ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

NOVEMBER 18, 2023

We’ll keep it short, while you keep that EM brain sharp. A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Vital signs: HR 118, BP 103/68, RR 20, T 99.8. LFTs are in the thousands.

EMS 89

EMS Ultrasounds Emergency Department Outcomes 89

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. Rev Infect Dis. 1990;12(4):591-601. 2019.05.019 8.

EMS 90

EMS Dehydration Ultrasounds Emergency Department 90

EMDocs

NOVEMBER 4, 2023

We’ll keep it short, while you keep that EM brain sharp. An ultrasound of the testes reveals the following: What is the diagnosis? doi:10.1258/0956462053888853 The post EM@3AM: Testicular/Scrotal Abscesses appeared first on emDOCs.net - Emergency Medicine Education. Ann Emerg Med. 2021;78(1):44-48. doi:10.1016/j.annemergmed.2020.12.003

EMS 87

EMS Ultrasounds Emergency Department Infectious Diseases 87

EMDocs

AUGUST 12, 2023

We’ll keep it short, while you keep that EM brain sharp. The value of ultrasound for detecting hand fractures: A meta-analysis. cc The post EM@3AM: Flexor Tendon Laceration appeared first on emDOCs.net - Emergency Medicine Education. The athlete’s hand: ligament and tendon injury. Semin Musculoskelet Radiol.

EMS 89

EMS Fractures Operations Ultrasounds 89

EMDocs

JULY 13, 2024

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. Cochrane Database Syst Rev.

OB/GYN 81

OB/GYN EMS Sepsis Fluid Resuscitation 81

RebelEM

FEBRUARY 24, 2025

Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. As with most things in medicine, it is important to understand the pitfalls. Most measurements are somewhere around the hepatic confluence. May 2014; PMID: 24495437.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

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). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1. Linear ultrasound transducer Probe Use a linear, high-frequency transducer. Describe the limitations of soft tissue POCUS.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

PHEM Cast

JULY 27, 2021

Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound work? Want to know how to use ultrasound? Their section on POCUS is here.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

RebelEM

APRIL 9, 2024

Podcast Direct Download: Link Release Date: April 16th, 2024 Show Notes The Visible Voices Podcast Dr. Glaucomflecken: Power of Ultrasound with Emergency Medicine Dr. Resa Lewiss Adaira I Landry MD Resa E Lewiss MD is a Professor of Emergency Medicine at the University of Alabama at Birmingham. She led point-of-care ultrasound sections at St.

EMS 58

EMS Infectious Diseases Ultrasounds 58

Pediatric EM Morsels

MARCH 1, 2024

Scrutinize that CXR for an Air-Fluid Level… and maybe use your Ultrasound to increase your sensitivity!! Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. The post Lung Abscess in Children appeared first on Pediatric EM Morsels. Moral of the Morsel Simple things can become Complicated.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

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

Pediatric EM Morsels

JULY 26, 2024

These females should have imaging with either MRI or CT as well as abdominal or transvaginal ultrasound to assess for ovarian teratoma. The post Anti-NMDA Receptor Encephalitis in Children and Adolescents appeared first on Pediatric EM Morsels. Prevalence decreases with decreasing age. Moral of the Morsel It’s NOT always psych!

Seizures 271

Seizures Psychiatric Outcomes Pediatrics 271

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial. PoCUS evaluations included lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS).

Ultrasounds 125

Ultrasounds Outcomes COPD Hospitals 125

RebelEM

FEBRUARY 19, 2024

of cases) Catheter ultrasound confirmation: 49.8% (i.e. PMID: 34599691 For More Thoughts on This Topic Checkout: REBEL EM: The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults REBEL EM: Are Peripheral Vasopressors Causing Too Many Complications? REBEL EM: Peripheral Vasopressors – Safe or Dangerous?

Administration 134

Administration Sepsis EMS Shock 134

ALiEM

APRIL 14, 2023

Highlighted Quality Posts: Procedures Site Article Author Date Label Rebel EM Intra Articular Lidocaine vs Sedation in Shoulder Reductions Nordia Matthews, MD 30 Jan 2023 AIR EM Docs Video Laryngoscopy in the ED Cameron Jones, MD 8 Aug 2022 AIR First 10 EM Lacerations: Does closure technique matter?

EMS 98

EMS Ultrasounds Academics Fractures 98

RebelEM

DECEMBER 18, 2023

Barium contrast X-ray CT scan Magnetic resonance imaging Ultrasound FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Burkart JM, Bleyer A. Rezaie, MD (Twitter/X: @srrezaie ) The post Rosh Review EM Scholar Monthly Question appeared first on REBEL EM - Emergency Medicine Blog. Clin J Am Soc Nephrol.

EMS 58

EMS Ultrasounds 58

Pediatric EM Morsels

AUGUST 4, 2023

Oka, 2023) Abdominal ultrasound with doppler can also be used to measure the angle, and with a trained ultra-sonographer was found to be as sensitive as CTA. PMID: 31451453 The post Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children appeared first on Pediatric EM Morsels. BMJ Case Rep. 12(8): e228758.

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

Taming the SRU

JULY 22, 2024

perform arthrocentesis ULTRASOUND-GUIDED PROCEDURE Ultrasound-guided (USG) arthrocentesis may be helpful in instances where there is no obvious effusion that can easily be palpated on physical exam. Studies have shown that effusions of as little as 2 to 4 mL can be identified using ultrasound [6]. ANESTHETIZE THE AREA step 7.

Ultrasounds 96

Ultrasounds Emergency Department EMS 96

EM Ottawa

OCTOBER 12, 2023

A flurry of tests later, my ultrasound showed good doppler flow, and my lab work was pristine. I was in the OR for the first day of my anesthesia rotation when suddenly the pain hit me. It was in my left flank, radiating to my back — so much pain I could hardly think.

Ultrasounds 144

Ultrasounds EMS 144

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. Point-of-Care Ultrasound-First for the Evaluation of Small Bowel Obstruction: National Cost Savings, Length of Stay Reduction, and Preventable Radiation Exposure.

Ultrasounds 52

Ultrasounds Operations Documentation/Coding Outcomes 52

Taming the SRU

FEBRUARY 7, 2024

AirCare - Derm Emergencies - R4 Capstone - Landmarks of EM - Global Health - Toxicology Aircare Grand ROunds WITH Drs. Ultrasound: Make “windows of access”. Keep your upper chest and sternum clear. Lung and heart views are most critical in HEMS as they determine interventions that change patient care.

PPE 98

PPE Administration Ultrasounds Poisoning 98

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

The Skeptics' Guide to EM

AUGUST 17, 2024

He works in prehospital (EMS and HEMS), and at Morales Meseguer Hospital in public medical service in Murcia, Spain. Franciso has postgraduate Master's degrees in emergencies and urgent care, clinical ultrasound, and emergency and disaster management, from the University of Elche, the University of Madrid, and the University of Oviedo.

Urgent Care 102

Urgent Care Disaster Management Ultrasounds EMS 102

EMergucate

MAY 17, 2016

Introduction Advantages: Does not involve ionising radiation Used quite freely for antenatal scanning, children Safe for repeated examinations No evidence … Continue reading →

Ultrasounds 40

Ultrasounds EMS Radiology Radiology 40

RebelEM

AUGUST 16, 2023

Read more

Ultrasounds 69

Ultrasounds EMS 69

ACEP Now

JANUARY 4, 2025

The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart.

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

EMDocs

MARCH 4, 2024

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. 12 Ultrasound and computed tomography (CT) can both identify CBD and are available in most emergency departments. Ultrasound is cost-effective and radiation-sparing.

Emergency Department 103

Emergency Department Ultrasounds EMS Radiology 103

Dr. Smith's ECG Blog

JANUARY 2, 2025

Bedside cardiac ultrasound showed moderately decreased LV function. Dodd KW, Elm KD, Dodd EM, Smith SW. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated. Heart Rhythm [Internet].

EKG/ECG 117

EKG/ECG Sepsis Wellness Documentation/Coding 117

Emergency Medicine Cases

APRIL 25, 2023

The post EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM appeared first on Emergency Medicine Cases.

EMS 52

EMS Pediatrics Ultrasounds Resuscitation 52

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

When EMS found her, she was dyspneic and diaphoretic. Answer : Bedside ultrasound! Smith : RV infarct may also have this appearance on ultrasound. So hypoxia without B lines on lung ultrasound strongly weights toward PE. She was out walking her dog when she developed sudden dizziness and light-headedness.

EKG/ECG 129

EKG/ECG Ultrasounds Shock EMS 129

EMDocs

DECEMBER 4, 2023

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

Ultrasounds 90

Ultrasounds Documentation/Coding Wellness EMS 90

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) If the ultrasound-guided attempt failed, emergency surgery was scheduled.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Dr. Smith's ECG Blog

MARCH 28, 2024

Per EMS report, patient believes he has been in atrial fibrillation for 5 days, since coming down with flu-like illness with rhinorrhea, productive cough, SOB. On EMS arrival, patient's oxygen saturation was in the high 80s and improved on 4L O2 via nasal cannula. Bedside ultrasound showed volume depletion and no pulmonary edema.

EKG/ECG 130

EKG/ECG EMS Emergency Department Ultrasounds 130

JournalFeed

JANUARY 28, 2023

Api US’s Spoon Feed When performed by an experienced EM physician or radiologist, a conclusive appendix ultrasound is both sensitive and specific when evaluating for acute appendicitis and can be used in place of CT. For access to more, please visit JournalFeed.org for details about becoming a member.

EMS 40

EMS Ultrasounds 40

Dr. Smith's ECG Blog

APRIL 14, 2024

A bedside cardiac ultrasound performed by a true EM expert (Robert Reardon, who wrote the cardiac ultrasound chapter in Ma and Mateer) showed an inferior wall motion abnormality. But there are also new Q-waves, stronly suggesting new infarction. Overall interpretation: this does not look like OMI to me.

EKG/ECG 120

EKG/ECG Ultrasounds EMS Wellness 120

The Skeptics' Guide to EM

JULY 22, 2023

NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar.

EMS 88

EMS CPR Ultrasounds Research 88