Pediatric Education

FEBRUARY 4, 2024

A right-sided suprarenal mass had been identified on routine ultrasound during the third trimester that was thought to likely be an adrenal hemorrhage. The radiologic evaluation of an ultrasound examination showed a small hypoechoic mass in the area of right adrenal gland that was smaller than previously recorded prenatally.

Ultrasounds 52

Ultrasounds Radiology Radiology Pediatrics 52

RebelEM

JUNE 26, 2023

Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. However, mortality still remains high due to trauma-induced coagulopathy. Severe acute traumatic coagulopathy = PT >1.5

Administration 145

Administration Outcomes Resuscitation Radiology 145

The Skeptics' Guide to EM

DECEMBER 28, 2019

He is also the Chief for the Section of Emergency Ultrasound and […] The post SGEM Xtra: Come Together, Right Now – Over Renal Colic first appeared on The Skeptics Guide to Emergency Medicine. He is also the Chief for the Section of Emergency Ultrasound and Director of the Emergency Ultrasound Fellowship. NEJM 2014 ).

Radiology 40

Radiology Radiology Ultrasounds Emergency Department 40

Mind The Bleep

AUGUST 5, 2023

Example of pneumoperitoneum following perforated NEC Other Investigations Blood tests and abdominal ultrasound. Abdominal ultrasound may show bowel wall thickening, altered vascular state and free fluid. One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study. Below is a simplified version.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Pediatric Education

AUGUST 4, 2024

” Imaging may include ultrasound, computed tomography or magnetic resonance imaging depending on the patient age and circumstances. What are common neonatal brachial plexus injuries and what are their outcomes? MRI is often used as it can evaluate soft tissue, bone, neural and vascular structures.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Taming the SRU

OCTOBER 1, 2023

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. doi:10.1148/radiology.144.4.7111716 The "lung point": an ultrasound sign specific to pneumothorax. AJR Am J Roentgenol. 1995;165(5):1127-1130.

Fractures 95

Fractures COPD Hospitals Emergency Department 95

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?

CPR 89

CPR Burns Airway Management Wellness 89

EMDocs

JUNE 22, 2023

The radiology tech has his hand on a weak femoral pulse. Have you done an ultrasound yet?” This guy is an ultrasound guru. After this experience, I realized some crucial factors that contributed to this patient’s outcome: (1) Know your resources. No other injuries. It’s still present. The respiratory therapist is bagging.

Resuscitation 96

Resuscitation Ultrasounds Critical Access Documentation/Coding 96

EMDocs

FEBRUARY 26, 2024

4 Early diagnosis is key to allow for early treatment to improve outcomes. 15 Diagnostic considerations Timely diagnosis of PJP is absolutely essential for effective management and improved disease outcomes. Pneumocystis pneumonia in patients with HIV infection: clinical manifestations, laboratory findings, and radiological features.

Radiology 87

Radiology Radiology Outcomes Ultrasounds 87

Taming the SRU

SEPTEMBER 8, 2023

Prognosis of acute severe autoimmune hepatitis (as-AIH): The role of corticosteroids in modifying outcome.” Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari Syndrome: Systematic Review and meta-analysis.” The British Journal of Radiology, vol. Hepatology, vol. 2, 2013, pp. 612–621, [link] Yeoman, Andrew D.,

Radiology 59

Radiology Radiology Ultrasounds EMS 59

EMDocs

MAY 11, 2024

Brainstem stroke: anatomy, clinical and radiological findings. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Locked-in syndrome. doi: 10.1053/j.sult.2013.01.004. 2013.01.004. PMID: 23522778.] Brainstem Stroke.

Stroke 88

Stroke EMS EKG/ECG Radiology 88

Dr. Smith's ECG Blog

JUNE 27, 2021

A chest X-ray was obtained: This was read by radiology as "Bilateral lower lobe interstitial opacities. A bedside ultrasound was done, with dozens of clips, and was even done with Speckle Tracking. We should not have been fooled by the radiology reading of "pneumonia". The initial troponin I returned at 0.67

EKG/ECG 52

EKG/ECG Radiology Radiology Ultrasounds 52

ACEP Now

SEPTEMBER 3, 2024

These stakeholders are similarly shielded in court when adverse patient outcomes, such as negligent deaths, occur under their management or when the bought-out companies are challenged for anticompetitive business practices overseen by the PE firm. Her primary interests are in ultrasound, machine learning, and health justice.

Hospitals 69

Hospitals Radiology Radiology Administration 69

RebelEM

JANUARY 25, 2023

2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 Small bowel obstruction: Outcome and cost implications of admitting service. Radiology US 90% 96% 14.1

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Taming the SRU

MAY 22, 2023

Certain injuries carry risks of further injury, injury-related complications, and poor outcomes which are exacerbated if they are inappropriately managed in the ED. Point-of-care ultrasound (POCUS) can evaluate for Achilles tendon rupture with a high sensitivity (96-100%) and specificity (83-100%) [8,9]. MRI can be used in place of CT.

Fractures 76

Fractures Dislocations Operations Radiology 76

EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Diagnosis of appendicitis, in a pregnant patient, ultrasound vs. mri. Jeff: Next we have everybody’s favorite, the ultrasound. Sounds familiar. Jeff: We sure did!

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

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

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.

Ultrasounds 69

Ultrasounds Radiology Radiology Emergency Department 69

Don't Forget the Bubbles

MARCH 4, 2024

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes. Emerg Med J. 2024 Jan 22;41(2):76-82. PMID: 38123983.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Don't Forget the Bubbles

FEBRUARY 7, 2024

This week, NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) produced a much-anticipated report on how we manage acute testicular torsion in young people. What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. Sharma, A.P.,

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EB Medicine

JULY 8, 2019

Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider CMV, EBV and BK-polyoma virus infections: Patients are often on prophylaxis for a variable length of time, with differing outcomes. An ultrasound scan of the graft is usually sufficient to rule out these complications. Diagnosis is based on Epstein–Barr virus (EBV) in the blood, radiologic findings, and biopsy results.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Downeast Emergency Medicine

MARCH 13, 2022

rebound tenderness), getting an EKG if you have a high suspicion for cardiac involvement, or using ultrasound to assess for free fluid. Abdominal ultrasound: Complete a bedside abdominal aortic ultrasound if the patient has risk factors, or a FAST exam if a ruptured ectopic pregnancy is suspected. Radiology , RSNA, 1 Oct.

Ultrasounds 52

Ultrasounds EKG/ECG Radiology Radiology 52

EMDocs

JUNE 21, 2023

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. If thinking TA, share your concern with radiology, which improves sensitivity. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? Based on the data, a normal x-ray couldn’t rule it out.

Soft Tissue Injuries 68

Soft Tissue Injuries Fractures Dislocations Radiology 68

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Generally 1500 is used as the cutoff.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 86

Stroke Radiology Radiology Emergency Department 86

EB Medicine

FEBRUARY 1, 2019

Let’s talk radiology. Anyway, the last test to discuss is our good friend the ultrasound, specifically the ocular ultrasound. Nachi: In addition, nimodipine, 60 mg q4h, should be given to those with aneurysmal SAH to improve outcomes. Nimodipine should be administered to those with aneurysmal SAH to improve outcomes.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40