Tips and Tricks: Paracentesis

The first and most important step in paracentesis is confirming there is ascites to begin with! Physical examination findings can be misleading, and inserting a needle blindly into the abdomen can cause complications unnecessarily. Note the black free fluid in the image, with echogenic bowel loops floating within. Several approaches are commonly used. Each one […]

Adriatic Vascular Ultrasound Society Meeting

The Adriatic Vascular Ultrasound Society will host its 7th annual meeting and CME conference September 23-25 in Montecatini Terme. The official language for the conference is English, and it will be held in Tuscany! This is an EFSUMB accredited Euroson school event. For more information please visit here.

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 there […]

Airway Mythology

As promised, here are selected references from today’s talk on Airway Management Mythology. Thanks to the organizers of the International Conference on Emergency Medicine (ICEM) for the invitation to speak. Some of the topics discussed are supported by plenty of evidence (ie the use of RSI as an intubation technique), some were simply fun to […]

Status Epilepticus

Here are some key references from today’s lecture on Status Epilepticus at ICEM: FERNE’s seizure and status epilepticus management guide Key practice guidelines related to seizures: ACEP Clinical Policy: Critical Issues In The Evaluation And Management Of Adult Patients Presenting To The Emergency Department With Seizures Treatment of convulsive status epilepticus. Epilepsy Foundation of America. […]

Tips and Tricks- The gallbladder / duodenum conundrum

One of the most common pitfalls in gallbladder sonography is confusion with the structure which abuts it in the right upper quadrant – the duodenum. This loop of bowel can easily be mistaken for the gallbladder especially if it contains a mixture of fluid and solid materials. So how can we tell them apart? The […]

Artifacts 1 – You mean… it’s not real?

Artifacts are ultrasound images on the screen that do not correspond exactly what is in the body. Artifacts can be useful in determining true anatomy: 1. The presence of some artifacts can help us to identify anatomy:  e.g. “an aorta” is  “the aorta” because it’s resting on the spine, which is “the spine” because it casts a […]

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, this […]

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