Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. In fact, it’s use is so ubiquitous that the newer generation of emergency physicians are largely inexperienced in the insertion of central lines as a blind technique. One approach to obtaining BCV origin access (fig.1)

Ultrasounds 98

Ultrasounds Shock Research Operations 98

EB Medicine

NOVEMBER 17, 2020

Write us at emplify@ebmedicine.net. Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net).

Emergency Department 40

Emergency Department Shock Resuscitation CPR 40

Broome Docs

MARCH 28, 2024

If you want to see Justin in the video format and his new Youtube series then click here: [link] If you would like to check out my current ultrasound training project then click here: WACHS Ultrasound Otherwise – enjoy the show and see you in a few weeks. Resuscitation. Kampan S, Thong-On K, Sri-On J. Age Ageing.

PPE 96

PPE Ultrasounds Resuscitation Emergency Department 96

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. Resuscitative attempts were initiated quickly.

EKG/ECG 137

EKG/ECG Resuscitation CPR Emergency Department 137

Northwestern EM Blog

APRIL 1, 2024

While rarer than other pregnancy issues seen in the Emergency Department, molar pregnancy is an important diagnosis for Emergency Medicine providers to be able to recognize, understand, and treat.

OB/GYN 52

OB/GYN Emergency Department Ultrasounds Resuscitation 52

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. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. He is also the CME editor for Academic Emergency Medicine. Reference: Daley et al.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

Taming the SRU

OCTOBER 1, 2024

Anterior fat pads can be normal Galeazzi injuries are a radial shaft fracture with an ulna dislocation whereas Monteggia injuries are ulna fractures with radial dislocations Scaphoids injuries are prone to avascular necrosis due to variable blood supply r2 cpc: Acute Salicylate toxicity WITH drs. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

EMDocs

OCTOBER 8, 2024

POCUS: RUSH exam (Rapid Ultrasound for Shock and Hypotension) While derived to help identify unexplained hypotension, if we accept that sinus tachycardia may be an early indicator of shock, we can utilize this general approach to help reevaluate as clinically indicated. Unanticipated death after discharge home from the emergency department.

Shock 105

Shock Emergency Department Pediatrics EKG/ECG 105

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Dawson, Mallin, Hwang J.,

Ultrasounds 97

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 97

EB Medicine

NOVEMBER 1, 2018

But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Jeff: Let’s move on to evaluation in the emergency department. Jeff: You’re right. Let’s move on to treatment.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. She was defibrillated and resuscitated. It can only be seen by IVUS.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

EM Curious

JULY 8, 2015

ULTRASOUND GOODIE BAG ULTRASOUND FOR LATE PREGNANCY [PODCAST]: While not a routine exam we perform other than confirming fetal heart tones, definitely some great pearls on more advanced US topic. Consider an ultrasound guided ulnar nerve block. Part 1 here. US GUIDED ULNAR NERVE BLOCK [BLOG]: Boxer's fracture need a reduction?

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

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?

CPR 90

CPR Burns Airway Management Wellness 90

PulmCCM

JULY 3, 2023

emergency departments and ICUs were randomized to undergo either DL or VL for intubation. More than 90% of the intubations were performed by emergency medicine residents (~70%) or critical care fellows (~23%). (Who Most studies have been small, single center, and only some have favored video.

Airway Management 105

Airway Management Outcomes Hospitals Emergency Department 105

EB Medicine

MARCH 1, 2019

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. Nachi: Which is why you’ll have to turn to our good friend the ultrasound, for more useful data. Ann Emerg Med. for pericardial effusion. 2006;48(3):227-235.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EB Medicine

JULY 8, 2019

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. 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 Dehydration 40

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Dr. Smith's ECG Blog

OCTOBER 26, 2010

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. One very useful adjunct is ultrasound: Echo of his heart can distinguish aneurysm from acute MI by presence of diastolic dyskinesis, but it cannot distinguish demand ischemia from ACS. Large volume fluid resuscitation was undertaken.

EKG/ECG 52

EKG/ECG Dehydration Fluid Resuscitation Sepsis 52

Taming the SRU

OCTOBER 1, 2023

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Ann Emerg Med. J Emerg Trauma Shock. Ann Emerg Med. Resuscitation.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Mind The Bleep

APRIL 26, 2024

For all patients who come into the emergency department with a swelling, it is helpful to know if they have seen their GP or dentist recently and if they have had any treatment or recent courses of antibiotics. 2015) ‘Emergency Department’, in On-call in Oral and Maxillofacial Surgery.

Emergency Department 52

Emergency Department Fluid Resuscitation Dehydration Resuscitation 52

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. Consider starting more goals of care discussions in the emergency department, not just for patients who are actively dying.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ACEP Now

AUGUST 12, 2024

Every 30 minutes, a range of topics draws new participants to discuss everything from mastering ultrasound techniques to finding career mentorship. Get a personal financial plan, immerse yourself in hands-on training, brush up on your ultrasound and more. Emergency Ultrasound Management Course: (Sept. 28: 10 a.m.–5

Ultrasounds 52

Ultrasounds Research Radiology Radiology 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is […] The post SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial first appeared on The Skeptics Guide to Emergency Medicine.

EMS 40

EMS Airway Management Administration Resuscitation 40

EB Medicine

AUGUST 6, 2019

But next we should talk about ultrasound. Jeff: For all agents, regardless of the DOAC, the initial resuscitation follows the standard principles of hemorrhage control and trauma resuscitation. Jeff: Interestingly, though only a small retrospective study of 156 patients, one study found markedly reduced mortality, 4.9%

Emergency Department 40

Emergency Department Stroke Wellness Administration 40

Taming the SRU

MAY 5, 2023

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510. 2021, Jarczak, Kluge et al. However – is this the best endpoint for such a trial?

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Here, then, are some links for Third Trimester Emergencies. Keep your ultrasound handy. Understand the application of the EMTALA law (Emergency Medical Treatment and Active Labor Act [ USA ]) to your situation. Preeclampsia/ Eclampsia - Emergency Department Resources. {3 abstracts} Luckett-Gatopoulos, S.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. Point-of-care ultrasound for monitoring catheter tip location during umbilical vein catheterization in neonates: a prospective study.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Diagnosis of appendicitis, in a pregnant patient, ultrasound vs. mri. Jeff: Next we have everybody’s favorite, the ultrasound. Sounds familiar. Jeff: We sure did!

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Dr. Smith's ECG Blog

MAY 19, 2020

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with.

CPR 52

CPR EKG/ECG Shock Ultrasounds 52

Pediatric Emergency Playbook

JUNE 1, 2016

Cardiogenic Shock: Act Use point-of-care cardiac ultrasound : Good Squeeze? It’s seen easily enough on point of care ultrasound. Tamponade: if any sign of shock, pericardiocentesis, preferentially ultrasound-guided. Pulmonary embolism in the pediatric emergency department. You will see cool, mottled extremities.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

A emergent cardiology consult can be helpful for equivocal cases. This finding does not alter the need to pursue emergent reperfusion, although it might suggest a poorer prognosis.”[3] New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department.

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. Her pulse is 125.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

Don't Forget the Bubbles

NOVEMBER 1, 2023

This month, Bubble Wrap has teamed up with Sheffield Children’s Hospital Emergency Department to have a look at what’s new in paediatric literature. This is not always feasible in an acute resuscitation scenario. Lactate as a screening tool for critical illness in a pediatric emergency department.

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

A bedside cardiac ultrasound was normal, with no effusion. Clin Chem [Internet] 2020;Available from: [link] Smith mini-review: Troponin in Emergency Department COVID patients Cardiac Troponin (cTn) is a nonspecific marker of myocardial injury. He had the following EKG recorded: Low voltage, suggests effusion.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. How unstable is this patient?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76