PE is often a considered and easily risk-stratified diagnosis, however what about when you take away your definitive test of the CTPA? Dr. Ham examines the 60/60 sign and other ultrasonographic tests you can use to determine the acuity of right ventricular strain which is addition to the clinical and hemodynamic evaluation can help you triage additional strategies to traditional anticoagulation.Read More
Ultrasound case of the month is back, with Dr. Ham covering a case of persistent abdominal pain after a recently negative CT scan. Bedside scanning provides a quick answer to a clinical puzzle.Read More
Skin and soft tissue (SSTI) ultrasound is a hotly debated area of utility, however the returning cellulitis is a hard indication. Join Dr. Ham and he presents a case of a worsening cellulitis despite adequate antibiotics, and a dive into the literature of SSTI US.Read More
Vascular access difficulties…everyone’s favorite. There’s certainly no way to disrupt your flow and efficiency than a patient who you cant get access on. In this month’s ultrasound case of the month, Dr. Jared Ham discusses a technique using ultrasound to get quick and easy access.Read More
This month's AirCare Series post is the first podcast in the series! In this podcast one of our current interns, Adam Gottula, interviews a graduate of our program, Andrew Latimer. Dr. Latimer is currently a Senior EMS Fellow at the University of Washington. In this interview, Dr. Latimer discusses how they use pre-hospital ultrasound at his flight program as well as his thoughts on the future applications of this technology.Read More
What's red, fluctuant, and painful? An abscess of course. But what if it's not just a simple abscess? Can ultrasound help us out clinically? Read on as Dr. Shaw answers these questions and more in this month's Ultrasound Case of the Month!Read More
Not every swollen knee is an emergency, but treatments can vary between NSAIDs and an operative wash-out. Drs LaFollette and Stolz walk through the use of bedside ultrasound to focus our ED care.Read More
More Ultrasounds! This month, a case of abdominal pain in a patient with Crohn's Disease. Jump right to CT? Not when you have an ultrasound probe handy! Read on to learn more about the ultrasound evaluation of the patient with abdominal pain, and what you might just find...Read More
Ultrasound Case of the Month is Back! This month, a patient with several months of progressive dyspnea. Not acute, so not an ED problem? Think again! Read on to see what you might have missed if you didn't pick up an ultrasound probe...Read More
You are working an busy overnight shift at your rural community ER when a nurse comes to notify you of a new patient in the lobby - there are no open beds currently, but she thinks he looks ill.
You go out to evaluate the patient quickly - He is complaining of severe generalized abdominal pain that started a few hours ago and is worsening. He looks pale and slightly diaphoretic, has severe abdominal tenderness with peritonitis. Concerned, you wheel him back to your trauma bay...Read More
This is our inaugural edition of the Ultrasound Case of the Month. In this case we examine an early pregnancy ultrasound with an unusual finding. Read on to learn about a measurement we are often not doing in the ED and what we may be missing.Read More
As Emergency Physicians, we pride ourselves on taking care of critically ill, undifferentiated patients. As technology as advanced, we’ve been able to add more and more tools to our arsenal to help guide the management of these patients. One such tool is cardiac ultrasonography. It is able to give us dynamic information about the patient, rule out life threatening pathology such as tamponade, and even help guide resuscitation in cardiac arrest. All of this, however hinges on the physician having the knowledge and skills to employ this in our fast paced environment. Are your skills up to snuff? Find out after the jump!Read More
The ultrasound machine has quickly become a fixture in the emergency department. For good reason, the machine often lives in the trauma or resuscitation bay, seemingly anxiously awaiting use. In recent years we have seen multiple protocols and algorithms for the use of ultrasound in differentiating trauma patients. There is no doubt that it can be a powerful tool in these patients, but one must be adept with its use and aware of potential pitfalls in order to use ultrasound effectively in these high pressure situations.Read More
Over recent years, ultrasound has permeated our specialty and become a core component in how we provide patient care. It allows us to obtain real time information and make clinical decisions, all while avoiding the harms of more traditional imaging techniques.
But what exactly is going on behind the scenes here? Take a look at our educational pages dedicated to ultrasound physics and knobologyRead More