M Blaivas

..To evaluate the frequency of pericardial effusion in patients presenting to the emergency department (ED) with unexplained, new onset dyspnea...

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..A rapid, portable, and noninvasive means of detecting EICP is desirable when conventional imaging methods are unavailable...

..More residents will be taking time during their shifts to perform bedside US examinations for educational purposes, thus further challenging time resources...

..Three others were found to have PTA, with 2 requiring real-time ultrasound needle guidance to accomplish abscess drainage after multiple failures with the blind approach...

..This article delves into available literature and describes performance of both applications in a critical care setting...

..Some military physicians teach compression of the distal abdominal aorta (AA) with a knee or a fist as a temporizing measure...

..Also, to assess if there was a difference in the number of skin penetrations and needle redirections between the two guidance techniques...

..To determine how often emergency physicians (EPs) scanning the abdominal aorta (AA) of nonfasted emergency department (ED) patients are able to visualize the entire AA...

..Questions have been raised regarding image quality (IQ) provided by portable ultrasound (US) machines...

..Supine anteroposterior (AP) chest radiography may not detect the presence of a small or medium pneumothorax (PTX) in trauma patients...

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..Emergency physicians using ultrasound frequently encounter unfamiliar findings during routine ultrasound examination. This is especially common for less experienced practitioners...

..The purpose of this study was to evaluate the utility of paraovarian pelvic mass mobility as an indicator of mass identity, corpus luteum versus other, in ruling out ectopic pregnancy...

..Emergency sonologists should keep this technique in mind when contact between skin and the ultrasound transducer is likely to cause a patient significant discomfort...

..We present 3 cases of diaphragmatic rupture discovered shortly after the patients' arrival, on initial trauma evaluation with the FAST. A discussion of previous literature and ultrasound technique for diagnosis follows the cases...

..The future of critical care ultrasound will include development of protocols that cannot be derived from current traditional imaging practices and much research is still ahead of us...

..There are a number of potential uses that may greatly aid the emergency physician (EP) and avoid lengthy consultation or other diagnostic tests...

..This move has often been justified as a method to limit self-referral. However, clinicians may not be the only ones capable of referring imaging business to themselves...

..Many emergency medical systems have protocols in place to stop resuscitative measures in the field; however, further predictors need to be developed for cardiac arrest patients brought to the emergency department (ED)...

..Drainage of the abscess was successfully completed in one attempt with real-time visualization and guidance of the needle. The consulting surgeon requested that ultrasound be available at the patient's follow-up visit to the ED...

..Acute scrotal pain is not a rare emergency department (ED) complaint. Traditional reliance on medical history and physical examination can be precarious as signs and symptoms can overlap in various etiologies of acute scrotal pain...

..This paper briefly describes the technology and technique involved with the performance of testicular ultrasound examination and briefly discusses its potential application at bedside in the ED...

..To evaluate ultrasound error in patients presenting with penetrating injury with a potential for pericardial effusion...

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..This brief report describes its use in two ED patients who presented with acute ocular pathology. The diagnoses were quickly made with ED ultrasound, and subsequently confirmed with more traditional methods of ocular evaluation...

..Although LE Doppler has become the preferred test for diagnosing DVTs, it is not always available 24 hours per day...

..The goal of this study was to determine whether the use of a portable ultrasound (US) device on selected patients in a remote setting would alter physician diagnosis and management...

..Recently, new ultrasound (US) technology has become available that improves organ visualization in abdominal scans...

..Our study demonstrates that the utility of cholescintigraphy in the evaluation of ED patients with suspected acute cholecysitis after a negative ultrasound examination is very limited...

..These techniques have also been applied to diagnosis of right endobronchial main stem intubation, which may be confused with a unilateral pneumothorax in some cases...

..These cases suggest that a screening ultrasound examination may have a role in the evaluation of most blunt trauma patients...

..This case series describes the use of transesophageal echocardiography (TEE) during cardiac arrest by emergency physicians. The cases illustrate some of the potential benefits of TEE during cardiopulmonary arrest...

..These findings should caution emergency physicians to be aware of this limitation along with the many advantages of these new and popular hand-held ultrasound units...

..We report a case of a false positive abdominal aortic aneurysm diagnosed in a patient with a previously unknown large malignant para-aortic lymph node...

..0001). EPs and ISs had excellent agreement (kappa = 0.9). Compression ultrasound performed by EPs resulted in a significant decreased time to disposition. Agreement with ISs was excellent...

..Six unstable patients were evaluated with the FAST examination and found to have large quantities of intraperitoneal fluid. In each case the fluid was sampled and proposed management changed due to fluid identification...

..We present 4 cases of patients receiving ultrasound-guided interscalene blocks for pain control and muscle relaxation during shoulder reduction. Complete pain control, muscle relaxation, and joint reduction were achieved in each case...

..In conclusion, ultrasound contrast use is feasible during the FAST examination and allows enhanced evaluation of solid organ parenchyma during evaluation for solid organ injury...

..No patient returned unexpectedly after drainage. CONCLUSIONS: These data suggest that intraoral US of suspected PTA allows for reliable diagnosis and safe and accurate abscess drainage...

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..To evaluate the frequency of unsuspected posterior vessel wall penetration of the internal jugular vein during ultrasound-guided needle cannulation...

..We discuss the technique and potential utility of point-of-care ultrasound evaluation in a series of pediatric patients with suspected cholecystitis or biliary tract disease...

..This study aims to identify whether long-axis or short-axis approaches to ultrasound-guided vascular access afford improved visibility of the needle tip...

..Presented are three cases of ectopic pregnancy diagnosed on the basis of abnormal color Doppler findings, and a discussion of the technique...

..Venous thromboembolic disease is a major cause of mortality and morbidity...

..The purpose of this study was to determine the utility of bedside sonography to differentiate soft tissue abnormalities from joint effusions...

..We present 6 cases of Fournier's gangrene diagnosed in the ED at the patient's bedside using ultrasound. None of the patients had a history of diabetes, and 5 had sources of infection determined...

..The FAST examination helped us to accurately determine which of the two patients required operative intervention first, despite that patient's appearance of relative hemodynamic stability in comparison to the other stabbing victim...

..Although accidental arterial penetration with the needle may occur periodically without notice and with little harm, actual arterial dilation and line placement may result in serious complications...

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..There were four arterial punctures. CONCLUSIONS: ENs had a high success rate and few complications with use of US guidance for vascular access in a variety of difficult-access patients...

..We present 3 cases of isolated facial trauma in which routine evaluation with ocular ultrasound led to the discovery of periorbital air with one patient having air insufflating the upper lid of the affected side...

..Transcranial Doppler (TCD) is an accepted modality for the evaluation of cerebral blood flow velocities...

..The bilateral cysts were diagnosed on bedside ultrasound by the treating emergency physician and a disposition quickly made...

..The NPV was 85.2%. Given the potential grave consequences of a missed IOFB, sonography cannot be used as the definitive test to rule out the presence of a metallic IOFB. In the presence of negative findings, further imaging is warranted...

..We review the technique of incorporating point-of-care ultrasound into the physical examination of infants with suspected HPS and discuss the possible role of point-of-care ultrasound in the management of these patients...

..We present a previously undescribed echocardiographic finding associated with proximal dissection of the thoracic aorta in 7 cases...

..To report on the use of bedside sonography in the diagnosis and treatment of penetrating extremity trauma...

..After a brief tutorial, ultrasound guidance for IV access in emergency patients significantly decreased the perceived difficulty in difficult access patients...

..One of the largest impediments in our study population was a patients' primary care physician who may not understand the need for a follow-up US examination...

..Further, the technique may have some utility in differentiating RMS bronchus from main tracheal intubations...

..The measurement of the IVCe may be an important addition to the ultrasonographic evaluation of trauma and other potentially volume-depleted patients...

..We report on the use of point-of-care ultrasound to diagnose hip effusion and to guide arthrocentesis in a series of pediatric patients presenting with hip pain to the ED...

..The purpose of this study was to compare infection rates of peripheral intravenous (IV) lines placed under ultrasound guidance with traditionally placed IV lines...

..To determine the effect of soft tissue gas on the accuracy of foreign body detection by realtime sonography...

..0 mm in adults, 4.5 mm in children aged 1 to 15, and 4.0 mm in infants up to 1 year of age. We report the application of this technique to 3 cases of head trauma in the pediatric emergency department...

..We report our preliminary clinical observations of using focused point-of-care echocardiography to correlate with the pulse check during resuscitation in a series of pediatric cardiac arrests...

..The objective of this study was to describe diagnosis and management of ectopic pregnancy using bedside transvaginal ultrasound (US) in an established emergency US program...

..001), as compared with the palpation group. CONCLUSIONS: In this study, US guidance for arterial cannulation was successful more frequently and it took less time to establish the arterial line as compared with the palpation method...