Don't Forget the Bubbles

JULY 1, 2025

We suggest that this list can help you discover relevant or interesting articles for your local journal club or keep you up to date on the latest paediatric research. Accuracy and outcomes of endoscopic ultrasound guided anal botulinum toxin injections for pediatric constipation: A pilot study. Tietbohl CK, et al. Pediatrics.

Pediatrics

ACEP Now

JUNE 25, 2025

These skills translate well to the field of aerospace medicine, where medical personnel aboard aircraft or in space, as well as ground-based consultants, are limited by the medical equipment at hand and the possibility of delayed communication with specialists. The ability to adapt and integrate into a team is essential.

Emergency Department

RebelEM

JANUARY 25, 2024

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial. PoCUS evaluations included lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS).

Ultrasounds

Medagadget

SEPTEMBER 14, 2023

Researchers at the Harvard Wyss Institute have developed a technique that lets clinicians to characterize and monitor melanoma. The Simoa method involves capturing these molecules using an antibody attached to a magnetic bead, which allows the researchers to use magnets to separate and isolate the molecules for ultimate detection.

Research

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. How can this situation be rectified or has the use of ultrasound rendered this blind subclavian “trauma line” a thing of the past? One approach to obtaining BCV origin access (fig.1)

Ultrasounds

Taming the SRU

APRIL 14, 2024

You may place cold packs or ice packs to the hernia site to help reduce inflammation and swelling, as well as to assist in local analgesia. Symptoms include persistent tenderness in the area, as well as symptoms of obstruction including nausea, vomiting, and pain, despite reduction. (2) 1) In a study performed by Chen et al.

Ultrasounds

The Trauma Pro

OCTOBER 4, 2024

Clinical outcomes assessed at 60 days included an unplanned return to the emergency department (ED), re-admission, complications, and development of new bleeding confirmed by surgery, ultrasound, or computed tomography (CT) at 60 days post-injury. ” This means they probably did not. If not, then we still don’t know the answer.

Pediatrics

Taming the SRU

NOVEMBER 3, 2023

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. Ultrasound Med. The thought with introducing the serratus anterior plane block was that regional anesthesia is well within the purview of EM physicians and can offer a safe alternative to systemic pain medications.

Fractures

The Skeptics' Guide to EM

APRIL 20, 2024

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. It did not perform as well which is not unusual for a clinical decision instrument [5].

Fractures

Medagadget

JUNE 8, 2023

Researchers at the Ohio State University Wexner Medical Center have developed a medical device that is intended to improve patient safety during cardiac ablation procedures to treat atrial fibrillation (AFib). However, the esophagus lies pretty close as well, often just a couple of millimeters away.

Research

Ultrasound Gel

MAY 9, 2022

They discuss Felipe's take on our coverage of the Quantitative LV Function in PEA article (ep 119) as well as thoughts on ultrasound and cardiac arrest research in general. link] In the first of our new series of author interviews, hosts Zach Risler and Mike Prats interview the illustrious Felipe Teran.

Ultrasounds

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. The researchers should have specified a clear research question or aim. How well a patient can use their arm matters greatly to the patient!

Research

Taming the SRU

OCTOBER 16, 2024

Pregnant patients are inherently higher risk for VTE, and because of this are excluded from normal clinical decision tools like Wells Criteria that would normally be able to help guidance our clinical decisions. Ultrasound can be used to support the diagnosis by identifying anechoic or hypoechoic fluid within the flexor tendon sheath.

Airway Management

Don't Forget the Bubbles

AUGUST 28, 2023

Ultrasound can be used to identify any large pleural effusions. Management must be multidisciplinary involving anaesthetics, paediatric retrieval service/paediatric intensive care, ENT and oncology teams (as well as the cardiothoracic surgery team – not always available). The median age at diagnosis was 47 months (range 1-173 months).

Pediatrics

Taming the SRU

AUGUST 7, 2023

The patient needs a transvaginal ultrasound w/ doppler with gynecology consult and possible laparotomy TVUS is not just for torsion, it can also be used for ectopic pregnancies or pregnancy of unknown location Acute Ischemic Stroke Updates WITH Drs. Research Grand rounds WITH Drs.

Stroke

Don't Forget the Bubbles

NOVEMBER 8, 2023

Tilly is normally fit and well, with no significant past medical history. The Shera Score Children with a low Shera score (less than 3) who are otherwise systemically well may be suitable for discharge home with safety netting advice , whereas patients with high scores (8 or more) warrant immediate surgical referral. Acad Emerg Med.

Emergency Department

Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Dislocations

ACEP Now

AUGUST 22, 2023

While “low-risk” chest pain is more easily described using scoring systems, undifferentiated abdominal pain is less well-defined. However, unlike with chest pain, there are far fewer industry partners performing research tied to marketing new imaging technology or diagnostic assays.

Emergency Department

RebelEM

AUGUST 31, 2023

CVC placement under ultrasound guidance has decreased overall complication rates and there is increased awareness of transfusion reactions, alloimmunization, acute lung injury, circulatory overload, as well as infection. Despite being common practice, the necessity of routine prophylactic transfusions is now being called into question.

Ultrasounds

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Do your research, and always be safe. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures.

Fractures

ACEP Now

AUGUST 29, 2023

Ohio ACEP Presidents, Past ABEM President, and Past ACEP Research Forum Director). We have an Addiction Medicine fellowship, and the sponsoring institution (MetroHealth) has a fellowship in Clinical Informatics; these are in addition to our current, long-standing ultrasound and EMS fellowships.

Academics

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Over some time and the pain moved into her other arm as well as her jaw. The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram.

EKG/ECG

PulmCCM

APRIL 1, 2024

Any longer-term benefits remain unknown, due to a paucity of research. That could (and should) change if improved functional outcomes, persisting for months after hospital discharge, are ever confirmed in large, well-conducted trials. per 1000 catheters, vs 18 per 1000 without ultrasound–a 45-fold difference in risk.

Ultrasounds

RebelEM

FEBRUARY 12, 2024

Research from our very own SIUH department of radiology recommended that contrast-enhanced CT scans can safely exclude obstructive urolithiasis just as well as noncontrast CTs. In younger patients, these diagnoses are quite rare and especially so in a stable patient so one would be a minimal benefit in CT scan use.

Radiology

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is interested in ultrasound and international emergency medicine. Case: It’s a busy night in the emergency department, your next patient is a well appearing 70-year-old man, presenting after a mechanical fall from standing with loss of consciousness. The CCHR is the most researched CDR in mTBI [3] and ha.

Head Injuries

SheMD

APRIL 28, 2023

Well, infertility is no exception and recent and current data is clearly showing that this is a growing global health issue that affects men and women regardless of ethnicity, social and economic class and geographic location. This report released on April 4, 2023 stated that approximately 17.5%

Ultrasounds

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina.

EKG/ECG

PulmCCM

SEPTEMBER 13, 2021

While more detailed analyses are available for the keen reader [1-3], this brief approach will consider a simplified model first proposed well over a century ago. Circulation research 1980, 46(3):363-372. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound.

Burns

Pediatric Emergency Playbook

DECEMBER 1, 2016

If the otherwise healthy child one month and older is: Euvolemic Not hypoxic Well appearing He can likely go home. Ultrasound Not ready for prime time. Factors that are predictive of a definite infiltrate are: significant hypoxia ( 39°C). Two small studies, one by Caiulo et al in the European J or Pediatrics and one by Basile et al.

Pediatrics

Pediatric EM Morsels

SEPTEMBER 20, 2024

Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. E.coli 0157:H7 may lead to HUS in young children ( ~15% ).

Pediatrics

Dr. Smith's ECG Blog

AUGUST 9, 2024

However the patient continued to have chest pain and bedside ultrasound showed hypokinesis of the septum with significantly reduced LVEF. The LCx and OM vessels are not as well visualized. Circulation Research , 56 (2), 184–194. Fortunately the patient was then taken for angiography. & Lukas, A. link] Fesmire, F.

EKG/ECG

Taming the SRU

OCTOBER 1, 2023

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world.

Fractures

PulmCCM

JUNE 26, 2023

Read in WSJ Less can be more in cancer treatment , according to new research presented at the American Society of Clinical Oncology conference in Chicago. Cervical and pancreatic cancer patients often do as well with less invasive surgery, and some patients with rectal cancer or Hodgkin lymphoma can safely get less radiation.

Outcomes

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. Demographics were well balanced in the two groups. Patients were actively screened for DVT (all received lower extremity ultrasound on or around day 7). Article: PATCH-Trauma Investigators and ANZICS Clinical Trial Group. Prehospital Tranexamic Acid for Severe Trauma.

Blood Transfusions

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. 1 Similarly, if a patient is at high risk for fungal infection, then empiric antifungals should be administered as well (Table 4).

Sepsis

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The National Academy of Sciences – National Research Council (the Federal Government's official science and medicine advisor, in 1966 produced a landmark paper: "Accidental Death and Disability: The Neglected Disease of Modern Society." 1950s & 1960s Resuscitation Research. Increasing public usage of EDs for care.

Emergency Nursing

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

All went well. Keep your ultrasound handy. Journal of clinical and diagnostic research: JCDR, 8(10), FC05. Not in the textbook, but it worked. Usually, in the ED, the simple and great goal is to get the parturient upstairs to OB-GYN, if you have one, as soon as possible. de Boisblanc, B., & Suresh, M. Emergency, 129, 80-1.

OB/GYN