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PEM POCUS Series: Pediatric Renal and Bladder Ultrasound

ALiEM

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.

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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

A bedside right upper quadrant ultrasound was performed, and the images are below. General surgery was consulted, and given the patient's significant comorbidities, he was transferred to a tertiary care academic center for further evaluation and management. The remainder of his exam was unremarkable. coli and rare budding yeasts.

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Diagnostic accuracy of venous system ultrasound for subtypes of acute kidney injury

Emergency Medicine Journal

This study investigated the diagnostic value of venous system ultrasound for determining the aetiological subtypes of AKI in the ED. Methods This multidisciplinary prospective cohort study was conducted in a single academic ED over the course of a year.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

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

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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

Ultrasound diagnosis of occult pneumothorax. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J. Pediatr Clin North Am. 2010 Dec;57(6):1221-34. PMID: 21111115. Crit Care Med. 2005 Jun;33(6):1231-8. PMID: 15942336. 2021;13(1):2.

EKG/ECG 268
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Residency Spotlight: Cleveland Clinic Akron General

ACEP Now

Residents train at an academic Level I trauma center and several freestanding emergency departments (EDs). We offer innovative ultrasound training, which includes nerve blocks in the ED, and annually participate in SAEM Sonograms. We even offer an ultrasound rotation for medical students.

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SAEM Clinical Images Series: Clot in Transit

ALiEM

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.