Sensible Medicine

JUNE 28, 2024

If I had it all to do again, there is no doubt that I would choose medicine in general and academic general internal medicine in particular, but occasionally we all have a bad week. She follows up at a “highly ranked” west coast academic medical center, near where she lives half the year. I love my job.

Stroke 102

Stroke Academics Hospitals EKG/ECG 102

ACEP Now

AUGUST 22, 2023

This real-world pragmatism is the guiding principle embodied by the Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE) project, published by the Society for Academic Emergency Medicine. References Society for Academic Emergency Medicine. Academic Emergency Medicine. Academic Emergency Medicine.

Emergency Department 98

Emergency Department Academics Critical Access Research 98

Ultrasound Gel

JUNE 21, 2021

These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year. These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year.

Academics 52

Academics Ultrasounds 52

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

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 link] van Dongen PW.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

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. He is also the CME editor for Academic Emergency Medicine. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 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

Core Ultrasound

APRIL 9, 2024

I’ve had the pleasure of working with many ultrasound companies over the past 10 years, both as a consumer and as an ultrasound director of a large academic hospital. I’ve enjoyed all of the iterations of the Butterfly ultra-portable ultrasound transducer, but I love their third version (the iQ3), the best!

Ultrasounds 40

Ultrasounds Academics Hospitals 40

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

Taming the SRU

OCTOBER 1, 2024

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

Dislocations 74

Dislocations Fractures Poisoning Academics 74

ALiEM

JANUARY 29, 2024

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine vol. 15073 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. doi:10.1002/jum.15073

Stroke 64

Stroke Ultrasounds Academics Outcomes 64

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

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. Agarwal, D., Kumar Behera, A., Bhaskaran, K., & Sharma, N.

Emergency Department 70

Emergency Department Academics Ultrasounds 70

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. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

ALiEM

FEBRUARY 28, 2024

Trick of the trade: getting the last bit of ultrasound gel from the bottle. Academic Life in Emergency Medicine blog. Blogs Last Name First Initial. Article Title. Blog Title blog. Date Published. Date Accessed. Example: Park A. July 27, 2022. Accessed February 20, 2024. References Iverson C, ed. 11th ed.

Radiology 52

Radiology Radiology Academics Fractures 52

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. 2016.12.32716.

Ultrasounds 60

Ultrasounds Academics 60

ALiEM

SEPTEMBER 29, 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. View other cases from this Clinical Image Series on ALiEM.

Radiology 70

Radiology Radiology Academics Ultrasounds 70

ALiEM

MARCH 1, 2024

2] Consider bedside ultrasound to rule out posterior pathology (retinal detachment, vitreous hemorrhage, etc.). 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. McGraw Hill; 2021.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

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 85

Dislocations Emergency Department Documentation/Coding Burns 85

ALiEM

SEPTEMBER 13, 2024

Tonometry and ocular ultrasound (US) are generally not recommended as you could squeeze more liquid out of the eye or increase the intraocular pressure even more, pushing the iris further out. Open Globe Injury In the photo, you can see the teardrop shape of the pupil, conjunctival injection, corneal laceration, and superior iris prolapse.

Emergency Department 64

Emergency Department Academics Fractures Hospitals 64

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

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. Disclaimer: This post was written before the COVID-19 pandemic. Are you going to have a niche within your field?

Research 98

Research Academics Hospitals Administration 98

Sensible Medicine

JULY 24, 2023

Using an echocardiogram (ultrasound), they found that muscle downstream from the stented vessel looked a lot better in the treatment arm vs placebo. In one of the most candid and entertaining pieces of academic writing that I have read, two ORBITA authors swatted these concerns away—often with good doses of British ridicule.

Academics 98

Academics Documentation/Coding Ultrasounds Wellness 98

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

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

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. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Telemedicine Research 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

OCTOBER 9, 2024

We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. ACEP’s Clinical Ultrasound Accreditation Program (CUAP) strives for continuous quality management and patient safety, communication, responsibility, and clarity regarding the use of clinical ultrasound.

Emergency Department 52

Emergency Department Critical Access Geriatric Emergencies Ultrasounds 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

” But less than half of the included studies used ultrasound guidance during central line placements. Ultrasound guidance during CVC placement has been a recommended practice since 2001 by the Agency for Healthcare Research and Quality, with multiple professional societies echoing that recommendation in the following decade.

Ultrasounds 40

Ultrasounds Operations Outcomes Research 40

Taming the SRU

FEBRUARY 24, 2024

Providers should use ultrasound as early as possible to evaluate for cardiac dysfunction, pulmonary edema, and fluid status. Patients will typically present in acute respiratory distress. They tend to be hypertensive, tachycardic, tachypneic, and hypoxic. Do not always appear volume overloaded on exam.

Leadership 93

Leadership EMS Pediatrics Stroke 93

Sensible Medicine

MAY 31, 2024

As part of his evaluation, a doppler ultrasound of his carotid arteries is ordered. At most academic medical centers, doctors are salaried. Let’s take one of my most common aggravations and consider what might be behind poor decision-making. A 65-year-old man goes to the ER after a syncopal episode.

Operations 76

Operations Wellness Academics Ultrasounds 76

The Skeptics' Guide to EM

SEPTEMBER 18, 2021

His practice is in trauma, emergency general surgery, and critical care with an academic interest in ultrasound and medical simulation. Rob Leeper is an assistant professor of surgery at Western University and the London Health Sciences Center.

Operations 52

Operations Academics Ultrasounds Hospitals 52

Dr. Smith's ECG Blog

JULY 21, 2024

Distinction of PMVT vs VFib is an academic one in this case ). Another approach is sympathetic chain (stellate ganglion) blockade if you have the skills to do it: it requires some expertise and ultrasound guidance. The arrhythmia starts with a PVC having a short coupling interval. Both PMVT and VFib occurred multiple times.

EKG/ECG 134

EKG/ECG Shock Hospitals Sepsis 134

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 97

Shock EKG/ECG Academics Stroke 97

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Reviewed by : Mai Ali Article 4: Neo-Tip Tracker: Ultrasound Guidance for Umbilical Catheter Placement Xie HQ, Xie CX, Liao JF, Xu FD, Du B, Zhong BM, He XG, Li N. Point-of-care ultrasound for monitoring catheter tip location during umbilical vein catheterization in neonates: a prospective study. PMID: 38759251. What’s it about?

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Stop and Think

OCTOBER 2, 2024

Their argument required high levels of trust in measurements from ultrasound images. Academic Publishing I am now up to a modest 76 peer-reviewed co-authored papers. Proponents argued that you should not be perplexed by the divergent trials because COAPT trialists enrolled patients most likely to benefit. Aka—”shadows.”

Stroke 44

Stroke Academics Shock Ultrasounds 44