Taming the SRU

APRIL 5, 2023

Given her age, history of nephrolithiasis, and frequent urinary tract infections, a bedside renal ultrasound was performed to assess for hydronephrosis due to concern her generalized weakness may be secondary to an infected stone or obstructive uropathy. She had a foley placed and was admitted to the hospital. Images are seen below.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

EMDocs

DECEMBER 4, 2023

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. First, examine the patient and risk-stratify them for the diagnosis of DVT before deciding on the clinical utility of an ultrasound. Ultrasound. 2011;31(1):1-5.

Ultrasounds 92

Ultrasounds Documentation/Coding Wellness EMS 92

ACEP Now

SEPTEMBER 3, 2024

Hahnemann University Hospital in Philadelphia closed in 2019, a year and a half after it was acquired along with St. Christopher’s Hospital for Children by private equity (PE) firm Paladin Healthcare Capital for 170 million dollars. 14 Dr. Stinson remembers what it was like to work for a PE-owned hospital early in her career. “I

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

SheMD

APRIL 24, 2023

I waited until my 6 week ultrasound. On my ultrasound day, I had started to feel pregnant. A colleague met me at the hospital and performed an ultrasound once more to confirm. My friend did an ultrasound and we saw free fluid- a lot of it. My husband left the fire station and rushed to the hospital to be with me.

Ultrasounds 83

Ultrasounds Radiology Radiology Emergency Department 83

EMDocs

MARCH 4, 2024

12 Ultrasound and computed tomography (CT) can both identify CBD and are available in most emergency departments. Ultrasound is cost-effective and radiation-sparing. Ultrasound has approximately 90% sensitivity for detecting common bile duct dilation. 13 CT is also superior to ultrasound in its ability to detect malignancy.

Emergency Department 104

Emergency Department Ultrasounds EMS Radiology 104

Northwestern EM Blog

MAY 16, 2022

What is your initial imaging test of choice, ultrasound (US) or non-contrast CT, and why? Would you be confident in a point-of-care-ultrasound evaluation or a formal ultrasound? were hospitalizations during f/u period; 26.4% were hospitalizations during f/u period; 26.4% were hospitalizations during f/u period; 26.4%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

EMDocs

FEBRUARY 12, 2025

The patient also reported significant pain and had a Hospital Anxiety and Depression Scale (HADS) score indicating severe anxiety and depression. She had previously undergone carbon ion radiotherapy, receiving a cumulative dose of 75 GyE in 20 fractions over two courses from December 2020 to January 2021.

Best Practices 55

Best Practices Documentation/Coding Radiology Radiology 55

Don't Forget the Bubbles

NOVEMBER 8, 2023

She had a low-grade fever and an episode of vomiting before coming to the hospital. Ultrasound has been associated with lower rates of negative appendicectomy. In a meta-analysis of 26 paediatric studies, the pooled sensitivity and specificity of ultrasound for diagnosing appendicitis in children were 88% and 94%, respectively [10].

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. Guest Skeptic: Chip Lange is an Emergency Medicine Physician Assistant (PA) working primarily in rural Missouri in community hospitals. He also hosts a great #FOAMed blog and podcast called TOTAL EM.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

EMDocs

JUNE 22, 2023

As usual, I was the only physician staffing this rural critical access hospital with limited resources which sits 61 miles away from our state’s only Level 1 trauma center. The radiology tech has his hand on a weak femoral pulse. Did I mention that we only had one unit of blood in the hospital for emergent release?

Resuscitation 98

Resuscitation Ultrasounds Critical Access Radiology 98

The Skeptics' Guide to EM

AUGUST 24, 2024

Case: A 67-year-old male presents to your hospital emergency department (ED) after a fall from his bicycle. More recently, the April 2024 SGEMHOP reviewed a trial on how effective and safe an ultrasound-guided erector spinae plane block (ESPB) in adult patients with rib fractures is.

Fractures 53

Fractures Emergency Department Ultrasounds Radiology 53

The Skeptics' Guide to EM

MARCH 25, 2023

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Ultrasound is usually the first line imaging modality for diagnosing acute biliary disease.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Taming the SRU

OCTOBER 1, 2023

Possibly more useful in trauma patients during e-FAST to determine presence or absence of PTX and less helpful in spontaneous PTX where management is partially based on size, which is difficult to quantify on ultrasound and may be falsely positive in the setting of emphysematous blebs. References Onuki T, Ueda S, Yamaoka M, et al.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Pediatric Emergency Playbook

JANUARY 1, 2018

Structurally abnormal ovary (including cysts) that causes the ovary to flop over and twist on its vascular axis Hypermobile ovary with vigorous movement twists on its vascular pedicle and cuts off blood supply The Dual Blood Supply to the Ovaries: Why Doppler Flow can Fool You What ultrasound findings suggest ovarian torsion? Think torsion.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

EMDocs

FEBRUARY 26, 2024

Laboratory evaluations that return after admission to the hospital are remarkable for microcytic hypochromic anemia (hemoglobin 9.2 Mortality predictors of Pneumocystis jirovecii pneumonia in human immunodeficiency virus-infected patients at presentation: Experience in a tertiary care hospital of northern Taiwan. 1999;6(2):149-155.

Radiology 108

Radiology Radiology Outcomes Ultrasounds 108

Urgent Care Ultrasounds

JANUARY 17, 2019

The Case A 70 year old woman had been waiting in the radiology department for an x-ray to be taken. The patient was referred to hospital to further investigate the cause of her collapse, in light of the uncertain aetiology of the echo findings. Cardiovascular ultrasound. Admitted for surgical repair. 1995; 75(4):308-10.

Urgent Care 40

Urgent Care Ultrasounds Radiology Radiology 40

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Clean and disinfect surfaces with an EPA registered hospital level disinfectant. Maintenance should be performed on any equipment before using in the delivery of patient care, this includes autoclaves, suction lines, ultrasounds, radiology equipment, etc. OSHA would expect adequate restrooms for employees.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

ACEP Now

MAY 4, 2023

On hospital day 2, he was taken to the operating room for surgical rib fixation. Baughman is staff physician in the department of radiology at MetroHealth Medical Center in Cleveland, Ohio, including Case Western Reserve University School of Medicine in Cleveland, Ohio. A chest tube was placed at that time.

EMS 52

EMS Fractures Operations Ultrasounds 52

SheMD

NOVEMBER 22, 2023

For those who like radiology, I perform my own thyroid ultrasounds and personally review all of my pituitary and adrenal imaging as well. And despite most people’s thoughts about the specialty, the Endocrine world today is so much more than just diabetes and only seeing patients in a clinic.

Radiology 52

Radiology Radiology Wellness Ultrasounds 52

EB Medicine

JUNE 6, 2019

Taylor and Shaukat of Emory and Coney Island Hospital respectively for their efforts in peer reviewing this huge topic. CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Sounds familiar. Jeff: We sure did!

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Northwestern EM Blog

DECEMBER 20, 2021

Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. Commonly hematogenous spread from bacteremia; clinical suspicion should prompt radiologic evaluation. Consider Lyme arthritis in your differential for joint pain and swelling in endemic areas.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

It was notable for a normal cardiac ultrasound with no pericardial fluid, normal LV and RV function (though the quality was not sufficient to evaluate for wall motion abnormalities) and normal IVC dynamics. Bedside ultrasound is another very important piece. Ultrasound can be very helpful to distinguish causes of hypotension.

Ultrasounds 40

Ultrasounds EKG/ECG EMS Radiology 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Still, except for the public hospital, other hospitals did little emergency work and would have unattended first aid or treatment room in which one could meet one's physician or have an intern provide care in the meanwhile. ." Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Mind The Bleep

FEBRUARY 29, 2024

Of course, this should be used in conjunction with local checklists at your hospital. Some hospitals have ‘bundles’ that should be prescribed for patients with artificial airways, with reminders for nursing staff to complete certain toileting tasks for that airway- this is to reduce the incidence of ventilator-associated pneumonia.

Documentation/Coding 52

Documentation/Coding Hospitals Wellness Best Practices 52

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The hospital is the Paediatric Major Trauma Centre for the South-West. It’s a great idea and maybe something for other centres to copy!) in lower-resource settings.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis.

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

RebelEM

SEPTEMBER 11, 2023

Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Outcomes: Primary: Percent change in management decisions after introducing the Radiology Department RUQ US. 2022;7(1):e000944.

Ultrasounds 68

Ultrasounds Radiology Radiology Emergency Department 68

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. What is the role of ultrasound? I have long been fascinated by testicles.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

ACEP Now

JULY 7, 2023

You perform a biliary ultrasound (US) in the ED (BUSED) which shows a gallbladder (GB) full of stones, some GB wall thickening and a positive Murphy’s sign. Will this be enough for the general surgeon, or will they want an US performed by the radiology department to make their surgical decision? Click to enlarge. 2022;7(1):e000944.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52

PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

EB Medicine

FEBRUARY 1, 2019

Let’s talk pre hospital care for headache patients. As was the case for your pre-hospital colleagues, you should also assess for red flag signs for life-threatening headaches. Let’s talk radiology. Anyway, the last test to discuss is our good friend the ultrasound, specifically the ocular ultrasound.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

Taming the SRU

JUNE 10, 2024

She was seen by her midwife provider for evaluation of this issue several days ago, at which time she underwent an ultrasound that was suggestive of uterine incarceration. Examination reveals a well-appearing woman reclining on the hospital bed, in no acute distress. She was then discharged home.

Ultrasounds 91

Ultrasounds Emergency Department Radiology Radiology 91

Don't Forget the Bubbles

SEPTEMBER 23, 2024

You are working in the paediatric emergency department of a busy District General Hospital. Infections are the most common reason for hospitalization within the first two years of transplant and are much more likely than rejection. Have there been any previous episodes of hospitalization since receiving the transplant?

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52