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

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

Taming the SRU

JULY 24, 2023

A bedside right upper quadrant ultrasound was performed, and the images are below. Risk factors associated with increased risk of acute perforated cholecystitis include age greater than 65 years old, as well as diabetes mellitus, atherosclerosis, or organ failure (1, 2). The remainder of his exam was unremarkable.

Ultrasounds 78

Ultrasounds Sepsis Radiology Radiology 78

ACEP Now

FEBRUARY 11, 2024

The ultrasound-guided clavipectoral plane block (CPB) is a newly described technique in the emergency medicine literature. Ultrasound Survey Scan FIGURE 1A: Ultrasound probe should be placed at the clavicle with the probe marker facing cephalad (toward the head). FIGURE 1B: Ultrasound image with labeled relevant anatomy.

Ultrasounds 52

Ultrasounds Fractures Emergency Department Hospitals 52

Ultrasound Gel

MARCH 15, 2021

Acute chest syndrome is such a great application for lung ultrasound, especially in pediatrics where we do everything we can to dodge the harmful affects of ionizing radiation. This is a recent well-done study that takes another look to see how ultrasound compares to the commonly employed chest radiography.

Ultrasounds 52

Ultrasounds Pediatrics Wellness 52

RebelEM

DECEMBER 10, 2023

Background: The use of ultrasound is well established for trauma patients in the emergency department, with almost every patient receiving a FAST (Focused Assessment with Sonography in Trauma) examination as part of the “ABC’s” of trauma. Not so FAST- Chest ultrasound underdiagnoses traumatic pneumothorax.

Ultrasounds 40

Ultrasounds Emergency Department Wellness EMS 40

Life in the Fast Lane

SEPTEMBER 11, 2024

one of the most difficult and risky emergency procedures, but one you already have the ultrasound and line skills to perform well. James Miers and John Mackenzie Procedure: Pericardiocentesis Emergency Procedure: Pericardiocentesis.

Ultrasounds 101

Ultrasounds Wellness 101

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? Well, it’s not supposed to be that way. The whole point of adhering to the usual ATLS protocol is to ensure that the patient stays alive through and well after your exam.

Resuscitation 273

Resuscitation Ultrasounds Hospitals Wellness 273

Taming the SRU

NOVEMBER 11, 2024

R1 Core Content: ms - r4 Capstone : ableism - Ultrasound grand rounds : MSK R1 Core content: multiple sclerosis WITH Dr. boggust MS is a demyelinating disease affecting young people, with females more frequently affected MS can present with a variety of neurologic symptoms. Those affecting the limbs, bladder, bowels and eyes are most common.

Ultrasounds 75

Ultrasounds Dislocations Wellness 75

Taming the SRU

APRIL 5, 2023

Given her age, history of nephrolithiasis, and frequent urinary tract infections, a bedside renal ultrasound was performed to assess for hydronephrosis due to concern her generalized weakness may be secondary to an infected stone or obstructive uropathy. Point-of-care ultrasound in pediatric nephrology. Images are seen below.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

Ultrasound Gel

MARCH 4, 2019

Many ultrasound enthusiasts have been using point of care ultrasound to assist in the diagnosis of acute decompensated heart failure, but it has not been widely adopted. It has been shown by many studies that ultrasound can visualize pulmonary edema easily so that treatment can be started quickly.

Ultrasounds 52

Ultrasounds Wellness 52

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 130

Ultrasounds Outcomes COPD Hospitals 130

EMDocs

SEPTEMBER 28, 2024

It was ruled out as well with good specificity, with a bubble time < 40 seconds. 2: Ultrasound + Pediatric Appendicitis Risk Calculator = Rule Out? The authors found that combining a low pediatric Appendicitis Risk Calculator (pARC) result with a nondiagnostic ultrasound results in a high negative predictive value for appendicitis.

Ultrasounds 77

Ultrasounds Pediatrics Emergency Department Wellness 77

Downeast Emergency Medicine

NOVEMBER 5, 2021

RR 19 Physical exam: On exam he is well appearing and in no distress. Bedside chest ultrasound showed large bilateral pleural effusions. His additional vital signs are as follows: BP 99/53, HR 64, T 95.3, He has a normal work of breathing and no current complaints. He has peripheral edema of his bilateral lower extremities.

Ultrasounds 52

Ultrasounds Emergency Department EMS Wellness 52

Downeast Emergency Medicine

JUNE 7, 2021

Key concepts for Ultrasound Guided IV placement LENGTH Always use long IV (1.88 Use a tourniquet when you LOOK for the vein as well as when you place the IV otherwise the pressure from the probe will compress the veins and you won’t find anything. This lecture was presented at the 2021 Maine Medical Center Winter Symposium.

Ultrasounds 52

Ultrasounds Wellness 52

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

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

The Trauma Pro

OCTOBER 25, 2024

Authors from several well-known trauma centers collaborated to re-analyze data from the CLOTT study. Here are the factoids: The original data were derived from a 17-center study conducted from 2018-2020; this study only included 1,387 patients who had pelvic fractures (as well as other injuries).

Fractures 147

Fractures Head Injuries Operations Ultrasounds 147

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 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Taming the SRU

MAY 13, 2024

The patient is a well-appearing male who is awake, alert, and oriented. There is also a well-appearing, healed surgical scar. There is also a well-appearing, healed surgical scar. The skin is warm and well perfused with brisk capillary refill. The Ultrasound Journal, 11(1). Notable diagnostics CBC : WBC 19.2,

Ultrasounds 97

Ultrasounds Emergency Department Wellness Operations 97

Core Ultrasound

AUGUST 19, 2024

In this video, we demonstrate how to use bedside ultrasound to diagnose papilledema (caused by increased ICP) as well as pseudopapilledema (caused by other things besides an increased ICP). CRAO RD/VD Courses The post 5 Minute Sono – Papilledema first appeared on Core Ultrasound.

Ultrasounds 52

Ultrasounds Wellness 52

EMDocs

DECEMBER 4, 2023

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. First, examine the patient and risk-stratify them for the diagnosis of DVT before deciding on the clinical utility of an ultrasound. What findings make a DVT more likely?

Ultrasounds 71

Ultrasounds Documentation/Coding Wellness EMS 71

PEMBlog

JULY 15, 2024

If you want to get a transabdominal ultrasound you need a full bladder. Also Motown is cool.

Ultrasounds 52

Ultrasounds Wellness 52

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 83

Fractures Ultrasounds Emergency Department CDC 83

Ultrasound Gel

OCTOBER 23, 2023

Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo? link] [link] Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound.

Ultrasounds 52

Ultrasounds Wellness 52

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

ALiEM

OCTOBER 28, 2024

She was well during the interval until more recently, the patient began to complain of persistent abdominal pain and would point to the epigastric area. The patient had been tolerating oral intake well, passing adequate urine, having normal bowel movements, and behaving at baseline. HEENT : Normocephalic and atraumatic.

Pediatrics 64

Pediatrics Ultrasounds Academics Wellness 64

Pediatric Education

AUGUST 25, 2024

Patient Presentation A 4-year-old male came to clinic for his well-child evaluation. He was doing well and would start pre-school in the fall. The pediatrician reminded the parent that there were standing orders for the ultrasound examinations. The family history was non-contributory. The diagnosis of of a healthy male was made.

Pediatrics 64

Pediatrics Ultrasounds Wellness 64

Emergency Medicine Journal

JUNE 22, 2023

On physical examination, he is a well-appearing adolescent boy lying. He is afebrile with other triage vital signs notable for a BP of 135/77 mm Hg, low-grade tachycardia with an HR of 101 beats/min, a normal RR of 18 breaths/min and a normal oxygen saturation of 100% on room air.

Ultrasounds 40

Ultrasounds Wellness 40

Taming the SRU

JANUARY 1, 2024

Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. unported license [link] Ultrasound allows us to visualize deeper, typically larger veins in the forearm and upper arm. Place ultrasound machine on the opposite side of the bed to minimize neck strain. Check for flash in the IV chamber.

Emergency Department 91

Emergency Department Ultrasounds Administration Burns 91

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 147

Pediatrics Outcomes Operations Emergency Department 147

Mount Sinai EM

OCTOBER 11, 2024

Hennepin Ultrasound has a blog post on how to perform this both statically and dynamically–visualizing the needle as it aspirates the PTA. And well before the depth at which it would reach the carotid). A lot of times we consult ENT and they perform the aspiration, but it is well within our scope of practice to do it ourselves!

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

Core Ultrasound

MAY 4, 2023

In this 5 Minute Sono video, we’ll guide you through the process of using ultrasound imaging to identify and diagnose inguinal and femoral hernias. but with ultrasound imaging, healthcare professionals can detect hernias at the bedside with greater accuracy and confidence.

Ultrasounds 52

Ultrasounds Wellness 52

Taming the SRU

JULY 19, 2023

Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS (..)

Ultrasounds 84

Ultrasounds Leadership Hyperthermia / Hypothermia Poisoning 84

Taming the SRU

FEBRUARY 7, 2024

Ultrasound: Make “windows of access”. The Aircare package to increase DASH-1A airways includes placing patient on AirCare monitor, apneic oxygenation, 3 minutes NRB, bagging after paralytic given, starting only when patient > 97%, push dose pressors if needed for hypotension before paralytic, and make sure to use the checklist!

Administration 98

Administration PPE Ultrasounds Poisoning 98

ACEP Now

FEBRUARY 13, 2024

See below: Fascia iliaca Serratus anterior Erector spinae The risks of opioid medications, especially in the elderly, has been well described. published a study, “Safety and Pain Reduction in Emergency Practitioner Ultrasound-Guided Nerve Blocks: A One-Year Retrospective Study.” The pain scores decreased from 7.4 mean) to 2.8

Ultrasounds 52

Ultrasounds Emergency Department Hospitals Wellness 52

Ultrasound Gel

FEBRUARY 28, 2022

Someone does an ultrasound on something cool and then compares it to another test to see how good it is. Well this study is different. In this case, we are taking a tried and true application of POCUS (undifferentiated dyspnea) and comparing a dedicated ultrasound team's POCUS to the treating emergency team's POCUS.

Ultrasounds 52

Ultrasounds Wellness 52