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Interscalene brachial plexus block is a common regional anesthesia method for upper extremity surgery. A rare complication of this procedure is dyspnea secondary to phrenic nerve palsy and hemidiaphragm paraly...
This case report from a field hospital in post-earthquake Haiti underscores the utility of portable ultrasound in austere environments. An 8-year-old boy was evaluated for several weeks of fevers and chills, g...
A 71-year-old female with a history of atrial fibrillation presented to the emergency department (ED) for abdominal pain. A computed tomography (CT) scan in ED showed an abdominal aortic thrombus and diffuse e...
Radiography is the standard observation tool for examining orthopaedic injuries. Point-of-care ultrasonography may thus be a faster, non-invasive alternative to effectively identify bone fractures in the emerg...
Non-invasiveness and instantaneous diagnostic capability are prominent features of the use of echocardiography in critical care. Sepsis and septic shock represent complex situations where early hemodynamic ass...
The aim of this study was to evaluate the clinical and echocardiographic findings in patients with acute rheumatic fever (ARF) and rheumatic heart diseases (RHD) and to compare echocardiographic findings with ...
Physical examination and laboratory testing lack sufficient accuracy to distinguish cholecystitis from cholelithiasis. As a result, imaging studies are often required to safely disposition patients presenting ...
This is a case of a 35-year-old G4P3 female with history of one prior cesarean section who presented to the emergency department with vaginal bleeding. She was found to be pregnant, and an ultrasound identifie...
The purpose of this study was to compare if non-physician, inexperienced ultrasound subjects can take quality diagnostic images after watching a brief educational video and using reference cue cards (autonomou...
A case of a 43-year-old male with severe pancreatitis complicated with neurological deterioration is presented.
Case 1 involved a 24-year-old man who complained of severe right groin pain and difficulty of walking after falling to the ground while snowboarding. The patient manifested flexion hip contracture on the right...
A 41-year-old Cuban man with Down syndrome and mental retardation was brought to the Emergency Department for episodes of worsening shortness of breath over one day. Bedside color Doppler ultrasound subcostal ...
This case report describes a woman presenting after out-of-hospital cardiac arrest with several cardiac anomalies, including a form fruste of Ebstein's anomaly complicated by a large tricuspid valve vegetation...
A 55-year-old gentleman was referred to the emergency department for penetrating trauma of his left upper arm. X-rays identified a metallic foreign body. Clinical examination revealed a swollen left upper arm ...
In developing countries, access to diagnostic technology is limited by economic, social and geographical barriers. Diagnostic tools must be sustainable, effective and low cost.
An 86-year-old patient was admitted to the ICU with multiple trauma injury following a fall down ten stairs. Shortly after ICU admission the patient went into cardiac arrest and resuscitation efforts, includin...
To evaluate emergency medicine residents’ ability to detect ocular pathology using portable ultrasound (US) in a live porcine model.
A review of the development and implementation of a 4-year medical student integrated ultrasound curriculum is presented. Multiple teaching and assessment modalities are discussed as well as results from testi...
A 37-year-old male with lymphoma presented with acute neck pain and swelling. While the examination, lab work, and radiography were non-diagnostic, a bedside ultrasound revealed large internal jugular vein thr...
Although emergency ultrasound (EU) is gaining popularity, EU is performed in a minority of emergency departments (EDs). The perception may exist that EU is too time-consuming. This study sought to determine th...
A 49-year-old woman with HIV and remote tobacco use presented with fever and 2 months of progressive dyspnea. A chest radiograph showed a right upper lobe pneumonia and treatment for community-acquired pneumon...
To evaluate the effect of surgeon-performed ultrasound on acute abdomen in specific patient subgroups regarding the diagnostic accuracy and further management.
The purpose of this article is to provide a practical review of common ultrasound (US) findings in patients presenting with acute scrotal pain.
An 88-year-old woman with a history of coronary artery disease, hypertension, and a history of a large left upper lobe lung mass presented to the Emergency Department (ED) from a nursing home with rapidly prog...
Expertise in the utilization of procedure-guided ultrasonography has become increasingly important within the field of Emergency Medicine. Consequently, ultrasound phantoms have been implemented as simulation ...
In this case report we describe how pneumoperitoneum was diagnosed in a patient admitted with acute chest pain, as an incidental finding using focus assessed transthoracic echocardiography (FATE).
A case of a 43-year-old woman presenting with acute left flank pain is reported.
The wall echo shadow (WES) triad, also known as the double-arc-shadow sign consists of a well-defined near wall, echos from stones immediately beneath the wall, and posterior shadowing caused by strong echoes ...
A 15-year-old female presented to the emergency department (ED) from her optometrists office for further evaluation of reported papilledema. The patient was otherwise asymptomatic. A CT scan was performed in t...
B-lines are vertical echogenic artifacts seen on lung ultrasound that allow bedside diagnosis of pulmonary edema. The BLUE protocol, published by Lichtenstein and Mezière, suggests that cardiogenic pulmonary e...
A new category of handheld devices has recently emerged that are even smaller than current portable models, with their main advantages being increased portability and affordability relative to their counterpar...
A 75-year-old man with a 150-pack-year smoking history presented to the emergency department with progressively worsening shortness of breath, dyspnea on exertion, cough with white sputum and right-sided chest...
Several studies have suggested that clinical indicators of a patient’s fluid status that are frequently used in practice are highly variable and not useful in the differentiation of these patients. In this stu...
Remote guidance techniques have been developed by NASA researchers to allow non-clinicians to perform complex ultrasound examinations on the International Space Station to increase clinical diagnostic capabili...
To evaluate the correlation between the internal jugular vein (IJV) collapsibility index and hypovolemia in intensive care unit (ICU) patients, using point of care ultrasound imaging.
An 86-year-old woman presented to the Emergency Department after falling and being unable to get up. Her physical exam revealed massive abdominal distention and spider angiomata suspicious for possible ascites.
This is a case of a healthy 61-year-old man with acute onset of dyspnea and atrial flutter where bedside emergency ultrasound was used to identify a classic echocardiographic finding called the “McConnell sign...
To introduce a new concept of the extension of focused echocardiography evaluation in life support (FEEL) with advanced life support (ALS)-compliant duplex sonography of the extracranial internal carotid arter...
A 41 year old woman with a history of colon cancer metastatic to her lung and liver, presented to the emergency department severely dehydrated. Bedside ultrasonography revealed a tumor mass in her proximal inf...
As point-of-care ultrasound spreads across the globe, there is an increased need for training and supervision of ultrasound studies. Real-time oversight is important, especially in critically ill patients, but...
Point of care (POC) ultrasound brings another powerful dimension to the physical examination of the critically ill. A contemporary challenge for all care providers, however, is how to best incorporate ultrasou...
A 32-year-old female presented with acute, asymptomatic anemia. While vital signs and physical examination were stable and non-diagnostic, utilizing goal-directed bedside ultrasound, a perinephric hematoma con...
Children with elbow injuries frequently present to the emergency department for evaluation. Fractures of the elbow are sometimes not visualized on plain radiographs and the only sign of an occult fracture is a...
A 13-year-old boy presented to the emergency department with left knee pain after a fall. Initial radiographs were unremarkable, but the child returned to the emergency department 6 weeks later with persistent...
