Core Ultrasound

JANUARY 10, 2023

Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. This is definitely not something that needs to be done all the time, but is a great adjunct in the appropriate clinical setting!

Ultrasounds 52

Ultrasounds 52

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana.

Ultrasounds 281

Ultrasounds Pediatrics Operations EMS 281

Mount Sinai EM

OCTOBER 10, 2024

Image Credit: POCUS Toronto Contraindications to Evaluation : Globe rupture The Evidence: A meta-analysis (Ohle et al., 2015) of 12 studies with 478 patients found a sensitivity of 96% and specificity of 92% for elevated ICP, as compared to CT. Here is a very comprehensive narrative review of the optic nerve POCUS (Lau et al.,

Urgent Care 232

Urgent Care Ultrasounds 232

Don't Forget the Bubbles

MAY 17, 2023

2023 Apr 17. 2023 Apr 25;329(16):1386-1398. 2023 Apr 29. 2023 Apr 24. 2023 Apr 12. 2023 Apr 28. 2023 Apr 25. 2023 Apr 25. 2023 Apr 25. Minor head trauma in infants – how accurate is cranial ultrasound performed by trained radiologists? 2023 Apr 24. 2023 Apr 24.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

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). Indian J Surg. 2018;34(2):132-136.

Ultrasounds 78

Ultrasounds Sepsis Radiology Radiology 78

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. 2023 Jul 17. UpToDate , June 2023, www.uptodate.com/contents/autoimmune-including-paraneoplastic-encephalitis-clinical-features-and-diagnosis?search=anti+nmda+receptor+encephalitis&source=search_result&selectedTitle=1~29&usage_type=default&display_rank=1#H2973236366.

Seizures 269

Seizures Psychiatric Outcomes Pediatrics 269

Pediatric EM Morsels

MARCH 1, 2024

Scrutinize that CXR for an Air-Fluid Level… and maybe use your Ultrasound to increase your sensitivity!! Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. Patients with immunocompromised conditions are at risk of Fungal infections. Moral of the Morsel Simple things can become Complicated. 2017.12.020.

Ultrasounds 169

Ultrasounds Pediatrics Operations Hospitals 169

Core Ultrasound

JUNE 14, 2023

Also, there are 5 other reasons to watch: I’ll share with you my favorite ultrasound cases of the past few months. Join me in this special episode where I share just a little bit of my journey of coming out to the rest of the world as a transgender woman. I hope you enjoy this wide-ranging talk on some pretty important and amazing topics!

Ultrasounds 52

Ultrasounds 52

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 122

Ultrasounds Outcomes COPD Hospitals 122

JournalFeed

OCTOBER 14, 2023

The JournalFeed podcast for the week of Oct 9-13, 2023. Wednesday Spoon Feed: In a small, randomized trial, placing an ultrasound-guided central venous catheter (CVC) using 2 planes simultaneously was more likely to be successful on the first attempt and performed more quickly. Both groups had a 100% procedural success rate.

Ultrasounds 52

Ultrasounds 52

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]. 2023, October 9).

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

PulmCCM

NOVEMBER 17, 2023

’ This could be done with the Venous Excess Ultrasound Score [VExUS] [5, 6]. Front Physiol 2023, 14:1230654. Crit Care 2023, 27(1):205. The ultrasound journal 2020, 12(1):1-12. Ultrasound J 2022, 14(1):36. How does it work? First, dichotomize the P ra into ‘low’ versus ‘high.’

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

ACEP Now

FEBRUARY 11, 2024

The ultrasound-guided clavipectoral plane block (CPB) is a newly described technique in the emergency medicine literature. Ultrasound Survey Scan FIGURE 1A: Ultrasound probe should be placed at the clavicle with the probe marker facing cephalad (toward the head). FIGURE 1B: Ultrasound image with labeled relevant anatomy.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Don't Forget the Bubbles

JANUARY 1, 2024

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). 2023 Dec 22. Lung ultrasound for the sick child: less harm and more information than a radiograph. 2023 Dec 21. 2023 Dec 19.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Broome Docs

MARCH 28, 2024

If you want to see Justin in the video format and his new Youtube series then click here: [link] If you would like to check out my current ultrasound training project then click here: WACHS Ultrasound Otherwise – enjoy the show and see you in a few weeks. doi: 10.1136/emermed-2023-213285. 2023 Sep 21:ciad571.

PPE 96

PPE Ultrasounds Resuscitation Administration 96

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. 2023 Jan 13;76(2):185-191. 2023 Feb;30(2):144-146. 2023 Jan 17;329(3):224-234. 2023 Mar 17;380:p601.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

ALiEM

JUNE 25, 2024

Podcast: Approaching your EM Sub-Internship Clerkship Mentioned Links CDEM Medical Student Curriculum Emergency Ultrasound Teaching Read and Listen to the Other EM Match Advice Episodes Blog posts: [link] Author information Sara M.

EMS 97

EMS Ultrasounds 97

ALiEM

NOVEMBER 22, 2024

Limited Abdominal Ultrasound : A large intussusception is noted, which appears to extend at least to the descending/sigmoid colon. These are often done under either fluoroscopic or ultrasound guidance. Although this patient had a formal ultrasound, POCUS can be a useful tool in the ED to identify and expedite intussusception treatment.

Ultrasounds 73

Ultrasounds Pediatrics Academics Hospitals 73

Pediatric EM Morsels

JUNE 16, 2023

Available at: [link] (Accessed: 12 June 2023). Available at: [link] (Accessed: 12 June 2023). Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Arch Gen Med. 1863;1:20-38, 172-200, 300-332 Sharareh, B. and Taylor, B. 2021) Morel-Lavallee lesion , Orthobullets.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Answer : Bedside ultrasound! Smith : RV infarct may also have this appearance on ultrasound. So hypoxia without B lines on lung ultrasound strongly weights toward PE. What do you do clinically when the ECG looks like this? How do you emergently triage the patient to cath lab or possibly IR suite for thrombectomy?

EKG/ECG 131

EKG/ECG Ultrasounds Shock EMS 131

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 98

EMS Ultrasounds Fractures Academics 98

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

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 91

Emergency Department Ultrasounds Administration Burns 91

EMDocs

SEPTEMBER 30, 2023

2023 Aug 7;e233264. 2: POCUS for the PTA Spoon Feed While it doesn’t have great specificity, the sensitivity of ultrasound makes it a viable first step in making the diagnosis of peritonsillar abscess. Source Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis.

Ultrasounds 66

Ultrasounds 66

ALiEM

OCTOBER 23, 2023

On ultrasound, it appears as a heterogeneous isoechoic collection that abuts the right globe. doi:10.1007/s12070-021-02486-z Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Academics 111

Academics Emergency Department Ultrasounds Wellness 111

ALiEM

MAY 19, 2023

Additional trick: If the x-ray is delayed, you can pre-check with ultrasound [7]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Accessed April 6, 2023. PulmCrit Wee: Ultrasound-guided blakemore tube placement. Accessed April 6, 2023. Accessed April 7, 2023. Sengstaken-Blakemore Tube.

Emergency Department 98

Emergency Department Ultrasounds Wellness EMS 98

ACEP Now

JUNE 21, 2023

For example, applicant interest in EM significantly declined after the EM workforce report was published resulting in a final count of 132 unfilled programs in 2023. ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. Advanced Data Tables 2023 Main Residency Match.

EMS 114

EMS Academics Telemedicine Operations 114

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

Bedside cardiac ultrasound with no obvious wall motion abnormalities. For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ). He had a previous ECG on file: Proving the findings are new The cath lab was activated. He was given aspirin and sublingual nitro and the pain resolved.

EKG/ECG 125

EKG/ECG Ultrasounds Documentation/Coding Wellness 125

ALiEM

NOVEMBER 27, 2023

g/dL BMP, lipase, Alk phos/Bili/ALT/AST, PT/PTT, and lactate : Unremarkable Serum HCG : Negative Urinalysis (UA) : Unremarkable COVID : Negative Case Question: Can you identify the abnormalities on the right upper quadrant (RUQ) ultrasound image? Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. k/uL Hgb : 10.5 PMID: 8405645.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

Emergency Medicine Journal

SEPTEMBER 25, 2024

Background Ultrasound-guided (USG) erector-spinae plane block (ESPB) may be better than intravenous opioids in treating acute hepatopancreaticobiliary (HPB) pain in the ED. Methods This open-label randomised controlled trial was conducted in the ED of a tertiary-care hospital between March and August 2023.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals 52

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. N Engl J Med.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

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

Ultrasound Gel

FEBRUARY 12, 2024

In September 2023, the GEL crew traveled to Portland, Maine to do some on-the-street reporting at the annual conference for the Society of Clinical Ultrasound Fellowships (SCUF). What evolved was a series of incredible mini-interviews focusing on the different paths to ultrasound and the exciting new frontiers of ultrasound technology.

Ultrasounds 52

Ultrasounds 52

Ultrasound Gel

JANUARY 29, 2024

In September 2023, the GEL crew traveled to Portland, Maine to do some on-the-street reporting at the annual conference for the Society of Clinical Ultrasound Fellowships (SCUF). What evolved was a series of incredible mini-interviews focusing on the different paths to ultrasound and the exciting new frontiers of ultrasound technology.

Ultrasounds 52

Ultrasounds 52

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]. Crit Care 2023, 27(1):205. The ultrasound journal 2020, 12(1):1-12. Front Physiol 2023, 14:1230654.

Ultrasounds 87

Ultrasounds Operations Shock 87

ALiEM

FEBRUARY 2, 2024

Laboratory Data Ultrasound reveals a 1.7 Because of the concern for malignancy, a biopsy was performed in the emergency department after the ultrasound and CT scan confirmed there was no extension into the thorax. It is soft with some slight nodularity on palpation, and only mild tenderness noted. There is no fluctuance.

Ultrasounds 67

Ultrasounds Academics Emergency Department 67

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. 11/3/2023 41, 2695–2701 (2022). They then enrolled patients in the study, using the trauma team activation paging system for notification and reviewing the EMR for details of injuries. TamingtheSRU.

Fractures 98

Fractures Ultrasounds Outcomes Research 98