Don't Forget the Bubbles

OCTOBER 4, 2023

2023 Sep 13. 2023 Sep 8. 2023 Sep 27. 2023 Sep 23;28(6):377-393. 2023 Sep 23;28(6):362-376. 2023 Sep 26;330(12):1175-1186. 2023 Sep 2;402(10404):809-824. 2023 Sep 14;389(11):987-997. 2023 Sep 15:113740. 2023 Sep 14:fetalneonatal-2023-325600. 2023 Sep 11:e2023061931.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Don't Forget the Bubbles

JUNE 14, 2023

2023 May;182(5):2077-2088. 2023 Jun;59(6):786-793. 2023 May 13. 2023 May 12:fetalneonatal-2022-324935. 2023 May 10. 2023 May;38(5):1411-1425. 2023 May;182(5):1965-1976. 2023 May;38(5):1449-1458. 2023 May;182(5):2027-2039. 2023 May 1;151(5):e2022058846. 2023 May 4;28(2):102-106.

Pediatrics 118

Pediatrics Point-of-Care Testing Outcomes Hospitals 118

Broome Docs

OCTOBER 28, 2023

2023 Jun 14. 2023 Sep 5;120(36):e2222103120. Epub 2023 Aug 29. 2023 May 1;136(5):913-919. Epub 2023 Apr 14. 2023 Aug 3;389(5):418-429. Epub 2023 Jun 16. 2023 Sep 14;389(11):1051-1052. 2023 Aug 1;183(8):818-823. J Ultrasound Med. 2023 Jun 12. 2023 May 25;388(21):1956-1965.

Ultrasounds 67

Ultrasounds Resuscitation 67

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

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 92

Ultrasounds Operations Radiology Radiology 92

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 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 72

Ultrasounds Sepsis Radiology Radiology 72

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

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

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

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

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

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

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

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 265

Psychiatric Seizures Outcomes Pediatrics 265

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

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

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

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

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

ALiEM

OCTOBER 2, 2023

An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 Four days after the ultrasound and before the biopsy could be performed, the patient and his mother presented to the PED due to worsening symptoms. Laboratory Data Non-contributory Case Question: What are the ultrasound findings?

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

ALiEM

AUGUST 26, 2024

A vitreous hemorrhage OD was also identified on bedside ultrasound. 2018.11.013 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. link] doi.org/10.1016/j.mehy.2018.11.013

Emergency Department 70

Emergency Department Academics Ultrasounds 70

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 75

Pediatrics Ultrasounds Outcomes Hospitals 75

Board Bombs

JUNE 25, 2023

Your saving grace is bedside ultrasound. link] June 26th, 2023. Your saving grace is bedside ultrasound. link] June 26th, 2023. Flashes, floaters, and other vision changes. Nothing will help you in the history or exam to diagnose a retinal detachment in the ED. Dr. Glaucomflecken would be proud. Episode 181. Episode 181.

Ultrasounds 52

Ultrasounds 52

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

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 258

Ultrasounds Pediatrics Operations EMS 258

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 86

Ultrasounds Emergency Department Pediatrics Radiology 86

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

JournalFeed

SEPTEMBER 23, 2023

The JournalFeed podcast for the week of Sept 18-22, 2023. Monday 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. These are summaries from just 2 of the 5 article we cover every week!

Ultrasounds 52

Ultrasounds 52

JournalFeed

NOVEMBER 4, 2023

The JournalFeed podcast for the week of Oct 30 Nov 3, 2023. Tuesday Spoon Feed: After a non-diagnostic screening ultrasound for appendicitis, a rapid-MRI has high clinical accuracy in establishing the appropriate diagnosis (appendicitis or not) in a pediatric patient population.

Ultrasounds 52

Ultrasounds Pediatrics 52

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 Academics Fractures 98

Broome Docs

APRIL 30, 2024

Don’t forget Justin has a stream on his Youtube channel that does include this podcast and his deeper dives into the data – HERE You can also check out some random ultrasound education and other goodies on the Broomedocs Youtube channel Avoiding calls to neurosurgery?! 2023 Feb 8:S0735-6757(23)00066-9. Epub 2023 Aug 12.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

ALiEM

MARCH 1, 2024

2] Consider bedside ultrasound to rule out posterior pathology (retinal detachment, vitreous hemorrhage, etc.). Accessed January 2023. 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.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

ALiEM

SEPTEMBER 25, 2023

The preferred imaging modality is doppler ultrasound. Phelgmasia Cerulea Dolens Diagnosed by Point-of-Care Ultrasound. 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.

Ultrasounds 60

Ultrasounds Academics 60

RebelEM

DECEMBER 18, 2023

Barium contrast X-ray CT scan Magnetic resonance imaging Ultrasound FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Burkart JM, Bleyer A. Accessed September 28, 2023. Peritoneal catheter exit-site and tunnel infections in peritoneal dialysis in adults. Post TW, ed. UpToDate Inc. link] Calvert JH, Cline DM.

EMS 55

EMS Ultrasounds 55

EMDocs

NOVEMBER 18, 2023

A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Accessed April 21, 2023. UpToDate; 2023. Accessed May 7, 2023 5) Oh SY, Lee JM, Lee H, et al. LFTs are in the thousands.

EMS 69

EMS Ultrasounds Emergency Department Outcomes 69