EMergucate

APRIL 19, 2015

The following frontal chest x-ray from a 80 year old was obtained as part of a pre-operative work up prior to lower limb surgery. What radiological sign can be noted?

Radiology 40

Radiology Radiology Operations EMS 40

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. were hospitalizations during f/u period; 26.4%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Note – again please do not use this location! link] Harcke, H. Branco, B.

Academics 52

Academics Radiology Radiology Resuscitation 52

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Classic Advice to New Interns (Commentary upon 10 Commandments of EM) Ten Commandments of Emergency Medicine Luke & Cusack Cork Emergency Medicine 2014 The Derriford twelve commandments of emergency medicine: a model for good practice in a changing world, or a survival guide for new medical staff Smith, J. Touquet, R.,

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital. Advocacy for Trauma Care and EMS Development.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 2% of THA will have a post operative deep space infection.

EMS 94

EMS Dislocations Fractures Operations 94

ALiEM

MAY 13, 2024

63M with an Erythematous Abdomen Limitations of POCUS As with all ultrasound applications, soft tissue POCUS is operator dependent. Lam SHF, Sivitz A, Alade K, Doniger SJ, Tessaro MO, Rabiner JE, Arroyo A, Castillo EM, Thompson CA, Yang M, Mistry RD. The ultrasound can only see what is scanned. 97.4%) 85.4% (78.9-90.2%) Ann Emerg Med.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5 billion passengers annually 1 medical emergency per 604 flights Most common complaints: Syncope/presyncope: 37.4% Respiratory symptoms: 12.1% Nausea and vomiting: 9.5% Diversion occurs 7.3% of in-flight emergencies Deaths occurred 0.3% Smith Quick Facts regarding In-Flight Emergencies: 2.75 Respiratory symptoms: 12.1%

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was brought in by EMS after she experienced acute onset sharp midsternal chest pain without radiation or dyspnea. She felt nauseous and lightheaded with no neurologic deficits.

Ultrasounds 40

Ultrasounds EKG/ECG EMS Radiology 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. After balloon occlusion, blood pressure improved sufficiently to take the patient either to interventional radiology or to the OR.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

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. Most EM training programs certainly emphasize the importance of the the pelvic exam for women with lower abdominal pain, but some recent papers have questioned its role.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

OCTOBER 17, 2023

In patients with suspected ALCD, we suggest a complete assessment of the patients using clinical history, signs, laboratorial inflammation markers, and radiological findings (weak recommendation based on very low-quality evidence, 2D).” “In American College of Radiology ACR Appropriateness Criteria (2023) Left lower quadrant pain.

Radiology 87

Radiology Radiology Operations Best Practices 87

RebelEM

SEPTEMBER 11, 2023

Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. A change in clinical course resulting from a discrepancy between POCUS and radiology department imaging only occurred in 2% of patients (not 10%). appeared first on REBEL EM - Emergency Medicine Blog.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? 4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair.

Fractures 60

Fractures Resuscitation Operations EMS 60

ACEP Now

JULY 7, 2023

Will this be enough for the general surgeon, or will they want an US performed by the radiology department to make their surgical decision? Clinical Question What is the value of radiology-performed US (RUS) compared to BUSED in terms of the surgical decision-making in acute biliary disease? Click to enlarge. Reference: Hilsden, et al.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. Jeff: Oh it certainly is. Nachi: And that’s a perfect segue into our next section - diagnostic studies.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

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. Journal of the American College of Radiology 2019, 16 (5, Supplement), S26-S37. 32 Table 2 : Memphis Criteria. Ducruet, A. DOI: [link]. (47) 47) Smith, A.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Taming the SRU

MAY 22, 2023

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g.,

Fractures 77

Fractures Dislocations Operations Radiology 77

Don't Forget the Bubbles

AUGUST 10, 2023

Discussion (from Orthobullets, Relias media & EM News blog) What does this x-ray show? Clinical Factors affecting management choice (from EM News blog, teachmeanatomy, orthobullets) The extent and location of the amputation will determine what treatment options are most appropriate. What should you do with it?

Fractures 52

Fractures Soft Tissue Injuries Emergency Department Operations 52

ACEP Now

FEBRUARY 19, 2025

Emergency medicine (EM) is a team-based specialty, where a diverse group works together to rapidly deliver acute, unscheduled patient care. AI emergency radiology tools can lead to immediate results for high-acuity patients, reducing delay in initiating treatments for acute patients. Harvard professor Amy C. Artif Intell Med.

Teamwork 51

Teamwork Clinical Decision Support Systems Administration Radiology 51