Don't Forget the Bubbles

JANUARY 31, 2024

Edelman J, Taylor H, Goss A, et al Point-of-care ultrasound as a diagnostic tool in respiratory assessment in awake paediatric patients: a comparative study Archives of Disease in Childhood Published Online First: 14 December 2023 What’s it about? Academic Pediatrics 2024 24 1 51-58 What’s it about?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Residency length has varied since the inception of the specialty of EM.

Academics 52

Academics EMS Telemedicine Research 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

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? Her point-of-care ultrasound (POCUS) shows appropriate-appearing global ejection fraction and no marked wall motion abnormalities.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

The Skeptics' Guide to EM

MAY 11, 2019

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation.

Documentation/Coding 40

Documentation/Coding Operations Academics Ultrasounds 40

PulmCCM

APRIL 1, 2024

Physical therapy is probably under-provided to critically ill patients, and improving this might improve outcomes for many. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Obesity is considered a contributing factor for some musculoskeletal outcomes. The main outcome measure was a GP consultation with a recorded musculoskeletal symptom or diagnosis. Point-of-care ultrasound for monitoring catheter tip location during umbilical vein catheterization in neonates: a prospective study. PMID: 38759251.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Sensible Medicine

MAY 31, 2024

This is not to say that I always agree with the process or outcomes of medical decision-making. As part of his evaluation, a doppler ultrasound of his carotid arteries is ordered. At most academic medical centers, doctors are salaried. Yet, I have rarely witnessed anything other to be the case.

Operations 57

Operations Wellness Academics Ultrasounds 57

Dr. Smith's ECG Blog

MAY 30, 2023

We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. Case continued A bedside ultrasound showed diminished LV EF and of course bradycardia.

Shock 74

Shock EKG/ECG Academics Stroke 74

Don't Forget the Bubbles

AUGUST 14, 2023

Short and long-term outcomes in Hirschsprung disease: Are the syndrome-associated patients really doing worse? Severe encephalitis: aetiology, management and outcomes over 10 years in a paediatric intensive care unit. Outcome of Absence Epilepsy With Onset at 8-11 Years of Age: Watershed Ages When Syndromes Overlap. 2023 Jul 27.

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52

Dr. Smith's ECG Blog

JANUARY 6, 2023

Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. Academic Emergency Medicine 27(S1): S220. Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions. Abstract 556. Abstract 556.

EKG/ECG 52

EKG/ECG Wellness Academics Ultrasounds 52

Taming the SRU

AUGUST 30, 2023

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45].

Infectious Diseases 87

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

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. 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

ACEP Now

MAY 10, 2024

While waiting for laboratory investigations, including troponin and d-dimer, you wonder if a quick point-of-care ultrasound (POCUS) examination looking for three sonographic findings could help determine the likelihood of this being an AoD. They received a four-hour introductory course taught by emergency ultrasound faculty.

Ultrasounds 52

Ultrasounds Outcomes Documentation/Coding Academics 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. Sharma, A.P.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

OCTOBER 4, 2023

In the same journal , we learned that in fetuses with transposition of great arteries (TGA), a better prenatal diagnosis led to poorer early postoperative outcomes. A Randomized Controlled Trial of a NICU Language Intervention for Parents of Preterm Infants and Two-Year Language Outcomes. As always, more research seems needed.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

ALiEM

OCTOBER 4, 2024

Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. Are there any other findings on ultrasound that put this pregnancy at higher risk? Confirmation can be done with transabdominal ultrasound but in very early pregnancy may require a transvaginal ultrasound.

Ultrasounds 64

Ultrasounds Academics Emergency Department Hospitals 64

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). Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 87

Stroke Radiology Radiology Emergency Department 87

Sensible Medicine

MARCH 21, 2024

Vertical integration of modular content may help align educational outcomes, but the vast majority of clinical education remains organized into traditional “blocks” of isolated experiences. Most concerning, few trainees enjoy the benefits of longitudinal clinical mentorship.

Hospitals 94

Hospitals Patient Safety Academics Wellness 94

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

The Skeptics' Guide to EM

NOVEMBER 23, 2024

Academic Emergency Medicine. Ultrasound is commonly used due to its non-invasive nature, while computed tomography (CT) scans, although more definitive, are often avoided in children due to radiation concerns [3]. Outcomes of appendicitis largely depend on early recognition and treatment. 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

jarrell and kimmel Violence is a social determinant of health Direct injury Vicarious trauma Cardiovascular health Psychological health Birth outcomes Risky sexual behavior Substance use Socioeconomic health The link between violence and direct injury is obvious, however there is evidence linking exposure to violence to other health consequences.

Leadership 52

Leadership Domestic Violence Ultrasounds Academics 52