RebelEM

FEBRUARY 24, 2025

just be careful with pelvic fractures or any femoral arterial punctures/ devices. 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.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

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? Intensive Care Med 2010; 36: 1475-83.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

Core Ultrasound

FEBRUARY 21, 2023

In this intro video, we demonstrate the use of ultrasound imaging to identify fractures. Ultrasound-guided fracture identification is a minimally invasive technique that allows for quick and accurate diagnosis of fractures, without the need for radiation or contrast agents.

Fractures 52

Fractures Ultrasounds 52

ACEP Now

FEBRUARY 11, 2024

The clavicle is one of the most commonly fractured bones in the human body. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. Every year, approximately 332,000 people in the United States suffer from a clavicular fracture. FIGURE 1B: Ultrasound image with labeled relevant anatomy.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

The Skeptics' Guide to EM

AUGUST 24, 2024

Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management: The SABRE Randomized Clinical Trial. He has three left-sided rib fractures on imaging without underlying complications. Background: Rib fractures are a common injury, particularly for those over 65. We have covered rib fractures twice on the SGEM.

Fractures 54

Fractures Emergency Department Ultrasounds Radiology 54

Ultrasound Gel

APRIL 15, 2019

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Ultrasound is great for finding fractures, but what about being able to guide the reduction? link] Fractures of the distal radius are pretty common among people who choose not to break their fall with their face.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

Emergency Medicine Journal

MAY 28, 2024

Hip fractures require prompt, effective analgesia. 3 Preoperative FIB for hip fractures is associated with reduced pain, opioid use, delirium and mortality. 2 3 As FIB can be undertaken safely by generalist clinicians, 4 it is now an established part of ED hip fracture management.

Fractures 52

Fractures Ultrasounds 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

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. Sensation to light touch is intact distally.

Ultrasounds 52

Ultrasounds Fractures Operations Emergency Department 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. OMFS was consulted for multiple facial fractures for which patient was set up to follow up in clinic.

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

Emergency Medicine Cases

FEBRUARY 25, 2020

Which proximal humerus fractures are likely to require surgical management? When is an ultrasound of the shoulder indicated and how should they be interpreted? What are the surgical indications for clavicle fractures? Which shoulder injuries require a simple sling vs Velpeau sling vs collar and cuff vs sugar tong splint?

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Background There is a high rate of surgical fixation of displaced Colles’ type distal radial wrist fractures despite fracture manipulation in the ED. Point-of-care ultrasound has been used to guide ED manipulations but its effect on the quality of fracture reduction or subsequent need for surgical fixation is unknown.

Fractures 40

Fractures Ultrasounds Outcomes Research 40

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? and get 20% of all orders at [link] Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?*

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

Ultrasound Gel

FEBRUARY 26, 2024

What's the deal with using ultrasound for forearm fractures in kids? What's the deal with using ultrasound for forearm fractures in kids? The GEL Jr. team is back and they have a bone to pick. They examine a recent article on this topic from the New England Journal of Medicine. link] [link] The GEL Jr.

Fractures 40

Fractures Ultrasounds 40

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

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

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

EMDocs

AUGUST 12, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Open Fracture. The athlete’s hand: ligament and tendon injury. Semin Musculoskelet Radiol. 2012;16(4):338-349. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823. doi:10.1097/MD.0000000000017823

EMS 95

EMS Fractures Operations Ultrasounds 95

The Skeptics' Guide to EM

DECEMBER 10, 2022

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. X-rays demonstrate a minimally displaced midwaist fracture of the scaphoid. The LR- to rule out a scaphoid fracture was 0.15

Operations 52

Operations Fractures Military Emergency Department 52

Don't Forget the Bubbles

MARCH 4, 2024

Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. Diagnostic accuracy of point-of-care ultrasound versus radiographic imaging for pediatric distal forearm fractures: A randomized controlled trial.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Emergency Medicine Journal

NOVEMBER 28, 2023

Background During closed reduction of displaced distal radius fractures, physical examination is used to determine the need for further manipulation before radiographic confirmation and cast application. Manipulation performed under ultrasound guidance has the potential to decrease the number of reduction attempts. to 6.45).

Fractures 40

Fractures Ultrasounds Emergency Department Operations 40

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

ALiEM

APRIL 14, 2023

Justin Morgenstern, MD 28 Nov 2022 HM DFTB Regional nerve blocks module Nicola Mulrooney, MD 7 Dec 2022 HM EM Docs Ultrasound Guided Regional Anesthesia for Hip Fractures Olivia Victoriano, MD and Jacob Avila, MD 5 Dec 2022 HM Core EM Ultrasound Guided Lumbar Punctures Aaron Bola, MD 31 Mar 2022 HM (AIR = Approved Instructional Resource; HM = Honorable (..)

EMS 98

EMS Ultrasounds Academics Fractures 98

Emergency Medicine Journal

JULY 24, 2023

Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may still receive unnecessary radiographs. Ultrasound could be a reliable, cheap and radiation free alternative to diagnose fractures and ligamentous injuries. No restrictions were applied for date and language.

Ultrasounds 40

Ultrasounds Fractures Outcomes 40

Emergency Medicine Journal

SEPTEMBER 27, 2023

Plain radiography of her right clavicle ( figure 1 ) revealed a comminuted right clavicular fracture with a coracoclavicular distance of 7 mm. Thus, the ultrasound machine was brought to the bedside in anticipation of. Given her personal history with opioids, the patient declined narcotics but was in severe acute pain.

Fractures 40

Fractures Ultrasounds 40

Mount Sinai EM

AUGUST 13, 2023

Background Hip fractures are a very frequent presentation, even in non trauma centers. Adequate pain control, and early surgical treatment and mobilization are the main goals of hip fracture treatment; to reduce complications including infections, DVT and delirium.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. Among patients with multiple rib fractures, the mortality rate can reach a staggering 33%, and this risk doubles for individuals above the age of 65. ED Physicians are already well-versed in the use of ultrasound.

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

RebelEM

JANUARY 24, 2024

Partial rupture of the proximal Achilles tendon: a differential diagnostic problem in ultrasound imaging. You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7

Operations 101

Operations Ultrasounds Fractures Outcomes 101

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

Taming the SRU

OCTOBER 1, 2024

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

Ultrasound Gel

JULY 8, 2019

In October 2018, an all-star group met during the Irish Association for Emergency Medicine annual conference to talk about point-of-care ultrasound. In part 1 of 2, the group talks about the landmark original SHoC-ED trial and performing the erector spinae plane block for rib fractures.

Fractures 52

Fractures Ultrasounds 52

The Skeptics' Guide to EM

NOVEMBER 9, 2019

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. This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

Pediatric EM Morsels

JUNE 16, 2023

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 154

Soft Tissue Injuries Dehydration Fractures Operations 154

The Skeptics' Guide to EM

MARCH 15, 2019

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. SGEM#197 : Die Trying – Intubation of In-Hospital Cardiac Arrests * SGEM#186 : Apneic and the O, O, O2 for Rapid Sequence Intubations * SGEM#75 : Video Killed Direct Laryngoscopy?

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

Emergency Medicine Journal

JULY 24, 2023

However, Deutekom et al present a systematic review of studies evaluating the diagnostic accuracy of ultrasound for ankle injuries. First, plain radiographs do not detect all fractures around the ankle. 1 Why should we consider another diagnostic modality for such a straightforward injury? There are three good reasons.

Fractures 45

Fractures Ultrasounds Emergency Department 45

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. This study also showed the median time for IO placement was only 1.2 minutes compared to a mean placement time of 10.7 minutes CVC group.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

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. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. Sorry we've been out of the loop lately.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52