Welcome back to emDOCs cast. This is the first podcast in a series looking at acute heart failure. Today we look at the evaluation of acute heart failure in the ED and several misconceptions.
emDOCs Podcast – Episode 49: Acute Heart Failure Evaluation Misconceptions Read More »
You may have heard whispers of a magical new way to determine if your patient has too much fluid on board. The VExuS (Venous Excess UltraSound) grading system has been described as a way to use the IVC in combination with abdominal organ doppler in order to determine the degree of venous congestion. This is the first study that takes a look at the VExUS system to see if it can predict acute kidney injury in post-operative patients.
Ultrasound G.E.L. – The Venous Excess Ultrasound Grading System & Acute Kidney Injury Read More »
Do you use ultrasound for suspected peritonsillar abscess (PTA)? Some of us probably do, some don’t – but what does the evidence say?? Does it help the clinician? and (dare we ask) does it help the patient? This paper is potentially the best data we currently have on the topic. Mike and special guest Kim Fender dive straight into the purulence of this fluctuant topic.
Ultrasound G.E.L. – POCUS for Peritonsillar Abscess Read More »
Does POCUS Expedite Care?
Ultrasound G.E.L. – Septic Arthritis of the Hip Read More »
This is the second study from the REASON group – one of the most rigorously performed studies of ultrasound in cardiac arrest. In this article, they are looking at the population in pulseless electrical activity (PEA) with cardiac motion on ultrasound. From this group, they differentiate those with organized rhythms. The idea is that perhaps this population would have a different survival or respond to treatments differently. By reanalyzing their previous data, they are able to answer these questions.
Ultrasound G.E.L. – PEA Arrest Read More »
We have talked about ocular ultrasound many times before – it certainly can be useful in identifying many acute ophthalmologic pathologies. But what about papilledema?
Ultrasound G.E.L. – Papilledema Read More »
Will it ever be good enough?
Ultrasound G.E.L. – Accuracy of 3 Point DVT Exam Read More »
We know that ultrasound can be used to diagnose a superficial cutaneous abscess. That is NOT what this study is about. Forget diagnosing! What about actually helping your patients stay out of the emergency department?
Ultrasound G.E.L. – The Effect of POCUS on Abscess Treatment Failure Read More »
It’s not what you think – POCUS is not going to be used to diagnose a GI bleed. However, perhaps it can be used to risk stratify this diverse group of patients. These authors had the idea to check IVC, echo, and LVOT VTI to see if it could help predict which patients are going to have adverse events from their bleed.
Ultrasound G.E.L. – GI Bleed Risk Read More »
Deep learning is a branch of artificial intelligence that holds a lot of promise for point-of-care ultrasound, but we don’t have much data on how it performs. The fearless investigators in this fascinating study train a deep learning algorithm to recognize sonographic anatomy of the upper extremity and then pit it against expert POCUS users to see who can interpret the images most accurately!
Ultrasound G.E.L. – Deep Learning for Peripheral IV Anatomy Read More »