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

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

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

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

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

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

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

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

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

AUGUST 4, 2023

Oka, 2023) Female to male predominance with a ratio of 3:2. Oka, 2023) It has various other names but one is Cast Syndrome due to a slight increased risk with patients in hip spica casts. Oka, 2023) Always consider SMA syndrome in patients with eating disorders who present with nausea and bilious vomiting. Record, 2015).

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

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

PEMBlog

OCTOBER 16, 2023

She also had a pelvic ultrasound with relevant image seen here: Based on those findings, she then got a CT with relevant images seen here: A. OHVIRA Syndrome The patient’s ultrasound revealed an obstructed hemivagina. Her workup included normal abdominal x-rays, CBC, CMP, and UA. Ovarian cyst B. Imperforate hymen C. OHVIRA syndrome E.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69

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

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

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 130

Ultrasounds Outcomes COPD Hospitals 130

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

Broome Docs

JANUARY 30, 2023

Covered or uncovered: A randomized control trial of Tegaderm versus no Tegaderm for ocular ultrasound. PMID: 29211671 Marks A, Patel D, Chottiner M, Kayarian F, Peksa GD, Gottlieb M. Am J Emerg Med. 2022 Nov;61:87-89. doi: 10.1016/j.ajem.2022.08.044. 2022.08.044. Epub 2022 Aug 28. PMID: 36057214 Hakimi AA, Carter S, Garg S. J Eval Clin Pract.

Emergency Department 52

Emergency Department Outcomes Ultrasounds Pediatrics 52

ALiEM

NOVEMBER 1, 2024

Via point-of-care ultrasound we were able to visualize part of a thrombus as it journeyed from the right side of the heart to the lungs, becoming a pulmonary embolism. Additionally, increased mortality may be related to PE size given that the clot must be large enough to be seen by ultrasound. Thromb Res. 2020;187:139-147. 2020.01.006.

Ultrasounds 64

Ultrasounds Academics Research Outcomes 64

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

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.

Pediatrics 169

Pediatrics Ultrasounds Operations Hospitals 169

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

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 107

PPE Ultrasounds Resuscitation Administration 107

ALiEM

OCTOBER 28, 2024

If ultrasound imaging is equivocal, CT is the next best step in differentiating the mass origination. If ultrasound is equivocal, CT imaging is the next best step. 2023 May 30. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. Here, a 12 cm x 9.5 cm x 9 cm mass was noted to originate from the right kidney.

Pediatrics 64

Pediatrics Ultrasounds Academics Wellness 64

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. How can this situation be rectified or has the use of ultrasound rendered this blind subclavian “trauma line” a thing of the past? One approach to obtaining BCV origin access (fig.1) 2020;35(3):303-321.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

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

FEBRUARY 16, 2024

Case Discussion Take-Home Points Look out for “hole signs” with adjacent fluid collection on your gallbladder ultrasounds which would suggest perforation. Gangrenous cholecystitis: diagnosis by ultrasound. Ultrasound, 30: 270-274. Intraluminal membranes or wall irregularities suggest gangrenous cholecystitis. 148.1.6856839.

Radiology 64

Radiology Radiology Ultrasounds COPD 64

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.

Psychiatric 269

Psychiatric Seizures Outcomes Pediatrics 269

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

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 59

Ultrasounds 59

ACEP Now

FEBRUARY 13, 2024

published a study, “Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.” 1 The authors describe a retrospective study of 420 patients who received ultrasound guided nerve blocks. Case Resolution This study reaffirms the safety and efficacy of ultrasound nerve blocks.

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 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 62

Fractures Ultrasounds Emergency Department Pediatrics 62

Don't Forget the Bubbles

SEPTEMBER 16, 2023

2023 Aug 23:e2023062806. 2023 Aug 23. 2023 Aug 16. 2023 Aug 2. 2023 Aug 10:e2023062307 Rosacea in children: a review. 2023 Aug 9. 2023 Aug 2. 2023 Aug 30:archdischild-2023-325441. 2023 Aug 21. 2023 Aug 25:e2022057627. 2023 Aug 21:113679. 2023 Aug 24:e2022058674.

Pediatrics 73

Pediatrics Ultrasounds Outcomes Hospitals 73

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

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

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 124

Operations Ultrasounds Resuscitation Blood Transfusions 124

ALiEM

AUGUST 30, 2024

NG/DL) Ultrasound of the neck revealed an enlarged thyroid gland with lobular contours and diffuse hypoechoic echogenicity, without noticeable nodules, fluid collection, or lymphadenopathy. An ultrasound and thyroid antibodies may also be helpful to confirm diagnosis. No distention or tenderness. Free T4 : 0.5 (ref Pediatr Rev.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64