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 138

Fractures Ultrasounds Pediatrics Outcomes 138

Mount Sinai EM

AUGUST 6, 2023

Also, read this guide on how to practice ultrasound guided intravenous lines Sabrina Rodera Zorita Once the gelatin is firm, remove the pipes and transfer the model to a new container with water Try it, it’s very simple and cheap. See how it works!

Ultrasounds 130

Ultrasounds 130

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

EMCrit

SEPTEMBER 6, 2024

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

Ultrasounds 123

Ultrasounds 123

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.

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Ultrasounds Fractures 113

Taming the SRU

FEBRUARY 14, 2024

IMAGING WITH ULTRASOUND Peritonsillar abscess is one of the most common deep space infections of the head and neck contributing significantly to health care costs in the United States. The use of point of care ultrasound for diagnosis and guidance of treatment may be an adequate alternative to obtaining CT imaging. 2012;147(3):472-474.

Ultrasounds 97

Ultrasounds Emergency Department Wellness 97

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

EM Ottawa

MARCH 27, 2025

TheOttawa DVT PoCUS Handbookis a peer-reviewed, practical guide designed to support emergency clinicians in the bedside diagnosis of deep vein thrombosis using point-of-care ultrasound (PoCUS).

Ultrasounds 87

Ultrasounds Hospitals 87

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 98

Ultrasounds Radiology Radiology Operations 98

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 98

Ultrasounds Operations Radiology Radiology 98

Core Ultrasound

DECEMBER 5, 2024

Unlock the foundational skills you need to perform ultrasound-guided nerve blocks in this detailed tutorial! Courses The post Mastering Ultrasound-Guided Nerve Blocks Basics first appeared on Core Ultrasound.

Ultrasounds 40

Ultrasounds 40

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

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 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

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 98

Ultrasounds Emergency Department 98

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

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 97

Ultrasounds Emergency Department 97

EMCrit

JANUARY 27, 2024

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

Ultrasounds 118

Ultrasounds 118

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 79

Ultrasounds Sepsis Radiology Radiology 79

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

Northwestern EM Blog

MARCH 27, 2025

For those new to the probe, we recommend first reviewing the basics in the incredible FOAMed Introduction to Bedside Ultrasound Book , 5 Minute Sono , and POCUS Atlas. Understanding the ultrasound image in relation to your probe is fundamental to any ultrasound procedure! Then holding the ultrasound still when moving the needle.

Ultrasounds 52

Ultrasounds Dehydration Academics Hospitals 52

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 284

Ultrasounds Pediatrics Operations EMS 284

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

EMDocs

NOVEMBER 13, 2024

Ultrasound can assist: confirm ascites, evaluate for best site, abdominal wall thickness, blood vessels along needle track. Safety of ultrasound-guided thoracentesis in patients with abnormal preprocedural coagulation parameters. Paracentesis is a safe procedure with a low complication rate (< 1%). 2013;144:456–463. Am J Emerg Med.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

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

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 129

Ultrasounds Outcomes COPD Hospitals 129

RebelEM

FEBRUARY 24, 2025

Regarding caval indexes, the advent of artificial intelligence and advanced learning has become integrated into many ultrasound machines. Ultrasound Med Biol. As with most things in medicine, it is important to understand the pitfalls. Most measurements are somewhere around the hepatic confluence. May 2014; PMID: 24495437.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

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

Core Ultrasound

DECEMBER 30, 2024

In part two of this series on using ultrasound during cardiac arrest, we dive into advanced strategies to further optimize your resuscitation care. Building on the foundation from part one, this video focuses on actionable tips to take your ultrasound skills to the next level during cardiac arrest scenarios.

Ultrasounds 40

Ultrasounds Resuscitation 40

EB Medicine

MARCH 12, 2025

Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necessity Imaging Modalities for Knee Effusion (..)

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

Core Ultrasound

DECEMBER 17, 2024

Ultrasound is a powerful tool that can significantly enhance patient care during cardiac arrest. In Part 1 of this lecture, we break down how ultrasound can be effectively utilized in three key areas: identifying reversible causes, assisting in critical procedures, and guiding resuscitation.

Ultrasounds 40

Ultrasounds Resuscitation 40

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 144

Ultrasounds EMS 144

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