EM Ottawa

APRIL 4, 2024

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023.

Ultrasounds 73

Ultrasounds Infectious Diseases COPD Shock 73

EM Ottawa

AUGUST 22, 2024

Assessing patients with pleural effusions in the emergency department (ED) can be challenging and nuanced. This is largely due to the lack of guidelines around pleural effusions in the ED. In part one we focused on imaging, diagnosis, and management of parapneumonic effusions.

Emergency Department 63

Emergency Department Infectious Diseases Radiology Radiology 63

PEMBlog

SEPTEMBER 1, 2023

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing.

Pediatrics 52

Pediatrics Infectious Diseases Radiology Radiology 52

RebelEM

FEBRUARY 29, 2024

It is possible that the ceftriaxone altered baseline bacterial colonization within the respiratory tract, causing cultures to be negative despite positive clinical and radiological signs, leaving room for a false negative diagnosis. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62

CDC 107

CDC Radiology Radiology Head Injuries 107

Don't Forget the Bubbles

JULY 24, 2023

Radiological resolution can take time. Infectious spondylodiscitis. Clinical Infectious Diseases. Pediatric Radiology. Vertebral osteomyelitis: assessment using MR. Radiology. Infectious Discitis and Spondylodiscitis in Children. It is also used to monitor improvement/resolution. Discitis in children.

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

RebelEM

AUGUST 30, 2023

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Diagnostic Radiology: Musculoskeletal and Breast Imaging. Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al.

Infectious Diseases 84

Infectious Diseases Fractures Radiology Radiology 84

Don't Forget the Bubbles

SEPTEMBER 18, 2024

Adapted from: Byington et al (2015, Clinical Infectious Disease, [link] ) When to think about primary immunodeficiency? He has been treated four times for pneumonia, two of which were confirmed radiologically and required hospitalisation, and he has also experienced recurrent bouts of otitis media.

Emergency Department 98

Emergency Department Wellness Infectious Diseases Pediatrics 98

EMDocs

APRIL 27, 2024

The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases , 4 (1), 34–39. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases, 4(1), 34–39. The Lancet.

EMS 93

EMS Infectious Diseases Radiology Radiology 93

EMDocs

OCTOBER 10, 2024

To pursue the case would require expert testimony from multiple specialties: Emergency Medicine, Nurse Practitioner, Urgent Care/Family Medicine, Endocrinology, General Surgery, Infectious Disease, Radiology, Nursing and Hospital Medicine. The defense would most certainly present testimony from these specialists.

Documentation/Coding 84

Documentation/Coding Hospitals Sepsis Infectious Diseases 84

Don't Forget the Bubbles

JANUARY 22, 2024

Clinical and radiological findings supported the diagnosis of pneumonia. A chest radiograph was requested, and blood samples were sent for full blood count, urea and electrolyte, liver blood test, C-reactive protein, clotting profile, and blood culture. You wondered how useful the liver function tests and blood cultures were.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

ACEP Now

MAY 9, 2024

Active extravasation of blood into the hematoma was identified, and the patient was referred to interventional radiology. Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Emergency Department 52

Emergency Department Research Infectious Diseases Hospitals 52

EB Medicine

JANUARY 2, 2019

Jeff: All patients with a positive pregnancy test and vaginal bleeding should receive an ultrasound performed by either an emergency physician or by radiology. Nachi: It’s worth noting that the American College of Radiology actually lists several radiographs that are such low exposure that checking a urine pregnancy test isn’t even necessary.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 16, 2024

16 US or CT guided biopsy/joint aspiration (typically performed by Orthopedic surgery or Interventional Radiology). Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America).

EMS 85

EMS Dislocations Fractures Operations 85

PEMBlog

AUGUST 30, 2023

Special thanks to Todd Florin, MD, MSCE who contributed to this post – he is also an expert on respiratory and infectious emergencies.

Pediatrics 52

Pediatrics Best Practices Hospitals Emergency Department 52

Don't Forget the Bubbles

MARCH 4, 2024

The task force (Society of Critical Care Medicine) was made up of paediatric experts in critical care, emergency medicine, infectious diseases, general paediatrics, nursing, and public health from six continents. It was then reviewed by an international group of experts.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Diagnosis is based on Epstein–Barr virus (EBV) in the blood, radiologic findings, and biopsy results. Most PTLD cases occur within the first year after transplant , during the period of intensive T-cell immunosuppression. Management involves reducing the immunosuppressive regimen and starting specific treatments.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Pediatric Education

JANUARY 26, 2025

” Sinusitis requires radiological imaging to diagnose but unfortunately there is huge overlap of radiological sinus changes that are not due to sinusitis itself. What radiological studies would you order for possible complications of acute bacterial sinusitis? Most patients will improve in 3 days.

Radiology 40

Radiology Radiology Pediatrics Infectious Diseases 40