ACEP Now

MARCH 15, 2024

3 Tenderness over the distal radial metaphysis after wrist injury is strongly suggestive of a distal radius fracture despite normal plain radiographs and fluoroscopic images. Children and older adults have weaker long bones than young adults and are more likely to sustain a distal radius fracture after a FOOSH than a carpal bone injury.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Emergency Medicine Cases

JULY 17, 2018

In this month's POCUS Cases Dr. Rob Simard explains the role of POCUS in distal radius fracture diagnosis and reduction, how to troubleshoot finding the echogenic line that represents the shaft of the radius, and the limitations of using POCUS for distal radius fractures.

Fractures 52

Fractures Ultrasounds EMS 52

Taming the SRU

FEBRUARY 24, 2024

Providers should use ultrasound as early as possible to evaluate for cardiac dysfunction, pulmonary edema, and fluid status. Sometimes even the smallest contributions can make the biggest difference in patient experience and overall ED quality. Patients will typically present in acute respiratory distress.

Leadership 93

Leadership EMS Pediatrics Stroke 93

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive.

Blood Transfusions 52

Blood Transfusions Fractures EMS Hospitals 52

RebelEM

SEPTEMBER 21, 2022

REBEL Core Cast 86.0 – Hand Nerve Blocks Click here for Direct Download of the Podcast References: Core Ultrasound: Median Nerve Block Core Ultrasound: Radial Nerve Block Core Ultrasound: Ulnar Nerve Block Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Ultrasounds 52

Ultrasounds EMS Fractures 52

ACEP Now

NOVEMBER 7, 2024

TCAD should be considered in a young person with a history of recent chest trauma followed hours to weeks later with anginal symptoms plus any combination of ischemic ECG changes, troponin elevation, or wall motion abnormalities on point-of-care ultrasound (POCUS).

EKG/ECG 52

EKG/ECG Fractures Emergency Department Ultrasounds 52

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Obtain at least 3 views when possible.

Fractures 77

Fractures Dislocations Operations Radiology 77

The Skeptics' Guide to EM

NOVEMBER 9, 2019

He also hosts a great #FOAMed blog and podcast called TOTAL EM. He also hosts a great #FOAMed blog and podcast called TOTAL EM. Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 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

Taming the SRU

OCTOBER 16, 2024

Amputations Distal to DIP may require revision amputation, which is in the purview of EM physicians. Ultrasound can be used to support the diagnosis by identifying anechoic or hypoechoic fluid within the flexor tendon sheath. Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture.

Airway Management 72

Airway Management Fractures CDC Pediatrics 72

The Skeptics' Guide to EM

MARCH 15, 2019

He hosts a great #FOAMed blog and podcast called TOTAL EM. He hosts a great #FOAMed blog and podcast called TOTAL EM. You have a colleague in the room who is proficient at ultrasound and asks if there is a role for bedside ultrasound in this situation. Date: March 12th, 2019 Reference: Gottlieb, Holladay and Peksa.

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

Don't Forget the Bubbles

MAY 17, 2023

Minor head trauma in infants – how accurate is cranial ultrasound performed by trained radiologists? Hegeman EM, et al. Finding the most suitable puncture site for intraosseous access in term and preterm neonates: an ultrasound-based anatomical pilot study. Schwindt EM, et al. Dias FC, et al. 2023 Apr 25.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

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. Rezaie, MD (Twitter/X: @srrezaie ) The post Don’t Forget About the IO in the Critically Ill Patient appeared first on REBEL EM - Emergency Medicine Blog. minutes CVC group.

Resuscitation 105

Resuscitation Administration Emergency Department Hospitals 105

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. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 74

Pediatrics Ultrasounds Fractures Wellness 74

Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

EM Curious

JULY 8, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Part 1 here.

Infectious Diseases 52

Infectious Diseases Disaster Management Sepsis Ultrasounds 52

RebelEM

JANUARY 29, 2024

Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. A prospective, Single-Arm Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. CHEST 2010.

Stroke 137

Stroke Outcomes Hospitals Administration 137

EM Curious

JULY 1, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Should we all be jumping on board?

EMS 52

EMS Ultrasounds EKG/ECG Fractures 52

Taming the SRU

OCTOBER 28, 2024

Potential causes include: -Trauma: Blunt or penetrating thoracic injuries, rib fractures, esophageal rupture (Boerhaave syndrome). She is a graduate from the UC EM residency, class of 2018. Spontaneous pneumomediastinum on bedside ultrasound: case report and review of the literature. References 1. Rizvi S, Wehrle CJ, Law MA.

COPD 78

COPD Pediatrics Emergency Department Ultrasounds 78

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. EMS appears with a patient who just wiped out big time on the ice. Sorry we've been out of the loop lately.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is interested in ultrasound and international emergency medicine. We have covered the CCHR on the SGEM with the EM Swami and Dr. Emily Junck back on SGEM#106. It was a classic EM paper published in the Lancet back in 2001 by the Legend of Emergency Medicine, Dr. Ian Stiell.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

EMergucate

NOVEMBER 30, 2016

The lateral view of the right ankle shows an avulsion fracture of the calcaneal tuberosity. An ultrasound scan of the … Continue reading →

Fractures 40

Fractures Ultrasounds EMS 40

EMDocs

OCTOBER 7, 2023

We’ll keep it short, while you keep that EM brain sharp. A 17-year-old girl, in moderate distress, is brought in by EMS after a motor vehicle collision. EMS reports that she was “pinned” underneath the dashboard, and it took several hours to extricate her.

EMS 73

EMS Fluid Resuscitation Fractures Resuscitation 73

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

All Ohio EM

JANUARY 14, 2019

By: Zach Hampton, DO EM Resident at Doctors Hospital Ever performed a needle cricothyrotomy? Your main clientele is just starting to wake up and your coffee is running out when you get an EMS encode for a pediatric patient found ejected from high speed, head-on MVC. Patient appears to be school aged per EMS assessment.

Pediatrics 52

Pediatrics EMS Fractures Wellness 52

EB Medicine

MARCH 1, 2019

Nachi: And if the prehospital team is lucky enough, or maybe unlucky enough, i don’t know, to have a credentialed provider who can perform ultrasound for those suspected of having a blunt cardiac injury, the general prehospital data on ultrasound is sparse. Jeff: Great, let’s move onto ED care, beginning with the H&P.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Emergency Medicine Cases

JANUARY 24, 2017

What are the indications for ultrasound of the knee? How can you increase the accuracy of the active straight leg raise in assessing for quadriceps and patella tendon rupture? What is an easy way to identify patella baja and patella alta on a knee x-ray? and many more.

Soft Tissue Injuries 52

Soft Tissue Injuries Dislocations Ultrasounds Fractures 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. Which is reasonable, as that is the crux of our job as emergency physicians. Jeff: Indeed. Sounds familiar.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

RebelEM

JANUARY 24, 2024

Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 116.0 – Achilles Tendon Rupture appeared first on REBEL EM - Emergency Medicine Blog. Total Achilles tendon rupture. Sports Med. 1998; 25(2): 79-100. Coll Antropol.

Operations 105

Operations Ultrasounds Outcomes Fractures 105

EB Medicine

NOVEMBER 1, 2018

Jeff: With your initial stabilization underway, you can begin to gather a more thorough history either from bystanders or EMS if they are still present. Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Try to ascertain whether the current was AC or DC, and whether it was high or low voltage.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Clinical impact: The patient’s DVT ultrasounds were negative. A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations.

Emergency Department 64

Emergency Department Operations Psychiatric Hospitals 64

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. Authors: Nikhil B. Most cases abate by one year.

Emergency Department 98

Emergency Department Fractures Burns EMS 98

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. Semin Ultrasound CT MR 2017, 38 (4), 345-356. 25) Ho, A.

Stroke 86

Stroke Radiology Radiology Emergency Department 86