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

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. J Arthroplasty. 2019 Feb;34(2S):S187-S195.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EM Ottawa

JUNE 20, 2024

This case report demonstrates the utility of point-of-care ultrasound (POCUS) to identify complicated gallbladder disease. In this case, the patient presented with abdominal pain and a known history of cholelithiasis.

Radiology 71

Radiology Radiology Ultrasounds Infectious Diseases 71

EMDocs

NOVEMBER 4, 2023

An ultrasound of the testes reveals the following: What is the diagnosis? Clinical Infectious Disease. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. Published 2008 Sep 19. Cureus 12(7): e8991. doi:10.7759/cureus.8991

EMS 87

EMS Ultrasounds Emergency Department Infectious Diseases 87

EM Curious

JULY 22, 2015

ULTRASOUND CASE OF THE WEEK [BLOG]: A 38 year old male presents from jail with the pathology seen below. Find out here at Ultrasound Of The Week. Excellent teaching videos from George Kovacs. Check you his Youtube page for more content. Which nerve block will facilitate drainage? Read on here at Rebel EM.

Infectious Diseases 52

Infectious Diseases EMS Ultrasounds Emergency Department 52

ACEP Now

JANUARY 12, 2024

7 Postvoid residual urine volume and levels of prostate-specific antigen are useful for diagnostic purposes, as well as possible CT scan or ultrasound to evaluate for an enlarged and inflamed prostate. 2,10 In the case described, a postvoid residual ultrasound showed that the patient was retaining approximately 700 mL of urine.

Infectious Diseases 52

Infectious Diseases Ultrasounds Wellness Hospitals 52

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Maintenance should be performed on any equipment before using in the delivery of patient care, this includes autoclaves, suction lines, ultrasounds, radiology equipment, etc. Sterilized instruments that have become compromised should be cleaned, repackaged and sterilized again. Perform spore testing on autoclaves prior to use.

Hazardous Materials 59

Hazardous Materials Infectious Diseases PPE Shock 59

The Skeptics' Guide to EM

MARCH 4, 2018

With point of care ultrasound, you diagnose cellulitis without the presence of an abscess affecting a 6cm diameter area. Case: A 22-year-old male with no significant past medical history arrives to your department for an area of tender erythema to the right forearm for two days that has grown in size without purulence or drainage.

Infectious Diseases 40

Infectious Diseases Documentation/Coding Ultrasounds Outcomes 40

PulmCCM

JULY 10, 2023

Central venous catheterization (CVC or central lines), when placed with ultrasound guidance, have a low rate of severe bleeding complications, even in patients with significant thrombocytopenia. Read in Read in Clinical Infectious Diseases

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

ACEP Now

MAY 4, 2023

Diagnosis: Complex Hydrocele (Pyocele) The testicular ultrasound revealed a small left complex hydrocele suspicious for pyocele. There were no rashes, discharge, or palpable inguinal hernias. The testicle did not appear to be malpositioned. Left testicle trans upper-lower scan image. Click to enlarge.)

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

EMDocs

JANUARY 11, 2024

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. Individual topics were organized by organ system, with small groups addressing each system.

Seizures 94

Seizures Shock Infectious Diseases CPR 94

Pediatric EM Morsels

SEPTEMBER 20, 2024

Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D. Clin Pediatr (Phila).

Pediatrics 164

Pediatrics Ultrasounds Dehydration Emergency Department 164

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. This study suggests that ultrasound reduces these incidents. Annals of Emergency Medicine.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

JULY 15, 2023

A lower extremity radiograph does not reveal any gas formation and an ultrasound of the lower extremity is negative for DVT or cobblestoning, WBC is within normal limits and there are mild elevations in ESR and CRP. Infectious Diseases Society of America. No fungal infections are identified on the feet. pneumoniae , S.

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

EMDocs

DECEMBER 18, 2023

Furthermore, since the 2021 guidelines, multiple RCTs have shown that utilizing IVC respiratory variation, assessed by bedside ultrasound, as a guide to fluid resuscitation can result in less fluid administered. The Infectious Diseases Society of America (IDSA) guidelines provide the most up-to-date guidance on appropriate agent choice.

Sepsis 83

Sepsis Fluid Resuscitation Shock Resuscitation 83

EMDocs

JANUARY 6, 2024

A bedside cardiac ultrasound is performed which shows biventricular failure with a dilated inferior vena cava. 13 Data demonstrate that early consultation with an infectious disease in cases of suspected infection carries mortality benefit. What is most likely the cause for his symptoms? Clin Transplant. 1999;13(3):260-265.

EMS 80

EMS Infectious Diseases Shock Emergency Department 80

EB Medicine

JANUARY 2, 2019

So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound. Nachi: Definitely concerning, but this is all the more reason you need to employ our favorite imaging modality… the ultrasound. For a threatened abortion, the os would be closed with an IUP seen on ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

PEMBlog

JULY 10, 2024

Think about congenital syphilis in your little ones presenting like biliary atresia, who have a normal gallbladder treon ultrasound. Late congenital syphilis in children older than two can present with more severe features that are frequently tested on boards.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

PEMBlog

JANUARY 17, 2024

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

Infectious Diseases 59

Infectious Diseases Sepsis Wellness Pediatrics 59

Pediatric EM Morsels

SEPTEMBER 6, 2024

Kikuchi-Fujimoto Disease: Basics Non-malignant condition of lymph nodes Also known as Histiocytic Necrotizing Lymphadenitis [Perry 2018, Selvanathan 2020, Fusconi 2023, Boone 2023] First described in 1972 by Kikuchi and Fujimoto independently [Perry 2018, Boone 2023] Seen worldwide, but higher prevalence in Japanese and other Asian populations [Perry (..)

Pediatrics 154

Pediatrics Ultrasounds EMS Infectious Diseases 154

Pediatric Education

NOVEMBER 19, 2023

Such routine maternal screening and treatment does or may include glucose tolerance tests, ultrasound examinations, screenings for maternal blood type (with appropriate administration of Rho(D) immunoglobulin if appropriate), Hepatitis B, Neisseria gonorrhea, Chlamydia, Cytomegalovirus, Syphilis, Rubella, and Group B Streptococcal infection.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Mind The Bleep

JANUARY 24, 2025

Doppler Ultrasound: Non-invasive assessment of blood flow. Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections. Look for signs of bone injury that may be associated with arterial and nerve damage. UK Health Security Agency. Online].

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

Pediatric Education

NOVEMBER 10, 2024

Consequently in addition to the routine testing that occurs with this type of delivery, it was decided to also include TORCH titers, an eye examination and head ultrasound for a potential congenital infection especially toxoplasmosis; all of which were normal. He had slow feeding during his stay and eventually left the NICU at day 7.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

EM Ottawa

DECEMBER 12, 2024

A 59-year-old man presented to a community Emergency Department with a one-month history of subjective fevers and dyspnea. Due to COVID-19 restrictions, he had only consulted a physician via telephone, during which he was prescribed two courses of antibiotics for presumed pneumonia. Despite treatment, his symptoms persisted.

Emergency Department 61

Emergency Department Infectious Diseases Ultrasounds 61

Don't Forget the Bubbles

SEPTEMBER 23, 2024

An ultrasound scan of the graft is usually sufficient to rule out these complications. Creatinine is the primary biochemical marker for assessing renal function. Various equations have been developed to estimate renal function using the Glomerular Filtration Rate (GFR) for different patient groups, including children and adults.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52