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Serratus Anterior Plane Blocks for Rib Fractures in the ED

Taming the SRU

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. 41, 2695–2701 (2022). Why do we care?

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Of course, there are other methods of assessing fluid tolerance : Capillary refill evaluation, passive leg raise, central venous pressure measurement, pulmonary artery wedge pressures, stroke volume variation, pulse pressure variation, etc. just be careful with pelvic fractures or any femoral arterial punctures/ devices.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

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 133
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Grand Rounds Recap 2.14.24

Taming the SRU

Providers should use ultrasound as early as possible to evaluate for cardiac dysfunction, pulmonary edema, and fluid status. They tend to be hypertensive, tachycardic, tachypneic, and hypoxic. Do not always appear volume overloaded on exam. Early recognition and prompt treatment is key.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

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. References Garcia SE. Butt Lifts Are Booming.

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Diagnostics: Inflammatory Markers

Taming the SRU

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. Identifying serious causes of back pain: cancer, infection, fracture.

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Jeff: If not already done, an ultrasound should be obtained as well and a two week follow up ultrasound will be needed. CNS dysfunction may be immediate or delayed and can range from strokes to spinal cord injuries. Let’s move on to treatment.