting Abdominal tenderness Bowel changes, including diarrhoea, blood and mucus Lethargy, apnoea, bradycardia Sepsis Risk factors of low birth rate, prematurity and formula feeding. (1, Updated 2022 Aug 8].

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

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

EMDocs

JULY 29, 2023

Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. Accessed March 27, 2023. Accessed on April 11, 2023. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Rev Infect Dis.

EMS 71

EMS Dehydration Ultrasounds Emergency Department 71

Taming the SRU

MAY 5, 2023

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. 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. N Engl J Med. 2023;388(6):499-510. 2018, Kuttab, Lykins et al.

Sepsis 52

Sepsis Shock Administration Resuscitation 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

FEBRUARY 5, 2024

2024 Jan 12:archdischild-2023-326225. Role of diagnostic tests for sepsis in children: a review. 2024 Jan 23:archdischild-2023-325984. 2024 Jan 11:fetalneonatal-2023-325829. 2024 Jan 11:fetalneonatal-2023-326383. 2024 Jan 17:fetalneonatal-2023-326099. 2024 Jan 16:fetalneonatal-2023-326170.

Pediatrics 52

Pediatrics Research Resuscitation Psychiatric 52

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

I went to the chart and found that the patient was a sepsis patient with hypotension and a K of 3.0. So we did a bedside cardiac ultrasound. Troponin peaked at 2914 ng/L = Comment by K EN G RAUER, MD ( 2/12 /2023 ): = Among the most challenging of ECG diagnoses to make is RVH ( R ight V entricular H ypertrophy ).

EKG/ECG 40

EKG/ECG Sepsis Ultrasounds 40

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: John Coveney Article 2: How do we define sepsis in children? International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. It doesn’t help to diagnose or exclude sepsis. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

DECEMBER 18, 2023

Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. vs. 0.91), positive predictive value (0.27

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

Don't Forget the Bubbles

NOVEMBER 1, 2023

Emergency Medicine Journal 2023; 40: 583-587. 2023 Oct 1;39(10):735-8. Pediatric Emergency Care 39(7):p 524-529, July 2023. BMJ Paediatrics Open 2023; 7: e001855. doi: 10.1136/bmjpo-2023-001855 What’s it about? Article 1: Do you have the right endotracheal tube? Ebenebe CU, Schriever K, Apostolidou S, et al.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

EMDocs

JULY 15, 2023

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. Retrieved March 2, 2023, from [link] Levine, B. 2023, February 14). Retrieved March 2, 2023, from [link] Smith, J.

EMS 66

EMS Infectious Diseases Ultrasounds Shock 66

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider sepsis and treat it accordingly. An ultrasound scan of the graft is usually sufficient to rule out these complications. References UK Renal Registry (2023) UK Renal Registry 25th Annual Report – data to 31/12/2021, Bristol, UK. Creatinine is the primary biochemical marker for assessing renal function. and Hirsch, H.H.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

OCTOBER 23, 2023

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. Aust N Z J Obstet Gynaecol. 2009 Apr;49(2):198-201.

OB/GYN 67

OB/GYN Operations EMS Ultrasounds 67

EMDocs

JANUARY 20, 2025

2023 10 found that clinicians were 56% accurate in their assessments of patients admitted for heart failure when compared to the gold standard of blood volume measurement – a nuclear study utilizing radiolabeled red blood cells and albumin. For links to FOAM-ED ultrasound content, see the section after take-home points.)

Dehydration 40

Dehydration Fluid Resuscitation Sepsis Resuscitation 40