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NUEM_Ultrasound

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126 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27396537/the-role-of-ultrasonography-in-the-diagnosis-of-metacarpal-fractures
#1
Salih Kocaoğlu, Ayhan Özhasenekler, Ferhat İçme, Gül Pamukçu Günaydın, Alp Şener, Şervan Gökhan
INTRODUCTION: The aim of this study was to evaluate the efficiency of ultrasonography (USG) in identifying metacarpal bone fractures in patients admitted to the emergency department (ED) with hand injury. MATERIALS AND METHODS: Patients who were admitted to a training and research hospital's ED during the study period with hand trauma and had suspected metacarpal fractures were included in the study. They were examined for metacarpal fracture by USG and x-ray. Hand radiographs reviewed by an emergency physician were considered to be the criterion standard diagnostic tool...
September 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27397766/the-midline-catheter-a-clinical-review
#2
Daniel Z Adams, Andrew Little, Charles Vinsant, Sorabh Khandelwal
BACKGROUND: Venous access in the emergency department (ED) is an often under-appreciated procedural skill given the frequency of its use. The patient's clinical status, ongoing need for laboratory investigation, and intravenous therapeutics guide the size, type, and placement of the catheter. The availability of trained personnel and dedicated teams using ultrasound-guided insertion techniques in technically difficult situations may also impact the selection. Appropriate device selection is warranted on initial patient contact to minimize risk and cost...
September 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26910112/diagnosing-acute-heart-failure-in-the-emergency-department-a-systematic-review-and-meta-analysis
#3
REVIEW
Jennifer L Martindale, Abel Wakai, Sean P Collins, Phillip D Levy, Deborah Diercks, Brian C Hiestand, Gregory J Fermann, Ian deSouza, Richard Sinert
BACKGROUND: Acute heart failure (AHF) is one of the most common diagnoses assigned to emergency department (ED) patients who are hospitalized. Despite its high prevalence in the emergency setting, the diagnosis of AHF in ED patients with undifferentiated dyspnea can be challenging. OBJECTIVES: The primary objective of this study was to perform a systematic review and meta-analysis of the operating characteristics of diagnostic elements available to the emergency physician for diagnosing AHF...
March 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/26508495/focused-transesophageal-echocardiography-by-emergency-physicians-is-feasible-and-clinically-influential-observational-results-from-a-novel-ultrasound-program
#4
Robert Arntfield, Jacob Pace, Michael Hewak, Drew Thompson
BACKGROUND: Emergency physicians frequently employ transthoracic echocardiography (TTE) to assist in diagnosis and therapy for patients with circulatory failure or arrest. In critically ill patients, transesophageal echocardiography (TEE) offers several advantages over TTE, including reliable, continuous image acquisition and superior image quality. Despite these advantages, TEE is not widely used by emergency physicians. OBJECTIVE: Report the feasibility, findings, and clinical influence observed from the first described TEE program implemented in an emergency department (ED) point-of-care ultrasound program...
February 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26258320/fast-ultrasound-examination-as-a-predictor-of-outcomes-after-resuscitative-thoracotomy-a-prospective-evaluation
#5
Kenji Inaba, Konstantinos Chouliaras, Scott Zakaluzny, Stuart Swadron, Thomas Mailhot, Dina Seif, Pedro Teixeira, Emre Sivrikoz, Crystal Ives, Galinos Barmparas, Nikolaos Koronakis, Demetrios Demetriades
OBJECTIVE: The objective of this study was to examine the ability of Focused Assessment Using Sonography for Trauma (FAST) to discriminate between survivors and nonsurvivors undergoing resuscitative thoracotomy (RT). BACKGROUND: RT is a high-risk, low-salvage procedure performed in arresting trauma patients with poorly defined indications. METHODS: Patients undergoing RT from 10/2010 to 05/2014 were prospectively enrolled. A FAST examination including parasternal/subxiphoid cardiac views was performed before or concurrent with RT...
September 2015: Annals of Surgery
https://www.readbyqxmd.com/read/25803646/ultrasound-guided-subclavian-vein-catheterization-a-systematic-review-and-meta-analysis
#6
REVIEW
Manoj M Lalu, Ashraf Fayad, Osman Ahmed, Gregory L Bryson, Dean A Fergusson, Carly C Barron, Patrick Sullivan, Calvin Thompson
OBJECTIVE: Although ultrasound guidance for subclavian vein catheterization has been well described, evidence for its use has not been comprehensively appraised. Thus, we conducted a systematic review and meta-analysis to determine whether ultrasound guidance of subclavian vein catheterization reduces catheterization failures and adverse events compared to the traditional "blind" landmark method. All forms of ultrasound were included (dynamic 2D ultrasound, static 2D ultrasound, and Doppler)...
July 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/25572643/diagnostic-performance-of-cardiopulmonary-ultrasound-performed-by-the-emergency-physician-in-the-management-of-acute-dyspnea
#7
Emeric Gallard, Jean-Philippe Redonnet, Jean-Eudes Bourcier, Dominique Deshaies, Nicolas Largeteau, Jeanne-Marie Amalric, Fouad Chedaddi, Jean-Marie Bourgeois, Didier Garnier, Thomas Geeraerts
OBJECTIVE: The etiologic diagnosis of acute dyspnea in the emergency department (ED) remains difficult, especially for elderly patients or those with previous cardiorespiratory medical history. This may lead to inappropriate treatment and potentially a higher mortality rate. Our objective was to evaluate the performance of cardiopulmonary ultrasound compared with usual care for the etiologic diagnosis of acute dyspnea in the ED. METHODS: Patients admitted to the ED for acute dyspnea underwent upon arrival a cardiopulmonary ultrasound performed by an emergency physician, in addition to standard care...
March 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25465473/isolated-deep-venous-thrombosis-implications-for-2-point-compression-ultrasonography-of-the-lower-extremity
#8
Srikar Adhikari, Wes Zeger, Christopher Thom, J Matthew Fields
STUDY OBJECTIVE: Two-point compression ultrasonography focuses on the evaluation of common femoral and popliteal veins for complete compressibility. The presence of isolated thrombi in proximal veins other than the common femoral and popliteal veins should prompt modification of 2-point compression technique. The objective of this study is to determine the prevalence and distribution of deep venous thrombi isolated to lower-extremity veins other than the common femoral and popliteal veins in emergency department (ED) patients with clinically suspected deep venous thrombosis...
September 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25229916/ultrasonography-versus-computed-tomography-for-suspected-nephrolithiasis
#9
RANDOMIZED CONTROLLED TRIAL
Rebecca Smith-Bindman, Chandra Aubin, John Bailitz, Rimon N Bengiamin, Carlos A Camargo, Jill Corbo, Anthony J Dean, Ruth B Goldstein, Richard T Griffey, Gregory D Jay, Tarina L Kang, Dana R Kriesel, O John Ma, Michael Mallin, William Manson, Joy Melnikow, Diana L Miglioretti, Sara K Miller, Lisa D Mills, James R Miner, Michelle Moghadassi, Vicki E Noble, Gregory M Press, Marshall L Stoller, Victoria E Valencia, Jessica Wang, Ralph C Wang, Steven R Cummings
BACKGROUND: There is a lack of consensus about whether the initial imaging method for patients with suspected nephrolithiasis should be computed tomography (CT) or ultrasonography. METHODS: In this multicenter, pragmatic, comparative effectiveness trial, we randomly assigned patients 18 to 76 years of age who presented to the emergency department with suspected nephrolithiasis to undergo initial diagnostic ultrasonography performed by an emergency physician (point-of-care ultrasonography), ultrasonography performed by a radiologist (radiology ultrasonography), or abdominal CT...
September 18, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25176151/point-of-care-ultrasonography-for-the-diagnosis-of-acute-cardiogenic-pulmonary-edema-in-patients-presenting-with-acute-dyspnea-a-systematic-review-and-meta-analysis
#10
REVIEW
Mohammad Al Deeb, Skye Barbic, Robin Featherstone, Jerrald Dankoff, David Barbic
OBJECTIVES: Acute dyspnea is a common presenting complaint to the emergency department (ED), and point-of-care (POC) lung ultrasound (US) has shown promise as a diagnostic tool in this setting. The primary objective of this systematic review was to determine the sensitivity and specificity of US using B-lines in diagnosing acute cardiogenic pulmonary edema (ACPE) in patients presenting to the ED with acute dyspnea. METHODS: A systematic review protocol adhering to Cochrane Handbook guidelines was created to guide the search and analysis, and we searched the following databases: PubMed, EMBASE, Ovid MEDLINE, Ovid MEDLINE In-Process & Other Non-Indexed Citations, and the Cochrane Database of Systematic Reviews...
August 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/24998674/point-of-care-ultrasonography-in-patients-admitted-with-respiratory-symptoms-a-single-blind-randomised-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Christian B Laursen, Erik Sloth, Annmarie Touborg Lassen, René dePont Christensen, Jess Lambrechtsen, Poul Henning Madsen, Daniel Pilsgaard Henriksen, Jesper Rømhild Davidsen, Finn Rasmussen
BACKGROUND: When used with standard diagnostic testing, point-of-care ultrasonography might improve the proportion of patients admitted with respiratory symptoms who are correctly diagnosed 4 h after admission to the emergency department. We therefore assessed point-of-care ultrasonography of the heart, lungs, and deep veins in addition to the usual initial diagnostic testing in this patient population. METHODS: In a prospective, parallel-group trial in the emergency department at Odense University Hospital, Odense, Denmark, patients (≥18 years) with a respiratory rate of more than 20 per min, oxygen saturation of less than 95%, oxygen therapy, dyspnoea, cough, or chest pain were randomly assigned in a 1:1 ratio with a computer-generated list to a standard diagnostic strategy (control group) or to standard diagnostic tests supplemented with point-of-care ultrasonography of the heart, lungs, and deep veins (point-of-care ultrasonography group)...
August 2014: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/24958398/ultrasound-first-second-and-last-for-vascular-access
#12
Christopher L Moore
Vascular access is the most commonly performed invasive procedure in medicine. For more than 20 years, ultrasound has been shown to improve the success and decrease complications of central venous access; however, it is still not universally used for this procedure. Ultrasound may also be used to facilitate difficult peripheral vascular access, potentially avoiding other more invasive procedures such as central or intraosseus vascular access. This article reviews some of the indications and evidence for ultrasound-guided vascular access, provides tips for successful ultrasound guidance, and discusses barriers to adoption...
July 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/24630604/e-point-septal-separation-a-bedside-tool-for-emergency-physician-assessment-of-left-ventricular-ejection-fraction
#13
Conor J McKaigney, Mori J Krantz, Cherie L La Rocque, Nicole D Hurst, Matthew S Buchanan, John L Kendall
OBJECTIVES: Rapid assessment of left ventricular ejection fraction (LVEF) may be critical among emergency department (ED) patients. This study examined the predictive relationship between ED physician performed bedside mitral-valve E-point septal separation (EPSS) measurements to the quantitative, calculated LVEF. We further evaluated the relationship between ED physician visual estimates of global cardiac function (GCF) and calculated LVEF values. METHODS: A prospective observational study was conducted on a sequential convenience sample of patients receiving comprehensive transthoracic echocardiography (TTE)...
June 2014: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24472834/how-i-treat-isolated-distal-deep-vein-thrombosis-iddvt
#14
REVIEW
Gualtiero Palareti
Thromboses limited to infrapopliteal leg deep veins (isolated distal deep vein thrombosis [IDDVT]) are frequently diagnosed in subjects with suspected pulmonary embolism or DVT and account for one-fourth to one-half of all diagnosed leg DVTs. Despite their frequency, the natural history of IDDVTs and their real risk of thromboembolic complications are still uncertain because of the scarcity of prospective, blind, nonintervention studies. Therefore it is still debated whether they warrant diagnosis and treatment...
March 20, 2014: Blood
https://www.readbyqxmd.com/read/24342865/pitfalls-in-cervical-ectopic-pregnancy-diagnosis-by-emergency-physicians-using-bedside-ultrasonography
#15
Dewi Chrestiana, Alfred B Cheng, Nova L Panebianco, Anthony J Dean
Pelvic pain and vaginal bleeding are common complaints in pregnant women presenting to emergency department. Cervical ectopic pregnancy (EP) is a rare type of EP, with a higher likelihood of complications if missed. Its sonographic findings can be difficult to distinguish from normal pregnancy or an abortion in progress. In this report, we present a rare case of a cervical EP, diagnosed using bedside ultrasonography, and characterize the pitfalls associated with its diagnosis.
April 2014: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24178672/ultrasound-assessment-of-pulmonary-embolism-in-patients-receiving-ct-pulmonary-angiography
#16
Seth Koenig, Subani Chandra, Artur Alaverdian, Christopher Dibello, Paul H Mayo, Mangala Narasimhan
BACKGROUND: CT pulmonary angiography (CTPA) is considered the gold standard for the diagnosis of pulmonary embolism (PE) and is frequently performed in patients with cardiopulmonary complaints. However, indiscriminate use of CTPA results in significant exposure to ionizing radiation and contrast. We studied the accuracy of a bedside ultrasound protocol to predict the need for CTPA. METHODS: This was an observational study performed by pulmonary/critical care physicians trained in critical care ultrasonography...
April 2014: Chest
https://www.readbyqxmd.com/read/24075286/right-ventricular-dilatation-on-bedside-echocardiography-performed-by-emergency-physicians-aids-in-the-diagnosis-of-pulmonary-embolism
#17
Scott Dresden, Patricia Mitchell, Layla Rahimi, Megan Leo, Julia Rubin-Smith, Salma Bibi, Laura White, Breanne Langlois, Alison Sullivan, Kristin Carmody
STUDY OBJECTIVE: The objective of this study was to determine the diagnostic performance of right ventricular dilatation identified by emergency physicians on bedside echocardiography in patients with a suspected or confirmed pulmonary embolism. The secondary objective included an exploratory analysis of the predictive value of a subgroup of findings associated with advanced right ventricular dysfunction (right ventricular hypokinesis, paradoxical septal motion, McConnell's sign). METHODS: This was a prospective observational study using a convenience sample of patients with suspected (moderate to high pretest probability) or confirmed pulmonary embolism...
January 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23902730/us-detection-of-renal-and-ureteral-calculi-in-patients-with-suspected-renal-colic
#18
Gianfranco Vallone, Giuseppina Napolitano, Paolo Fonio, Gabriele Antinolfi, Antonio Romeo, Luca Macarini, Eugenio Annibale Genovese, Luca Brunese
PURPOSE: The purpose of this study was to determine whether the color Doppler twinkling sign could be considered as an additional diagnostic feature of small renal lithiasis (_5mm). METHODS: 181 patients underwent CT scans performed for other pathologies; the images were also analyzed by a radiologists to identify the incidental presence of renal lithiasis equal to or smaller than 5 mm.These patients underwent an abdominal ultrasound examination, including grayscale analysis of the kidneys and color Doppler...
July 15, 2013: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/23891601/the-accuracy-of-point-of-care-ultrasound-to-diagnose-long-bone-fractures-in-the-ed
#19
Anna L Waterbrook, Srikar Adhikari, Uwe Stolz, Carrie Adrion
OBJECTIVES: To determine the diagnostic accuracy of emergency physician performed point-of care ultrasound (POCUS) for detecting long bone fractures compared to standard radiography. METHODS: This was a single-blinded, prospective observational study of patients presenting to two emergency departments (ED) with trauma to long bones. The study used a convenience sample of patients seen during the study investigators' scheduled clinical shifts. Patients presenting to the ED with complaints of long bone trauma were included in the study when a study investigator was available in the ED...
September 2013: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23758299/adult-small-bowel-obstruction
#20
REVIEW
Mark R Taylor, Nadim Lalani
BACKGROUND: Small bowel obstruction (SBO) is a clinical condition that is often initially diagnosed and managed in the emergency department (ED). The high rates of potential complications that are associated with an SBO make it essential for the emergency physician (EP) to make a timely and accurate diagnosis. OBJECTIVES: The primary objective was to perform a systematic review and meta-analysis of the history, physical examination, and imaging modalities associated with the diagnosis of SBO...
June 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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