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Top 3 Articles: Ultrasound guided Central Venous Catheter Insertion

The literature for using ultrasound guidance in placing a central venous line is robust. There are many articles espousing the benefits of ultrasound guidance: reduced number of attempts, reduced complication rate, increased first pass success rate. So, it is indeed difficult to narrow down to a finger count of 3 articles. But if one wereRead more

Top 3 Articles: Abdominal Aortic Aneurysm

While an uncommon condition, a leaking abdominal aortic aneurysm (AAA) is deadly if not recognized quickly. How good is the physical examination for excluding AAA? Even if the physical exam is specifically directed to look for AAA, the sensitivity is still not good enough to rule out its presence (Sensitivity of 29% for AAAs of 3.0Read more

Top 3 Articles: Pelvic US

Miscarriage in progress from Sinai EM Ultrasound on Vimeo. Pelvic ultrasound is one of our core US applications. It has been incorporated within many emergency departments and it is a bread and butter skill for the EP. So, how do we fare in our performance? This early study showed that ED ultrasound was very similarRead more

Top 3 Articles: FAST

The FAST exam is the prototypical application of emergency ultrasound. However, it is important to know that there are limited randomized controlled trials assessing the utility of the FAST exam. Despite this, let’s look at three good articles that  all emergency residents should know. 1. In this Cochrane review, the authors’ conclusion was that thereRead more

Top 3 Articles – DVT

In this series, we cut to the chase and highlight our choice for the the top three articles on a given topic. Read on for the articles and brief discussion. Three DVT articles that every emergency physician should know. What are they? 1) If there is any “must know” article for DVT or PE, thisRead more