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

The Skeptics' Guide to EM

NOVEMBER 23, 2019

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

ALiEM

AUGUST 26, 2024

A 27-year-old male with no past medical history presents to the Emergency Department with right eye pain. A vitreous hemorrhage OD was also identified on bedside ultrasound. Iridodialysis Traumatic iridodialysis is an uncommon ocular emergency with very distinct findings that we can encounter in the Emergency Department.

Emergency Department 70

Emergency Department Academics Ultrasounds 70

ACEP Now

OCTOBER 9, 2024

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 52

Taming the SRU

OCTOBER 1, 2024

Cynicism, guilt, and imposter syndrome frequently plague emergency physicians. It is okay to progress at your own pace. Try not to compare yourself to your peers (easier said than done!)

Dislocations 73

Dislocations Fractures Poisoning Academics 73

ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. An emergent ophthalmology consult is needed to plan for operative repair.

Emergency Department 64

Emergency Department Fractures Academics Hospitals 64

Taming the SRU

AUGUST 4, 2024

to teach you and your learner something new on shift skin adhesives WITH dr. hill Dermabond is a polymer (octyl cyanoacrylate) that can be used to repair lacerations in the Emergency Department faster than sutures, allowing the ED physician to be more efficient.

Dislocations 84

Dislocations Emergency Department Documentation/Coding Burns 84

Don't Forget the Bubbles

JANUARY 31, 2024

Article 1: What predicts parental anxiety in the Paediatric Emergency Department? Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal. The authors compared 100 POCUS (Point-Of-Care-UltraSound ) images captured by trained physicians (in FUSIC/CACTUS). Martin, S.R.,

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

ALiEM

AUGUST 30, 2024

A 5-year-old female presented to the emergency department (ED) with a one-year history of gradually increasing anterior neck swelling. 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.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017. Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

Northwestern EM Blog

SEPTEMBER 16, 2024

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. The one absolute contraindication for ocular ultrasound is any suspicion for globe rupture, as placing any pressure on the globe can worsen extrusion of intraocular contents.

Ultrasounds 52

Ultrasounds Emergency Department Academics EMS 52

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Academic Emergency Medicine, 20(6), 584–591. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

ACEP Now

AUGUST 29, 2023

Our program pairs training at one of the busiest emergency departments in the country at a nationally recognized county, safety-net, Level I Trauma and Regional Burn Center (MetroHealth) with a world-renowned quaternary academic referral center (Cleveland Clinic). How should potential applicants learn more about your program?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Jeff: Next up is ultrasound.

Emergency Department 40

Emergency Department Sepsis Operations Ultrasounds 40

SheMD

JULY 23, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. Another emergency medicine colleague I knew did a 2-week rotation in South America to teach ultrasound to physicians. For department chairs, think bigger picture; ask questions about bigger changes in the department.

Research 98

Research Academics Hospitals Administration 98

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. He heads curriculum and conference for the academic year and is passionate about resident […] The post SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. Point-of-care ultrasound for monitoring catheter tip location during umbilical vein catheterization in neonates: a prospective study. 2024.04.053.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Taming the SRU

AUGUST 30, 2023

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. ng/mL, 0.25-0.5

Infectious Diseases 87

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

Don't Forget the Bubbles

AUGUST 14, 2023

Impact of childhood burns on academic performance: a matched population-based cohort study. Factors Associated With Improved Pediatric Resuscitative Care in General Emergency Departments. Improving Use of Antibiotics for Pediatric Pneumonia in Community Hospital Emergency Departments. Leducq S, et al. 2023 Jul 11.

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52

ACEP Now

MAY 10, 2024

A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to his back. Ultrasonographers: POCUS was performed by PGY1–PGY3 emergency medicine residents. They received a four-hour introductory course taught by emergency ultrasound faculty. J Emerg Med.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. What is the role of ultrasound? Normal testicle buddy view with colour.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

ALiEM

OCTOBER 2, 2023

A 6-year-old male presented to the pediatric emergency department (PED) for scalp lesions. An outpatient ultrasound was performed showing “multiple scalp echogenic nodular lesions measuring from 0.5 A point-of-care ultrasound (POCUS) using a high-frequency, linear transducer was performed during the PED visit (Image 2).

Ultrasounds 75

Ultrasounds Pediatrics Academics Emergency Department 75

ALiEM

OCTOBER 4, 2024

A 31-year-old female G3P2 presented to the emergency department with vaginal spotting for one week and worsening lower abdominal cramping. Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. Crit Ultrasound J 3, 91–92 (2011). Epub 2009 Aug 29. Roline, C.E.,

Ultrasounds 64

Ultrasounds Academics Emergency Department Hospitals 64

Don't Forget the Bubbles

OCTOBER 4, 2023

The utility of point-of-care ultrasound protocol to confirm central venous catheter placement in the preterm infant. Staphylococcus aureus Bacteremia in the Pediatric Emergency Department and Predictors of Poor Outcome. Eur J Pediatr. 2023 Sep 4. Epidemiology of Nontyphoidal Salmonella Bloodstream Infections in Children.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Academic Emergency Medicine., The ROSE (Risk Stratification of syncope in the emergency department) Study.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergency department though requires an understanding of its specific uses and indications.

Stroke 87

Stroke Radiology Radiology Emergency Department 87

ALiEM

FEBRUARY 12, 2024

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. Case Question: How would you describe the uterine cavity from the ultrasound images?

Ultrasounds 64

Ultrasounds Emergency Department Academics Operations 64

The Skeptics' Guide to EM

NOVEMBER 23, 2024

Academic Emergency Medicine. Dec 2024 Guest Skeptic: Dr. Dennis Ren is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC. Case: A 10-year-old boy presents to the community emergency department (ED) with abdominal pain. He’s also the host of SGEMPeds.

Pediatrics 74

Pediatrics Sepsis Academics Emergency Department 74

Don't Forget the Bubbles

JANUARY 6, 2025

Article 1: Is lung ultrasound a viable alternative to chest x-ray in diagnosing community-acquired pneumonia? Diagnostic accuracy of point-of-care lung ultrasound for community-acquired pneumonia in children in ambulatory settings: A systematic review and meta-analysis. Ultrasound. 2024 Oct 29; Whats it about? Whats it about?

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59

Taming the SRU

JULY 24, 2024

Victims of IPV are likely to seek care at emergency departments at higher rates than the general population. Transvaginal ultrasound images can be optimized by obtaining a transvaginal ultrasound first, having the patient empty their bladder, and using gel inside the probe cover as well as on the outside.

Leadership 52

Leadership Domestic Violence Ultrasounds Academics 52