ACEP Now

MAY 10, 2024

The innervation of the knee is complex, but much of its sensory innervation is supplied by the genicular nerves, which are easy targets for ultrasound-guided nerve blocks. Step 2 Place the ultrasound system contralateral to the affected knee so that you have a clear line of sight of the ultrasound screen when performing the block.

Ultrasounds 92

Ultrasounds Emergency Department Hospitals Wellness 92

ALiEM

AUGUST 9, 2023

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). Identify anatomical landmarks on ultrasound (Figure 3, Video 1).

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Operations 98

The Trauma Pro

JANUARY 8, 2024

They advise that the chest ultrasound should be used alone with caution. References: Lung ultrasound underdiagnoses clinically significant pneumothorax. Bottom line: This is an interesting and relatively large study. However, it is at odds with a paper published in 2021 from George Washington University. false negative rate.

Ultrasounds 113

Ultrasounds Fractures 113

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Casey currently splits his time […] The post SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures first appeared on The Skeptics Guide to Emergency Medicine. or there is a portable bedside ultrasound machine in the next room ready to go. He is also a fully-fledged ultrasonographer. Reference: Snelling et al.

Fractures 122

Fractures Ultrasounds Pediatrics Outcomes 122

PulmCCM

MAY 10, 2024

Acute cholecystitis on ultrasound. Image by James Heilman, MD - Own work, CC BY-SA 3.0, [link] The diagnosis of cholecystitis can be made quickly and accurately in the emergency department using point-of-care ultrasound, according to a new meta-analysis.

Ultrasounds 98

Ultrasounds Radiology Radiology Emergency Department 98

ALiEM

APRIL 12, 2023

You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin. Note that some ultrasound manufacturers do not recommend the use of isopropyl alcohol on their transducers.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

EMCrit

SEPTEMBER 6, 2024

Learn about how to use ultrasound during cardiac arrest EMCrit Project by Scott Weingart, MD FCCM.

Ultrasounds 114

Ultrasounds 114

Life in the Fast Lane

NOVEMBER 19, 2023

Casey Parker and James Rippey Ultrasound Case 111 A 45 year old woman with chronic alcoholic liver disease presents to the ED with exertional dyspnoea and is noted to have a SpO2 of 90% at rest despite having a normal chest examination and CXR.

Ultrasounds 85

Ultrasounds 85

EMDocs

MARCH 25, 2024

1 A biliary point-of-care ultrasound (POCUS) is the fastest and most accurate way to assess for biliary pathology, but it can be difficult to locate the gallbladder, as it is not a fixed organ. Ultrasound. Emergency physician-performed ultrasound to diagnose cholelithiasis: a systematic review. 4 Benefits of Biliary POCUS?

Ultrasounds 87

Ultrasounds Radiology Radiology Operations 87

Critical Care North Hampton

JANUARY 25, 2024

Many thanks to Dr Manoj Wickramsinghe for his review of this fabulous POCUS textbook. He is a trainee in Anaesthesia and ICM, based in Leeds, and one of the CCN editorial team. About the book authors Editors; Hatem Soliman-Aboumarie, Marcelo Haertel Miglioranza, Luna Gargani, Giovanni Volpicelli. The authors and editors of this book include some.

Ultrasounds 140

Ultrasounds 140

Medagadget

JUNE 28, 2023

Researchers at the University of Connecticut have developed an ultrasound implant that can assist in opening the blood brain barrier to allow chemotherapy to enter and treat brain cancer. The researchers combined this with biodegradable polymers to create the ultrasound implant, which can be seen in the image above.

Ultrasounds 86

Ultrasounds Research 86

Taming the SRU

OCTOBER 23, 2023

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Laboratory evaluation reveals a hemoglobin and hematocrit of 12.6/37.1

Ultrasounds 97

Ultrasounds Operations Radiology Radiology 97

Pediatric EM Morsels

MAY 10, 2024

Ultrasound diagnosis of occult pneumothorax. The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Ultrasound J. Pediatr Clin North Am. 2010 Dec;57(6):1221-34. PMID: 21111115. Crit Care Med. 2005 Jun;33(6):1231-8. PMID: 15942336. link] Hanson MG, Chan B.

EKG/ECG 268

EKG/ECG Pediatrics Ultrasounds Seizures 268

ALiEM

MAY 13, 2024

Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1. Linear ultrasound transducer Probe Use a linear, high-frequency transducer. Describe the limitations of soft tissue POCUS.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

EMCrit

JANUARY 27, 2024

a ton of hemodynamic stuff. EMCrit Project by Scott Weingart, MD FCCM.

Ultrasounds 109

Ultrasounds 109

ALiEM

MARCH 7, 2024

Given her pain with a history of intermittent hematuria and dysuria, you perform a renal and bladder point of care ultrasound (POCUS) examination. Pre-warmed ultrasound gel is helpful when available. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Medagadget

AUGUST 22, 2023

Researchers at MIT have developed a wearable ultrasound system that is intended to allow women at high risk of breast cancer to perform an ultrasound scan on themselves at home, and may also let patients with early-stage malignancy or suspicious lesions to monitor how they are progressing.

Ultrasounds 75

Ultrasounds Research Radiology Radiology 75

Taming the SRU

JULY 24, 2023

A bedside right upper quadrant ultrasound was performed, and the images are below. The presence of gallstones outside of the gallbladder wall, striated appearance of the gallbladder wall, and adjacent fluid collections, abscesses or fistulas are other findings that could be seen on ultrasound (5, 8). 2018;34(2):132-136.

Ultrasounds 77

Ultrasounds Sepsis Radiology Radiology 77

Emergency Medicine Journal

JANUARY 21, 2025

A point-of-care ultrasound (POCUS) was performed to evaluate for the presence of an FB using a high frequency (6–13 MHz) linear array ultrasound (US) transducer. There is a small 2–3 mm wound inferolateral to the right knee with very mild associated erythema, no active bleeding or swelling and no palpable FB ( figure 2 ).

Ultrasounds 52

Ultrasounds Wellness 52

St. Emlyn

AUGUST 23, 2023

St.Emlyn's - Emergency Medicine #FOAMed Part 1 of an introduction to paediatric ultrasound in the emergency department from Dr Pete Hulme @Dr_Pete_EmMed @stemlyns #FOAMed The post Paediatric Point of care ultrasound: Big Kids playing with toys or the future of Paediatric emergency medicine?

Ultrasounds 89

Ultrasounds Emergency Department 89

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana.

Ultrasounds 281

Ultrasounds Pediatrics Operations EMS 281

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 127

Ultrasounds Outcomes COPD Hospitals 127

PulmCCM

SEPTEMBER 4, 2024

Kenny MD [ @heart_lung ] Since its first description [1], the Venous Excess Ultrasound Score [VExUS] has received much research attention. Subsequently in the late 1970s, Sivaciyan and Ranganathan [9] confirmed these findings with Doppler ultrasound of the IJV. The ultrasound journal 12: 1-12 2. Jon-Emile S. Echocardiography 7.

Ultrasounds 84

Ultrasounds Operations Research Outcomes 84

The Trauma Pro

NOVEMBER 17, 2023

Ever been in a trauma activation where it seems like the first thing that happens is that someone steps up to the patient with the ultrasound probe in hand? Then pull out the ultrasound machine, but be quick about it. And then it takes 5 minutes of pushing and prodding to get the exam done? Well, it’s not supposed to be that way.

Resuscitation 214

Resuscitation Ultrasounds Hospitals Wellness 214

St. Emlyn

AUGUST 29, 2023

St.Emlyn's - Emergency Medicine #FOAMed Part 2 of our introduction to ultrasound use in the paediatric emergency department with @Dr_Pete_EmMed #USS @FOAMed #paediatrics The post Paediatric Point of care ultrasound: Big Kids playing with toys or the future of Paediatric emergency medicine?

Ultrasounds 73

Ultrasounds Emergency Department 73

Taming the SRU

OCTOBER 14, 2024

Ocular point-of-care-ultrasound (POCUS) was performed as seen below. Our patient underwent anterior orbitotomy, but there are case reports in the literature of ultrasound-guided drainage (4). In addition, there are studies that discuss missed cases of abscess on CT that were detected with use of ultrasound. Brzycki et al.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

University of Maryland Department of Emergency Med

NOVEMBER 19, 2023

Acute bronchiolitis (AB) is a common cause of respiratory tract infections in infants. A recent study looked at the application of Point-of-Car. Click to view the rest

Ultrasounds 74

Ultrasounds Pediatrics 74

ALiEM

OCTOBER 23, 2024

Ultrasound-guided procedures are difficult enough just identifying the anatomy. Performing a nerve block with the ultrasound in one hand and the needle in the other hand adds extra challenges. The simplest 1-person approach involves attaching a syringe with local anesthetic directly to the end of the procedural needle.

Ultrasounds 56

Ultrasounds Emergency Department 56

Pediatric EM Morsels

MARCH 1, 2024

Scrutinize that CXR for an Air-Fluid Level… and maybe use your Ultrasound to increase your sensitivity!! Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. A complicated primary lung abscess, may develop enough structural destruction that then allows for a secondary lung abscess to occur also. 2017.12.020.

Ultrasounds 169

Ultrasounds Pediatrics Operations Hospitals 169

EM Ottawa

OCTOBER 12, 2023

A flurry of tests later, my ultrasound showed good doppler flow, and my lab work was pristine. I was in the OR for the first day of my anesthesia rotation when suddenly the pain hit me. It was in my left flank, radiating to my back — so much pain I could hardly think.

Ultrasounds 141

Ultrasounds EMS 141

Mount Sinai EM

OCTOBER 10, 2024

Image Credit: POCUS Toronto Contraindications to Evaluation : Globe rupture The Evidence: A meta-analysis (Ohle et al., 2015) of 12 studies with 478 patients found a sensitivity of 96% and specificity of 92% for elevated ICP, as compared to CT.

Urgent Care 232

Urgent Care Ultrasounds 232

Mount Sinai EM

NOVEMBER 14, 2022

As Emergency medicine doctors, we rely on ultrasound for so many procedures (central venous access, pericardiocentesis, paracentesis, etc.), Tl;Dr < 5 minutes Ultrasound guided LP increases the rate of success while decreasing procedure time, passes with needle, and pain score Use Ultrasound to only identify anatomy.

Ultrasounds 130

Ultrasounds Wellness 130

Broome Docs

SEPTEMBER 9, 2023

In this episode we do a deep dive into the BUCKLED trial that looked at the use of bedside ultrasound vs. plain film X-rays for the initial investigation of paediatric forearm fractures. Bottom line: ultrasound appears to be non-inferior to X-ray when used as a first line investigation in terms of functional, patient-oriented outcomes.

Fractures 114

Fractures Ultrasounds Outcomes 114

Sensible Medicine

APRIL 24, 2024

Even MRI and ultrasound do not. Are the extra breast tumors found by MRI or ultrasound the kind that would otherwise kill you? The answer is: no one knows because proponents of MRI and ultrasound, whether in dense or regular breasts, are not conducting the appropriate studies to figure this out.

Ultrasounds 125

Ultrasounds Outcomes 125

PulmCCM

FEBRUARY 5, 2024

Ultrasound Is Upvoted The panel weakly suggested bedside ultrasound for patients with fever and an abnormal chest radiograph, but only if an expert is available to interpret the often complex or borderline results. Ultrasound can quickly and more accurately identify significant biliary disease (e.g.,

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

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) 2020;35(3):303-321.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

EM Ottawa

OCTOBER 7, 2024

Ultrasound J. Methodology: 2.5/5 5 Usefulness: 3.5/5d 5d Gaudreau-Simard M, et al. 2024 Feb 22;16(1):15. doi: 10.1186/s13089-023-00352-3. Question and Methods: The authors aimed to determine the test characteristics of point-of-care ultrasonography (POCUS) for detecting hydronephrosis in acute kidney injury.

Ultrasounds 104

Ultrasounds 104