Novel use of ultrasound in the ED: ultrasound-guided hematoma block of a proximal humeral fracture Emily Lovallo, Daniel Mantuani, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.035
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: July 1 2014
x Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.
Endobronchial ultrasound: an unusual diagnostic tool for pulmonary embolism Muzaffer Sariaydin, Sibel Günay, Ersin Günay, Sevinc Sarinc Ulasli
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.081
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: August 1 2015
x Pulmonary thromboembolism (PTE) is an emergent and common pulmonary vascular disease. The most common diagnostic method for PTE is computer-aided tomography angiography. Endobronchial ultrasonography (EBUS) is used in diagnosis and staging of lung cancer via transbronchial needle aspiration from mediastinal lymphadenopathies and central masses. Diagnosis of PTE with EBUS is not common, although this technique helps to monitor pulmonary vasculature. The present case, a 60-year-old female patient to whom EBUS was applied because of mediastinal lymphadenopathy, was diagnosed as incidental PTE.
Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh, Youngjoon Chee
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.048
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 28 2015
x We investigated the effectiveness of tele-mentored ultrasonography between emergency medicine (EM) residents and remote experts in diagnosing acute appendicitis.
Predictive value of C-reactive protein, ultrasound and Alvarado score in acute appendicitis: a prospective pediatric cohort Mohamed Zouari, Mohamed Jallouli, Hamdi Louati, Rim Kchaou, Rahma Chtourou, Ahmed Kotti, Mahdi Ben Dhaou, Hayet Zitouni, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.004
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 12 2015
x To evaluate whether C-reactive protein (CRP) level and ultrasound (US) results on admission could aid the diagnostic accuracy of Alvarado score.
Point-of-care ultrasound in pediatric urolithiasis: an ED case series Amitabh Chandra, Jessica Zerzan, Alexandar Arroyo, Marla Levine, Eitan Dickman, Mark Tessaro
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.048
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: June 22 2015
x Urolithiasis is relatively uncommon in the pediatric population, but its incidence is increasing [1,2]. Urinary tract calculi are associated with significant morbidity in the pediatric population: compared to adults, children have a higher need for urologic intervention, more recurrences, and a higher association with chronic kidney disease [3-5].
Ultrasound-guided nerve blocks for intracapsular and extracapsular hip fractures Eitan Dickman, Illya Pushkar, Antonios Likourezos, Knox Todd, Ula Hwang, Saadia Akhter, Sean Morrison
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.016
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 14 2015
x To compare pain relief between patients with intracapsular and extracapsular hip fractures who received an ultrasound-guided femoral nerve block (USFNB).
Evaluation of the effectiveness of bedside point-of-care ultrasound in the diagnosis and management of distal radius fractures Nalan Kozaci, Mehmet Oguzhan Ay, Mehmet Akcimen, Gokcen Turhan, Ikbal Sasmaz, Sadullah Turhan, Ahmet Celik
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.022
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: October 20 2014
x The aim of the study was to compare the effectiveness of point-of-care ultrasound (POCUS) with direct radiography in diagnosis and management of the patients with distal radius fractures (DRFs).
Diagnosis of appendicitis by bedside ultrasound in the ED Michael Mallin, Philip Craven, Patrick Ockerse, Jacob Steenblik, Brayden Forbes, Karl Boehm, Scott Youngquist
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.004
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: October 9 2014
x Computed tomography (CT) has largely become standard of care for diagnosing appendicitis at the expense of increased patient radiation exposure, cost, and time to surgical intervention. To date, there are very limited data on the accuracy of bedside ultrasound (BUS) for the diagnosis of appendicitis in adults.
Omental torsion mimicking perforated appendicitis in a pediatric patient: emergency bedside sonography Jared Brazg, Lawrence Haines, Marla C. Levine
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.058
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: July 28 2015
x Omental torsion is a rare condition, with most cases described in the adult literature. Preoperative diagnosis of this disease process is challenging as radiographic findings are often variable and the clinical presentation often mimics other pathologic entities including acute appendicitis or acute abdomen of poorly defined origin. (See Figs. 1– 3.)
How do emergency medicine residency core faculty obtain their ultrasound training for credentialing? Dustin W. Anderson, Michael J. Vitto, David P. Evans
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.017
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 10 2015
x The evolution of emergency ultrasound (EUS) in resident education began in the early 1990s with the American College of Emergency Physicians (ACEP) publishing their first position statement supporting the use of ultrasound (US) by trained physicians [1]. Soon afterwards, The Society for Academic Emergency Medicine (SAEM) endorsed this statement and recommended formal EUS training for all emergency residency programs [2]. In 1994, Mateer et al published the “Model curriculum for physician training in emergency ultrasonography” that laid the template for standardized EUS education [3].
The bubble study: ultrasound confirmation of central venous catheter placement Petra E. Duran-Gehring, Faheem W. Guirgis, Kristin C. McKee, Susan Goggans, Huynh Tran, Colleen J. Kalynych, Robert L. Wears
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.010
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: October 10 2014
x The objective was to determine if ultrasound (US) can more rapidly confirm central venous catheter (CVC) position in comparison to chest radiography (CXR) in the emergency department.
Comparison of ultrasonography and surface landmarks in detecting the localization for cricothyroidotomy Günay Yıldız, Erkan Göksu, Aydan Şenfer, Atilla Kaplan
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.054
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 3 2015
x The aim of the study was to compare ultrasonography (US) and surface landmark techniques for detecting the cricothyroid membrane (CTM) to perform a cricothyroidotomy on healthy volunteers.
Point-of-care ultrasonography at the ED maximizes patient confidence in emergency physicians Pierre-Géraud Claret, Xavier Bobbia, Sébastien Le Roux, Yann Bodin, Claire Roger, Rémi Perrin-Bayard, Laurent Muller, Jean Emmanuel de La Coussaye
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.042
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 21 2015
x Point-of-care ultrasonography (POCUS) performed by emergency physicians (EPs) has become routine practice in emergency departments (EDs) [1] and is a required component of residency training in emergency medicine [2,3]. Previous studies about POCUS have largely focused on its accuracy, safety, efficiency, effect on outcomes, and optimal clinical use [4–10]. What has been less investigated in the literature is patient confidence in the clinician who performs the POCUS and patient feelings, or satisfaction, regarding POCUS.
Point-of-care ultrasonography in the detection of pediatric esophageal food impaction Laura Anna Simone, Jonathan Orsborn, Ron Berant, Mark O. Tessaro
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.020
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: August 13 2015
x Esophageal food impaction in children occurs most commonly at the level of the thoracic inlet, where ultrasonography of the anterior neck can visualize the esophagus. We describe a series of cases in which point-of-care ultrasound by pediatric emergency physicians was used to diagnose esophageal food impaction. This novel technique may expedite diagnosis for children with this distressing condition.
Ultrasound-guided pediatric forearm fracture reductions in a resource-limited ED Bobby M. Wellsh, Jerzy M. Kuzma
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.013
The American Journal of Emergency Medicine , Vol. 34 , Issue 1 ,
Published online: September 19 2015
x Pediatric forearm fractures are a common presentation in emergency departments in Papua New Guinea. Often these children undergo “blind” closed reduction with reduction adequacy assessed by standard radiographs. This study aims to demonstrate the safety and efficacy of ultrasound (US) in guiding closed reduction of pediatric forearm fractures in a resource-limited setting.
Ultrasound-guided dorsal penile nerve block for ED paraphimosis reduction Stefan Flores, Andrew A. Herring
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.041
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: December 26 2014
x Adequate anesthesia for emergency department management of painful penile conditions such as paraphimosis or priapism is often both technically challenging and inconsistent using traditional landmark-based techniques of the dorsal penile block (DPB). The pudendal nerves branch to form the paired dorsal nerves of the penis providing sensory innervation to the skin of both the dorsal and ventral aspects of the penis. “Blind” DPB techniques tend to rely on subtle tactile feedback from the needle and visual landmark approximation to identify the appropriate subpubic fascial compartment for injection.
Ultrasound evaluation of appendicitis: importance of the 3 × 2 table for outcome reporting Martin Fedko, Venkatesh R. Bellamkonda, M. Fernanda Bellolio, Erik P. Hess, Christine M. Lohse, Torrey A. Laack, Michael J. Laughlin Jr., Ronna L. Campbell
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.052
The American Journal of Emergency Medicine , Vol. 32 , Issue 4 ,
Published online: January 6 2014
x Despite a relatively high frequency of appendix nonvisualization when using ultrasound to diagnose appendicitis, many studies either fail to report these results or inconsistently analyze outcomes.
Think ultrasound first for peritonsillar swelling Michael Secko, Adam Sivitz
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.031
The American Journal of Emergency Medicine , Vol. 33 , Issue 4 ,
Published online: January 23 2015
x Peritonsillar abscess (PTA) is one of the most common deep neck space infections that can potentially have life-threatening complications if inadequately diagnosed and not treated promptly. The ability of clinicians to reliably differentiate PTA from peritonsillar cellulitis by physical examination alone is limited and blind needle aspiration, the typical method of diagnosis of PTA, is also unreliable. We review the available evidence supporting the use of ultrasound, either intraoral ultrasound or transcutaneous ultrasound to be the initial imaging modality of choice for evaluation of PTA and be used for real-time needle guidance.
The effectiveness of bedside point-of-care ultrasonography in the diagnosis and management of metacarpal fractures Nalan Kozaci, Mehmet Oguzhan Ay, Mehmet Akcimen, Ikbal Sasmaz, Gokcen Turhan, Ali Boz
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.052
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: June 22 2015
x We aimed to compare the effectiveness of point-of-care ultrasonography (POCUS) with direct radiography (DR) in the diagnosis and management of the patients with metacarpal fractures (MFs).
Modified carotid sinus massage using an ultrasonography for maximizing vagal tone: a crossover simulation study Seung Min Ha, Young Suk Cho, Gyu Chong Cho, Choong Hyun Jo, Ji Young Ryu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.011
The American Journal of Emergency Medicine , Vol. 33 , Issue 7 ,
Published online: April 10 2015
Open Access x The aim of this study was to ascertain if a modified carotid sinus massage (CSM) using ultrasonography is superior to the conventional CSM for vagal tone generation.
