Urology , Ultrasound , Nephrology

ED Management of Emphysematous Pyelonephritis

12/12/2021 Jennifer Mirrielees, MD , Hani I. Kuttab, MD

Emphysematous pyelonephritis is a rare diagnosis in the ED but can be life-threatening. Symptoms can be non-specific, making diagnosis more difficult. Proper, expeditious imaging can make all the diff

Ultrasound

Where in The World is the CBD? Ultrasound Tips for Finding the Common Bile Duct

12/12/2021 Nikkitta Georges, MD , Moises Moreno, DO, FACEP

For new sonographers, looking for the common bile duct (CBD) can feel like that old school game called “Where’s Waldo” from the 1990s, but fret not. The goal of this article is to equip you with a tar

Ultrasound , Pain Management , Trauma

Blocking Breaks to Breathe Better

12/12/2021 David Pardue, DO , Casey Wilson, MD , Jacob Pope, DO , Stewart Richardson, MD

Elderly patients with chest wall injuries have a mortality rate up to 13% - attributed in part to the effects of pain. EAST guidelines offer a range of analgesic options, but ultrasound-guided serratu

Ultrasound , Pain Management

The Pericapsular Nerve Group (PENG) Block for Hip Pain

12/12/2021 Chia-Yuan Michael Lee, DO , Matthew Apicella, DO , Robert Farrow, DO

Hip fractures are common injuries evaluated in the ED. The majority of patients who suffer a hip fracture are over 80 years old, and as the population ages, the incidence of hip fractures is expected

Ultrasound , Cardiology

Point-of-care Echocardiography in the Undifferentiated Patient: A Case Report

10/7/2021 Jacob Lenning, MD , Nasser Bazoun, DO

Left ventricular free wall rupture (LVFWR) is a rare and usually fatal complication of myocardial infarction (MI). Fortunately, echocardiography is very sensitive and specific - and emergency physicia

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Augmenting the Physical Exam with Ultrasound Findings in Cardiac Tamponade

10/5/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Cardiac tamponade is a critical emergency department diagnosis, but it can be a difficult diagnosis to make based on physical exam alone. Clinical signs of tamponade are often late findings and can be

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Tricuspid Annular Plane Systolic Excursion: Finding Pulmonary Embolism Before the Crash

10/5/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP , Taylor Miller, MD , Keerthi Gondy, MD

Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,

Ultrasound , Pediatric EM

Intraabdominal Abscess Identified by Point-of-Care Ultrasound in a Child

8/10/2021 Carolina Vega, MD , Roxanne Cheung, MD , Diniece Barran, MD , Jennifer Noble, MD, FAAP

Periappendiceal abscesses are a rare complication of pediatric appendicitis. In this case presentation, the little-seen consequence was identified by point-of-care ultrasound.

Ultrasound , Cardiology

Ultrasound-Guided Stellate Ganglion Block in Pulseless Refractory Ventricular Fibrillation

8/10/2021 Chase Hamilton, DO , Georgina Puentedura, MD , Garren Giles, DO

The ultrasound-guided stellate ganglion block may be used as an adjunct to established methods during pulseless ventricular arrhythmias. It is a potentially lifesaving procedure that is within the eme

Pediatric EM , Ultrasound

Acute Abdominal Pain in a Child

8/10/2021 Carolina Vega, MD , Jennifer Noble, MD, FAAP , Jayashree Rao, MD , Nirupama Kannikeswaran, MD

Point-of-care ultrasound can be used to detect Meckel’s diverticulum as the underlying etiology of lower abdominal pain in pediatric patients. In the following case, bedside family-centered teaching a

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