Don't Forget the Bubbles

NOVEMBER 8, 2023

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]. Pediatrics, 2012. European Journal of Pediatrics, 1996. Bachur, R.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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 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? 2004;14:168.

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Pediatrics Ultrasounds Radiology Radiology 52

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

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? Many patients in the ultrasound groups did get additional imaging, but this was not the majority. How do you proceed? In this study, 40.7%

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Ultrasounds Radiology Radiology Outcomes 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?

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CPR Burns Airway Management Wellness 90

Pediatric Education

AUGUST 4, 2024

” Imaging may include ultrasound, computed tomography or magnetic resonance imaging depending on the patient age and circumstances. Pediatr Radiol. Surgical treatment of thoracic outlet syndrome in pediatrics. Journal of Pediatric Surgery. D’Alessandro, MD Professor of Pediatrics, University of Iowa

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Pediatric Education

APRIL 30, 2023

Other imaging (often ultrasound) may be used depending on patient clinical status, imaging availability and timing. How is pediatric stroke different than perinatal stroke? Pediatr Neurol. Semin Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa A review can be found here 3.

Stroke 52

Stroke Seizures Pediatrics Hyperthermia / Hypothermia 52

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. Pediatr Clin North Am 1996; 43:409. Below is a simplified version. Pneumoperitoneum.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5 hours earlier and went to OR 3.5 mg/mL) single-dose 2*-mL ampule or equivalent, 2 Lidocaine injection, 20-mg/mL single-dose 5-mL ampule or equivalent, 2 Nitroglycerin, 0.4-mg

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. Massive transfusion and blood product use in the pediatric trauma patient. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Pediatric Emergency Playbook

JUNE 1, 2017

J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Cardiovasculr Ultrasound. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. Correctable Cause of Dilated Cardiomyopathy in an Infant with Heart Failure: ALCAPA Syndrome. 2017; 15:47-50. Hastings RS et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital. Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives. EM makes a strong push into bedside use of ultrasound sonography. EDNA->ENA.

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Emergency Nursing EMS Resuscitation Military 40

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

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. Mansuria S.M, Donnellan N.M

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

FEBRUARY 7, 2024

What is the role of ultrasound? Whilst we all love to wield the ultrasound probe, its use in diagnosing torsion remains controversial. This means that Doppler ultrasound can give both false negatives (they had a torsion, but it is not seen in the US) and false positive results (identified as having a torsion when they do not have it).

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Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

SEPTEMBER 20, 2023

The interpretation of radiological findings is subjective. Pediatric Abdominal X-rays in the Acute Care Setting – Are We Overdiagnosing Constipation? Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation? Pediatric abdominal radiograph use, constipation, and significant misdiagnoses.

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Pediatrics Emergency Department Radiology Radiology 133

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. 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. This study suggests that ultrasound reduces these incidents. doi:10.1001/jama.2024.0179

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Hospitals Sepsis Fractures Emergency Department 78

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

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Pediatrics Emergency Department Hospitals Ultrasounds 123

EMDocs

JUNE 21, 2023

If thinking TA, share your concern with radiology, which improves sensitivity. In pediatrics- consult orthopedics. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. Based on the data, a normal x-ray couldn’t rule it out.

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Soft Tissue Injuries Fractures Dislocations Radiology 90

Don't Forget the Bubbles

SEPTEMBER 23, 2024

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. BK virus infection, replication, and diseases in pediatric kidney transplantation. Pediatric nephrology , 22 (9), pp.1243-1250.

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Pediatrics Fractures Dehydration Sepsis 52