Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 91

CPR Burns Airway Management Wellness 91

Dr. Smith's ECG Blog

JANUARY 5, 2024

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." Smith comment: No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matter how normal the ECG. The following ECG was obtained.

EKG/ECG 119

EKG/ECG Burns Urgent Care Documentation/Coding 119

EM Curious

MAY 21, 2015

Onto the FOAMed AIRWAY TIPS: [BLOG]: EM Didactic sums up some nice pearls from the CRASH Airway Course in a two part post: Part 1 Part 2 NEEDLE TO THE FOOT: [BLOG]: Ben Smith brings us a great case highlighting the utility of ultrasound in both foreign body identification and regional anesthesia in case #47 of Ultrasound of the Week.

Burns 52

Burns EMS Ultrasounds 52

RebelEM

APRIL 29, 2024

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. This study also showed the median time for IO placement was only 1.2 minutes compared to a mean placement time of 10.7 minutes CVC group.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Taming the SRU

JUNE 24, 2024

Skin burns and irritation can also result from the pacing pads and cause pain. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] Sedation can be adequately achieved with benzodiazepines. Opioid pain medications are most effective for analgesia while pacing.

Advances Cardiac Life Support (ACLS) 91

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 91

EM Curious

AUGUST 26, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world, including interesting and relevant evidence based medicine, that you can fit into your busy weekly schedule.

Burns 52

Burns Dislocations EMS Ultrasounds 52

EM Curious

MAY 14, 2015

Onto the FOAMed USING ULTRASOUND TO IDENTIFY THE CRICOTHYROID MEMBRANE: [VIDEO]: Thank you PHARM for finding this excellent instructional video by AirwayOnDemand on ultrasound anatomy of the trachea for surgical airway planning. Is CT only in 6 hours is ready for prime time? Listen here.

Ultrasounds 52

Ultrasounds Poisoning EMS Burns 52

Taming the SRU

AUGUST 4, 2024

Wound healing is faster with Dermabond compared to sutures, and can be useful as a less-painful technique to repair certain wounds Dermabond differs from non-medicinal superglue because it is sterile, is more flexible, and ultimately less brittle than standard superglue There have been care reports of non-medicinal glue (superglue, nail glue, etc.)

Dislocations 86

Dislocations Emergency Department Documentation/Coding Burns 86

EB Medicine

APRIL 30, 2017

In it, co-authors Emily Singer Fisher, MD, and Boyd Burns, DO, FACEP, FAAEM, both of the University of Oklahoma School of Community Medicine, cover evidence published in 190 articles, and 10 reviews from the Cochrane database, as well as current guidelines issued by the American Heart Association and the American College of Cardiology Foundation.

Outcomes 40

Outcomes Burns Best Practices Ultrasounds 40

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). What does your program offer that residents can’t get anywhere else?

Academics 52

Academics Burns Emergency Department Ultrasounds 52

Pediatric Emergency Playbook

DECEMBER 1, 2015

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. Take Home Points 1. J Pediatr Surg.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

Dr. Smith's ECG Blog

FEBRUARY 14, 2009

49 yo man with 1 week of stuttering chest burning and tightness for 1-2 hours. A bedside ultrasound revealed a possible anterior wall motion abnormality. Case 3 (Hyperacute T waves misdiagnosed as Hyperkalemia). Today the discomfort is associated with multiple episodes of vomiting and it is unremittant.

EKG/ECG 52

EKG/ECG Burns Ultrasounds 52

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5%

Seizures 40

Seizures Fractures Burns Pediatrics 40

Northwestern EM Blog

DECEMBER 27, 2021

Take-Home Point: Bedside pericardiocentesis is a rare but important procedure that can be performed emergently using ultrasound or landmark guidance. Expert commentary is provided by Dr. Anne Lambert Wagner, medical director of the Burn and Frostbite Center at the University of Colorado Health.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

PEMBlog

OCTOBER 2, 2024

It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group. Typically manifests as fullness, bloating, nausea, or burning in the stomach, especially after eating. Elevated lipase can make the diagnosis, though Ultrasound or CT can show some pancreatic inflammation.

Pediatrics 52

Pediatrics Emergency Department Ultrasounds Wellness 52

Pediatric Education

JUNE 16, 2024

She denied any actual pain or burning sensations, nausea, emesis, or abnormal tastes in her mouth. She said she hadn’t choked on anything and denied any foreign body ingestion. She did say that she had coughing but that it was more around the time she knew she had a cold. She had no voice changes or hoarseness.

Psychiatric 40

Psychiatric Pediatrics Burns Ultrasounds 40

PulmCCM

SEPTEMBER 13, 2021

Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. Attinger E: The physics of pulsatile blood flow with particular reference to small vessels. Investigative Ophthalmology & Visual Science 1965, 4(6):973-987. Tedford RJ: Determinants of right ventricular afterload (2013 Grover Conference series).

Burns 40

Burns Stroke Ultrasounds Wellness 40

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

Pediatric EM Morsels

AUGUST 4, 2023

Ganss, 2018) There are additional associations with scoliosis, burn injuries, and spinal cord injuries. (Oka, Oka, 2023) Abdominal ultrasound with doppler can also be used to measure the angle, and with a trained ultra-sonographer was found to be as sensitive as CTA.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. Most electrical injuries present with burns to the skin.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Taming the SRU

FEBRUARY 7, 2024

Ultrasound: Make “windows of access”. The Aircare package to increase DASH-1A airways includes placing patient on AirCare monitor, apneic oxygenation, 3 minutes NRB, bagging after paralytic given, starting only when patient > 97%, push dose pressors if needed for hypotension before paralytic, and make sure to use the checklist!

PPE 99

PPE Administration Ultrasounds Poisoning 99

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. No fungal infections are identified on the feet.

EMS 91

EMS Infectious Diseases Shock Ultrasounds 91

ACEP Now

OCTOBER 9, 2024

Collaborating with one of my ultrasound faculty, we conducted a bedside echocardiogram to explore potential cardiac anomalies. Our workup started with an ultrasound and EKG. Burns E, Buttner R. Furthermore, this genetic cardiac disease is autosomal dominant, presenting 1 in 500 in our general population. Eur J Cardiothorac Surg.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. Intubation for humanitarian reasons is also reasonable – he’ll be in pain and this is not the time to be faffing around with the ultrasound or nerve stimulator doing blocks!

Burns 52

Burns Hospitals Ambulance Services Wellness 52

EMDocs

NOVEMBER 4, 2024

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. Evaluation by ultrasound of traumatic rib fractures missed by radiography. Pain can be improved or exacerbated with meals. Emerg Radiol.

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Pediatric Emergency Playbook

JANUARY 1, 2017

Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Int J Pediatr.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

ACEP Now

APRIL 5, 2024

Antoinette Burns was the twelfth victim, a 14-year-old girl without any evidence of cocaine consumption at all. Her primary interests are in ultrasound, machine learning, and health justice. Charles Wetli of the University of Miami had conducted autopsies that he said, “conclusively showed that they have not been murdered.”

Forensics 49

Forensics Psychiatric Burns Hospitals 49

Dr. Smith's ECG Blog

DECEMBER 3, 2024

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. When pressed, he endorsed mild, very brief periods of a retrosternal burning sensation and serial ECGs were obtained.

EKG/ECG 110

EKG/ECG Burns Wellness Shock 110

Dr. Smith's ECG Blog

MARCH 17, 2025

Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. It has been stuttering, lasting 10 minutes at a time with associated diaphoresis. This is the limitation of STEMI.

EKG/ECG 80

EKG/ECG Documentation/Coding Burns Research 80

EMDocs

JANUARY 20, 2025

Over the last few years, however, ultrasound has been increasingly playing an important role in the conversation with multiple studies looking at using ultrasound to predict fluid responsiveness in septic patients – for example, using the velocity time integral with passive leg raise. According to a meta-analysis by Chen et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

AUGUST 14, 2023

Impact of childhood burns on academic performance: a matched population-based cohort study. Ultrasound-Assisted Lumbar Puncture in Children: A Meta-Analysis. Eur J Pediatr. 2023 Jul 12. Accurate diagnosis of acute hemorrhagic edema of infancy: a French multicenter observational study. Leducq S, et al. Eur J Pediatr. 2023 Jul 11.

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52