Postoperative pulmonary complications after major abdominal surgery are associated with adverse outcome. The diagnostic accuracy of chest X-rays (CXR) to detect pulmonary disorders is limited. Alternatively, l...
Authors: H. R. Touw, A. E. Schuitemaker, F. Daams, D. L. van der Peet, E. M. Bronkhorst, P. Schober, C. Boer and P. R. Tuinman
The complexity of diagnosis for critically ill dyspnea presentations in the emergency department remains a challenge. Accurate and rapid recognition of associated life-threatening conditions is paramount for t...
Authors: Olivier Felix Umuhire, Michael B. Henry, Adam Carl Levine, Giles N. Cattermole and Patricia Henwood
Tricuspid annular plane systolic excursion (TAPSE) is frequently used as an objective measure of right-ventricular dysfunction. Abnormal TAPSE values are associated with poor prognosis in a number of disease s...
Authors: Alison B. Main, Rachel Braham, Daniel Campbell, Andrew J. Inglis, Anthony McLean and Sam Orde
We report a case of a 65-year-old male patient who presented with localized swelling and lump in the proximal third of the upper thigh. Most common upper thigh injuries involve the quadriceps muscle group asso...
subacromial-subdeltoid chronic bursitis is one of the main causes of shoulder pain syndrome. There are various causes of shoulder pain syndrome including chronic bursitis. The sonographic appearances of chroni...
Authors: Raham Bacha, Iqra Manzoor and Syed Amir Gilani
The interscalene brachial plexus nerve block (ISNB) is a potentially useful method of regional analgesia for humerus fracture and shoulder dislocation reduction in the Emergency Department (ED). We examined th...
Authors: Tyler Beals, Kay Odashima, Lawrence E. Haines, Antonios Likourezos, Jefferson Drapkin and Eitan Dickman
Rectus sheath hematoma (RSH) is an uncommon entity associated with predisposing factors such as anticoagulation. It may mimic more frequent abdominal conditions and its accurate diagnosis is important to focus...
Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical...
Authors: Ilaria Pulzato, Enrico Boero, Elona Shaipi and Luciano Cardinale
Stump appendicitis (SA) is a rare entity in patients with a history of appendectomy and may result in missed or delayed diagnosis. We report a case of SA diagnosed by emergency department (ED) point-of-care ul...
Authors: Apichaya Monsomboon, Bret P. Nelson, Phillip Andrus and James W. Tsung
A fast and diagnostic accurate tool to assess the unselected category of high-acuity patients, in whom the underlying pathology is not always obvious, is needed in the emergency departments (ED). We aim to des...
Authors: M. Riishede, C. B. Laursen, L. S. Teglbjærg, E. Rancinger, P. B. Pedersen, S. M. Luef, J. H. Clausen, O. Graumann, A. T. Lassen and G. Baatrup
Ever-expanding uses have been developed for ultrasound, including its focused use at the bedside, often referred to as point-of-care ultrasound (POCUS). POCUS has been well developed and integrated into traini...
Authors: Charles M. LoPresti, Daniel J. Schnobrich, Renee K. Dversdal and Frank Schembri
The objective of the present study was to evaluate the relationship between speckle-tracking-derived parameters left ventricular (LV) mechanical dispersion index (MDI), defined as the standard deviation of the...
Authors: Mark Favot, Robert Ehrman, Laura Gowland, Ashley Sullivan, Brian Reed, Aiden Abidov and Phillip Levy
Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may sugge...
Although pulmonary artery catheters (PACs) have been the reference standard for calculating cardiac output, echocardiographic estimation of cardiac output (CO) by cardiologists has shown high accuracy compared...
Authors: Christian Villavicencio, Julen Leache, Judith Marin, Iban Oliva, Alejandro Rodriguez, María Bodí and Nilam J. Soni
Temporary transvenous pacing is a crucial procedure in emergency and critical care medicine. While fluoroscopy guidance is considered the gold-standard to place the temporary pacing electrode catheter (EC), it...
The presence of an unknown intracardiac shunt due to a patent foramen ovale may be an unusual cause of hypoxemia. We report the case of a patient who presented persistent hypoxemia after an adequate treatment ...
Authors: Cristian Deana, Laura Conangla, Luigi Vetrugno, Massimiliano Saltarini, Stefania Buttera, Tiziana Bove, Flavio Bassi and Amato De Monte
Point-of-care ultrasound (POCUS) is an important clinical tool for a growing number of medical specialties. The current American College of Emergency Physicians (ACEP) Ultrasound Guidelines recommend that trai...
Authors: Youyou Duanmu, Patricia C. Henwood, Sukhjit S. Takhar, Wilma Chan, Joshua S. Rempell, Andrew S. Liteplo, Viktoria Koskenoja, Vicki E. Noble and Heidi H. Kimberly
The use of ultrasound to visualize the diaphragm is well established. Over the last 15 years, certain indices of diaphragm function, namely diaphragm thickness, thickening fraction and excursion have been esta...
Authors: Peter Turton, Sondus ALAidarous and Ingeborg Welters
We report a case study of fat embolism seen on ultrasound at right internal jugular vein during central venous cannulation in a patient diagnosed with fat embolism syndrome. This case demonstrates the importan...
Authors: Osman Adi, Chan Pei Fong, Azlizawati Azil and Shaik Farid Abdul Wahab
Current methods of assessing competence in acquiring point-of-care ultrasound images are inadequate. They rely upon cumbersome rating systems that do not depend on the actual outcome measured and lack evidence...
Authors: Brian P. Lucas, Antonietta D’Addio, Clay Block, Harold L. Manning, Brian Remillard and James C. Leiter
To show that medical students can evaluate the internal jugular vein (IJV) and its anatomical variations after rapid and focused training. We also aimed to evaluate the success rate of IJV puncture in simulati...
Authors: José Muniz Pazeli Jr., Ana Luisa Silveira Vieira, Rosimary Souza Vicentino, Luisa Jabour Pazeli, Bernardo Costa Lemos, Marinna Marques Rodrigues Saliba, Pedro Andrade Mello and Maurício Dutra Costa
Focused cardiac ultrasound (FOCUS) is a core competency for pediatric emergency medicine (PEM) fellows. The objectives of this study were (1) to evaluate test characteristics of PEM-fellow-performed FOCUS for ...
Authors: Rosemary Thomas-Mohtat, Craig Sable, Kristen Breslin, Jacqueline G. Weinberg, Aparna Prasad, Lauren Zinns and Joanna S. Cohen
Fluid responsiveness is an important topic for clinicians. Aggressive hydration has been shown to lead to worse outcomes. The aim of this study was to investigate the sensitivity and specificity of mitral valv...
Authors: Ralphe Bou Chebl, Gilbert Abou Dagher, Jeffrey Wuhantu, Rana Bachir and Jennifer Carnell
Right iliac fossa abdominal pain is a common reason for emergency ward admissions, its etiology is difficult to diagnose. It can be facilitated by an imaging examination, such as a Computerized Tomography scan...
Authors: Jean-Eudes Bourcier, Emeric Gallard, Jean-Philippe Redonnet, Magali Majourau, Dominique Deshaie, Jean-Marie Bourgeois, Didier Garnier and Thomas Geeraerts
Hypertensive emergency is a life-threatening state. End-organ damage affecting the heart accounts for up to 52% of hypertensive emergencies commonly encountered in the emergency department. Recent evidence ind...
Authors: Pavitra Kotini-Shah, Susana Cuadros, Felix Huang and Joseph S. Colla
Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative trans...
An accurate physical examination is essential in the care of critically ill and injured patients. However, to diagnose or exclude a pneumothorax, chest auscultation is unreliable compared to lung ultrasonograp...
Authors: R. Ketelaars, E. Gülpinar, T. Roes, M. Kuut and G. J. van Geffen
Traditional landmark thoracostomy technique has a known complication rate up to 30%. The goal of this study is to determine whether novice providers could more accurately identify the appropriate intercostal s...
Authors: Lindsay A. Taylor, Michael J. Vitto, Michael Joyce, Jordan Tozer and David P. Evans
Point-of-care ultrasound (PoCUS) is spreading throughout Emergency Medicine, Critical Care and Pre-hospital Care. However, there is an underlying inherited conflict with the established specialties performing ...
Authors: Jesper Weile, Jacob Brix and Anders Broens Moellekaer
When intracranial hypertension and severe lung damage coexist in the same clinical scenario, their management poses a difficult challenge, especially as concerns mechanical ventilation management. The needs of...
Authors: Francesco Corradi, Chiara Robba, Guido Tavazzi and Gabriele Via
Pre-hospital ultrasound is a new challenge and lung ultrasound could be an interesting opportunity in the pre-hospital medical service. The aim of our study was to evaluate the efficacy of lung ultrasound in o...
Authors: Mirko Zanatta, Piero Benato, Sigilfredo De Battisti, Concetta Pirozzi, Renato Ippolito and Vito Cianci
Clinical lung ultrasound examinations are widely used in the primary assessment or monitoring of patients with dyspnoea or respiratory failure. Despite being increasingly implemented, there is no international...
Authors: Pia Iben Pietersen, Kristian Rørbæk Madsen, Ole Graumann, Lars Konge, Bjørn Ulrik Nielsen and Christian Borbjerg Laursen
Medical care in resource limited settings is challenging, particularly with limited access to diagnostic and imaging studies. The most portable and cost effective diagnostic imaging in these areas is ultrasoun...
Authors: Annie Heffernan Rominger, Gerardo Antonio Aguilar Gomez and Patrick Elliott
Prehospital point-of-care ultrasound used by nonradiologists in emergency medicine is gaining ground. It is feasible on-scene and during aeromedical transport and allows health-care professionals to detect or ...
Authors: Rein Ketelaars, Gabby Reijnders, Geert-Jan van Geffen, Gert Jan Scheffer and Nico Hoogerwerf
Thoracic ultrasound is a powerful diagnostic imaging technique for pleural space disorders. In addition to visualising pleural effusion, thoracic ultrasound also helps clinicians to identify the best puncture ...
Authors: Luigi Vetrugno, Giovanni Maria Guadagnin, Daniele Orso, Enrico Boero, Elena Bignami and Tiziana Bove
The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. I...
Failed extubation from mechanical ventilation in critically ill patients is multifactorial, complex and not well understood. We aimed to identify whether combined transthoracic echocardiography, lung and diaph...
Authors: Kavi Haji, Darsim Haji, David J. Canty, Alistair G. Royse, Cameron Green and Colin F. Royse
Ultrasound can be used to assess diaphragm movement. Existing methods focus on movement at a single point at the hemidiaphragm and may not consider the anatomic and functional complexity. We aimed to develop a...
Authors: Søren Helbo Skaarup, Anders Løkke and Christian B. Laursen
Lung and diaphragm ultrasound methods have recently been introduced to predict the outcome of weaning from mechanical ventilation (MV). The aim of this study is to assess the reliability and accuracy of these ...
Authors: Eva Tenza-Lozano, Ana Llamas-Alvarez, Enrique Jaimez-Navarro and Javier Fernández-Sánchez
This study aims to compare the increased time needed to perform advanced focused cardiac measurements in the emergency department, including diastolic heart failure evaluation via E/E′, and cardiac output with...
Authors: Joe Betcher, Al Majkrzak, Jim Cranford, Ross Kessler, Nik Theyyunni and Rob Huang
Point-of-care (POCUS) education is rapidly expanding within medical schools and internal medicine residency programs, but lack of trained faculty is a major barrier. While POCUS training can improve short-term...
Authors: Christopher J. Smith, Abdulrahman Morad, Christopher Balwanz, Elizabeth Lyden and Tabatha Matthias
Thoracic ultrasound is helpful to evaluate lung pathology in patients with acute dyspnea. Several studies have demonstrated the efficacy of point-of-care ultrasound in patients with extrapulmonary TB and HIV c...
Authors: Maria Teresa Giordani, Francesca Tamarozzi, Daniel Kaminstein, Enrico Brunetti and Tom Heller
A 29-year-old patient with normal preanesthetic evaluation was planned for percutaneous nephrolithotomy (PCNL) for right nephrolithiasis with right pyelolithiasis. Surgery was performed under general anesthesi...
Authors: Achyut Sharma, Prajjwal Bhattarai and Apurb Sharma
Bilateral retinal detachments and cortical blindness are rare complications of preeclampsia and the association of the two pathologies is exceptional. We report the case of a preeclamptic patient who presented...
Epigastric pain is frequent in Emergency Medicine and remains a challenging situation. Besides benign etiologies such as gastritis or uncomplicated cholelithiasis, it could reveal myocardial infarction or vasc...
Authors: Philippe Le Conte, David Trewick, Philippe Pes, Eric Frampas and Eric Batard
