The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Ultrasound is usually the first line imaging modality for diagnosing acute biliary disease.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Taming the SRU

JANUARY 10, 2024

There are 38 states where it currently is a felony of some level to assault a healthcare worker BUT there is currently no federal law that protects hospital employees from assault or intimidation. Current bills in progress: US H.R.2663 2663 & S.1176 1176 focuses on violence prevention (introduced for the 3rd time 4/18/23); US H.R.2584

EKG/ECG 93

EKG/ECG Shock Fractures Dislocations 93

ALiEM

MARCH 1, 2024

Her mom convinced her to go to the ED and she first went to an outside hospital, but was referred to come to our institution. 2] Consider bedside ultrasound to rule out posterior pathology (retinal detachment, vitreous hemorrhage, etc.). She reported a 10-day history of worsening right eye pain following being punched in that eye.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

Taming the SRU

AUGUST 4, 2024

In select patient populations (such as those with poor outpatient follow-up), screening with a BMP to evaluate their serum creatinine may be beneficial Patients with asymptomatic hypertension should be referred to their PCP for outpatient follow-up.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. May be considered first line in the future however results may be dependent upon provider training and hospital resources [17]. Stil, absence of lung sliding is the most sensitive finding (see video), whereas a lung point is the most specific [26].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

MARCH 15, 2024

There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. Lunate ligamentous injuries lie on a morbidity spectrum ranging from scapholunate sprains to dissociation and dislocation. The pizza sign or piece of sign is the triangular appearance of the lunate on the AP view, suggesting a lunate dislocation.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

ACEP Now

OCTOBER 15, 2023

Laryngotracheal trauma has been cited as accounting for less than one in 100,000 hospital admissions. Flexible laryngoscopy, CT scan, direct laryngoscopy under general anesthesia, esophagoscopy, ultrasound, or chest X-ray may all be requested by the surgical consultant.

Fractures 52

Fractures Dislocations Airway Management Operations 52