Ultrasound

Advanced Cases and Content: Genital Pain

11-year-old boy previously health who presents with testicular pain. He had sudden onset of pain that started 6 hours ago. He rates it 8/10, states it has been constant since then and is non-radiating. He denies dysuria and similar pain in the past. He further denies testicular trauma and recent fevers. He had one episode of emesis while in the waiting room.

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Back to Basics: Foreign Body Ingestion

In 2010, there were approximately 535,000 ED visits for foreign bodies.  Approximately 80-90% of ingested foreign bodies pass through the GI tract without complications while the rest require intervention.  What are some basics that you need to know about foreign bodies that ingested, aspirated and inserted?

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Back to Basics: Ultrasound Guided Peripheral IVs 101

Ultrasound guidance has undeniably revolutionized IV access and is an incredibly useful skill for the ED physician.  The following are by no means a comprehensive guide to the procedure but rather 10 tips for small changes that are often overlooked and can make a huge difference. If you have trained with ultrasound guided IV’s and feel comfortable already with your own style, this may not be as helpful for you. For the medical students, interns, and perhaps "less young attendings" that did not have a vascular probe attached to their hip during residency, read on!

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Advanced Practice: Use of Ultrasound for Infant Lumbar Punctures

Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.

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