ALiEM

AUGUST 9, 2023

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). Describe the technique for performing lung POCUS.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

EB Medicine

MARCH 12, 2025

Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necessity Imaging Modalities for Knee Effusion (..)

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

ALiEM

APRIL 12, 2023

You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin. Note that some ultrasound manufacturers do not recommend the use of isopropyl alcohol on their transducers.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

St. Emlyn

AUGUST 23, 2023

St.Emlyn's - Emergency Medicine #FOAMed Part 1 of an introduction to paediatric ultrasound in the emergency department from Dr Pete Hulme @Dr_Pete_EmMed @stemlyns #FOAMed The post Paediatric Point of care ultrasound: Big Kids playing with toys or the future of Paediatric emergency medicine?

Ultrasounds 98

Ultrasounds Emergency Department 98

Taming the SRU

JANUARY 1, 2024

Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. unported license [link] Ultrasound allows us to visualize deeper, typically larger veins in the forearm and upper arm. Place ultrasound machine on the opposite side of the bed to minimize neck strain. Check for flash in the IV chamber.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

St. Emlyn

AUGUST 29, 2023

St.Emlyn's - Emergency Medicine #FOAMed Part 2 of our introduction to ultrasound use in the paediatric emergency department with @Dr_Pete_EmMed #USS @FOAMed #paediatrics The post Paediatric Point of care ultrasound: Big Kids playing with toys or the future of Paediatric emergency medicine?

Ultrasounds 97

Ultrasounds Emergency Department 97

EMDocs

MARCH 25, 2024

1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be difficult to locate the gallbladder, as it is not a fixed organ. 2, 3 Biliary POCUS can help decrease patient length of stay in the Emergency Department. Ultrasound. Acad Emerg Med.

Ultrasounds 98

Ultrasounds Radiology Radiology Operations 98

Taming the SRU

OCTOBER 23, 2023

THE CASE A female in her early 20s, G4P2012, presents to the emergency department (ED) with a 5 day history of left lower quadrant abdominal pain which has been worsening since onset. A bedside ultrasound is completed to assess the location of the pregnancy. She reports that her previous ectopic pregnancy was treated medically.

Ultrasounds 98

Ultrasounds Operations Radiology Radiology 98

ALiEM

MAY 13, 2024

Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Case Introduction: Child with abdominal pain Wendy is a 7-year-old girl who comes into the emergency department with redness, swelling, and pain on her left calf.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ALiEM

MARCH 7, 2024

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.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Ultrasound Gel

JUNE 18, 2018

Ultrasound can see many causes of chest pain. Sooooo lets use ultrasound in patients with chest pain to help with decision making. This article takes an interesting approach in performing a rather complex "focused" echo in the emergency department and uses it to determine the patient's disposition. Chest pain is common.

Emergency Department 52

Emergency Department Ultrasounds Wellness 52

Taming the SRU

JULY 24, 2023

THE CASE A male in his 60s presented to the emergency department for right upper quadrant abdominal pain. A bedside right upper quadrant ultrasound was performed, and the images are below. Ultrasound is the gold standard for diagnosing cholelithiasis because it is more sensitive for detecting gallstones.

Ultrasounds 79

Ultrasounds Sepsis Radiology Radiology 79

The Skeptics' Guide to EM

MARCH 1, 2025

Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Case: A 57-year-old woman presents to the emergency department (ED) with pleuritic posterior chest/back pain, shortness of breath, and left leg swelling.

Allergic Reactions 75

Allergic Reactions Research Emergency Department Ultrasounds 75

RebelEM

FEBRUARY 24, 2025

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. Most measurements are somewhere around the hepatic confluence.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. Emerg Med J. 2023;40(10):700-707.

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Ultrasounds Outcomes COPD Hospitals 129

Cook County EM Blog

APRIL 11, 2023

So, you reach for your ultrasound… Why It Matters : Shoulder dislocations are a common presentation to the emergency department and account for approximately 200,000 visits annually [1]. Ultrasound was also noted to be 43 minutes faster for diagnosing shoulder dislocations compared to standard radiograph approach.

Dislocations 52

Dislocations Ultrasounds Emergency Department Radiology 52

EB Medicine

OCTOBER 8, 2020

EMplify October 2020 Management of Deep Vein Thrombosis in the Emergency Department Authors: Shane R. EMplify October 2020 Management of Deep Vein Thrombosis in the Emergency Department Authors: Shane R.

Emergency Department 52

Emergency Department Ultrasounds 52

ACEP Now

MAY 9, 2024

6 The increasing mortality rate led to an additional emergency regulation in 2022 requiring the consenting physician to perform the critical steps of the case, limiting surgeons to three cases per day, and mandating continuous, recorded ultrasound guidance for gluteal AFT procedures. units per patient. References Garcia SE.

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52

ALiEM

OCTOBER 23, 2024

Ultrasound-guided procedures are difficult enough just identifying the anatomy. Performing a nerve block with the ultrasound in one hand and the needle in the other hand adds extra challenges. The simplest 1-person approach involves attaching a syringe with local anesthetic directly to the end of the procedural needle.

Ultrasounds 56

Ultrasounds Emergency Department 56

ACEP Now

OCTOBER 30, 2023

We are the first community emergency medicine program in the country. 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.

Ultrasounds 111

Ultrasounds Academics Emergency Department 111

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

Fractures 86

Fractures Ultrasounds Emergency Department CDC 86

University of Maryland Department of Emergency Med

JUNE 4, 2023

Pt presents to the emergency department with knee pain. You decide to ultrasound the proximal knee. You place your ultrasound probe. Click to view the rest

Ultrasounds 90

Ultrasounds Emergency Department 90

Taming the SRU

OCTOBER 14, 2024

THE CASE A female in her 60’s with a remote history of bilateral cataract surgery presented to the emergency department (ED) with a two-week history of right eye swelling. Ocular point-of-care-ultrasound (POCUS) was performed as seen below. Performing an ocular ultrasound requires preparation and caution. Brzycki et al.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

EMDocs

SEPTEMBER 28, 2024

2: Ultrasound + Pediatric Appendicitis Risk Calculator = Rule Out? The authors found that combining a low pediatric Appendicitis Risk Calculator (pARC) result with a nondiagnostic ultrasound results in a high negative predictive value for appendicitis. Acad Emerg Med. Acad Emerg Med. PMID: 38597847. #2: doi: 10.1111/acem.14893.

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Wellness 98

Emergency Medicine Journal

JULY 22, 2024

Background and objectives The ability to rule appendicitis in or out using ultrasound is limited by studies where the appendix is not visualised. For those patients who had formal ultrasound, direct and indirect findings of ultrasound were abstracted from the ultrasound report. 95% CI 1.7 95% CI 3.8 95% CI 1.4

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

Taming the SRU

OCTOBER 27, 2023

Diagnostic accuracy of point-of-care ultrasound (PoCUS) for shoulder dislocations and reductions in the emergency department: a diagnostic randomised control trial (RCT). Clinical Question: What is the impact of point of care ultrasound in adults with acute traumatic shoulder pain when used as an adjunct to physical examination?

Dislocations 95

Dislocations Fractures Ultrasounds Emergency Department 95

Taming the SRU

JULY 22, 2024

INDICATIONS Arthrocentesis is a common procedure performed in the Emergency Department, in which a needle is inserted into a joint to withdraw fluid from the joint capsule. Studies have shown that effusions of as little as 2 to 4 mL can be identified using ultrasound [6]. ANESTHETIZE THE AREA step 7. Step 1: Prepare STEP 2.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

Downeast Emergency Medicine

FEBRUARY 14, 2023

THE CASE A 13-year-old boy is seen in the Emergency Department (ED) for a cough. Credits: Andrew fried, md A point-of-care lung ultrasound is performed, with the following findings on the left lung fields. Point of Care Ultrasound of the Left Lung Fields. Point of Care Ultrasound of the Left Lung Fields.

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Emergency physicians are increasingly familiar with point-of-care ultrasound (POCUS) as an adjunct to clinical examination. Although once the preserve of a small number of enthusiasts, POCUS is now a fundamental part of practising emergency medicine. The Sono Case Series has been a popular feature of the EMJ for several years.

Ultrasounds 40

Ultrasounds Emergency Department 40

ACEP Now

FEBRUARY 11, 2024

1,2 In the emergency department (ED), the focus of treatment is pain control and immobilization unless there is a clear indication for surgery, such as open fractures, skin tenting, or neurovascular compromise. The ultrasound-guided clavipectoral plane block (CPB) is a newly described technique in the emergency medicine literature.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Cook County EM Blog

MARCH 28, 2023

On point-of-care ocular ultrasound of the affected eye using the linear probe a round, mobile structure was noted in the posterior chamber with an absence of the lens in its typical position, consistent with posterior lens dislocation. What is the utility of point-of-care ultrasound in identifying lens dislocation?

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

Downeast Emergency Medicine

FEBRUARY 9, 2022

Bedside musculoskeletal ultrasound of his knees was performed. Credits: Andrew fried, md His left (normal) knee is shown below: Labeled combined still frames of the above ultrasound pointing out landmarks That should BE noted on every knee ultrasound. Want to learn more about diagnosing tendon injuries with bedside ultrasound?

Ultrasounds 52

Ultrasounds Fractures Operations Emergency Department 52

Taming the SRU

APRIL 14, 2024

2) Management: Confirmed by CT Surgical consult Utility of Ultrasound Ultrasound can be helpful in identifying hernias and in assisting in reduction. 8) “Ultrasound may decrease the emergency surgery rate of incarcerated inguinal hernia” by Chen et al. (1) The results revealed a rate of emergency surgery of 9.8%

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

The Skeptics' Guide to EM

JULY 30, 2022

Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. specificity with ultrasound [1].

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

ACEP Now

JANUARY 4, 2025

The photos that Dr. Clarke took from 19781980 provide a glimpse into working in an emergency department in the years the specialty was being established. for a few years working as an emergency physician. Dr. Clarke was then hired as assistant director in the emergency department (ED) at Pomona Valley Hospital, Pomona, Calif.

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

EM Curious

JULY 10, 2015

By Michael Macias Welcome to the Ultrasound Leadership Academy (ULA) summary blog series. This week, we discuss the basics of shoulder ultrasound. If you want to learn more about the program you can visit Ultrasound Leadership Academy or Ultrasound Podcast to see more from the hosts of this awesome program.

Leadership 52

Leadership Ultrasounds Dislocations Fractures 52

Canadian EM

OCTOBER 24, 2023

A 72-year-old male presents to the emergency department (ED) with severe chest pain and difficulty breathing after an MVC. The post Clinical Question: Which ultrasound-guided nerve block is best for acute pain management of rib fractures in the ED? first appeared on CanadiEM.

Fractures 52

Fractures Ultrasounds Emergency Department 52