- Ultrasound in Clinical Applications
- Radiology practices and education
- Radiation Dose and Imaging
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Suicide and Self-Harm Studies
- Hemodynamic Monitoring and Therapy
- Aortic Disease and Treatment Approaches
- Intestinal and Peritoneal Adhesions
- Gun Ownership and Violence Research
- COVID-19 diagnosis using AI
- Sinusitis and nasal conditions
- Poisoning and overdose treatments
- Body Image and Dysmorphia Studies
- Gout, Hyperuricemia, Uric Acid
- Sexuality, Behavior, and Technology
- Homicide, Infanticide, and Child Abuse
- Orthopedic Surgery and Rehabilitation
- Pleural and Pulmonary Diseases
- Pluripotent Stem Cells Research
- Abdominal vascular conditions and treatments
- Orthopedic Infections and Treatments
- Abdominal Trauma and Injuries
- Tattoo and Body Piercing Complications
- Elbow and Forearm Trauma Treatment
Geisinger Health System
1996-2022
Geisinger Medical Center
2007-2022
Commonwealth Medical College
2020
Danville Community College
2013-2014
Philadelphia College of Osteopathic Medicine
2004
Abstract In 2012 the Accreditation Council for Graduate Medical Education and American Board of Emergency Medicine released emergency medicine milestones. The Patient Care 12 ( PC 12) subcompetency delineates staged progressive accomplishment in ultrasound. While valuable as an initial framework ultrasound resident education, there are limitations to 12. This consensus paper provides a revised description criteria define subcompetency. A multiorganizational task force was formed between...
Clinical ultrasound (CUS) is integral to the practice of an increasing number medical specialties. Guidelines are needed ensure effective CUS utilization across health systems. Such guidelines should address all aspects within a hospital or system. These include leadership, training, competency, credentialing, quality assurance and improvement, documentation, archiving, workflow, equipment, infrastructure issues relating communication information technology. To meet this need, group subject...
Pott puffy tumor is an osteomyelitis of the frontal bone with development a subperiosteal abscess manifesting as swelling forehead or scalp. It believed to occur complication sinusitis. The modern antibiotic era has made it rarely encountered entity. This case describes 4-year-old boy who presented in status epilepticus secondary tumor.
A 71-year-old male presented to the emergency department (ED) for worsening right knee pain prior 3-4 weeks. Point-of-care ultrasound (POCUS) of showed a pseudo-double contour sign. Subsequent ultrasound-guided arthrocentesis joint was performed, and fluid studies presence calcium pyrophosphate crystals, which consistent with pseudogout. Ultrasound detection crystals in pseudogout chondrocalcinosis has sensitivity 86.7% specificity 96.4% making POCUS valuable tool diagnosing...
Abstract Objective We sought to evaluate the influence of several well‐documented, readily available risk factors that may a psychiatric consultant's decision admit an emergency department (ED) patient reporting suicidal ideation for hospitalization. Methods conducted retrospective study adult patients presenting six affiliated EDs within Pennsylvania from January 2015 June 2017. identified 533 current active and receiving complete consultation. Socio‐demographic characteristics,...
A 53-year-old male presented with pain in the right elbow that was sudden onset and progressively worsening over approximately eight hours. The exacerbated any movement of elbow. Of note, he had been recently admitted for robotic prostatectomy a prolonged hospital stay requiring course antibiotics. This case report details emergency department evaluation septic arthritis focus on best practices ultrasound- guided arthrocentesis.
Epigastric pain is a common complaint made by patients being evaluated in the emergency department. Spontaneous isolated visceral artery dissection rare cause with no reported prevalence. We present case of 37-year-old male department for epigastric and subsequently diagnosed spontaneous celiac involvement hepatic splenic arteries. Recent series suggest this disease may be managed medically most cases. Surgical intervention considered significant bleeding or signs intestinal ischemia.
Hospital culture regarding imaging and the specialties which perform it has been resistant to change. In particular, ultrasound performed at point of care (POCUS) taken a while become established within hospital systems. The COVID-19 pandemic seemingly caused acceleration POCUS acceptance. What is driving this rapid change?
Ali, Abbas1; Korzick, Karen1; Miller, Angela1; Urrutia, Luis1; Strony, Robert1 Author Information
Appendix 1.The emergency room behavioral health survey administered
The use of ultrasound-guided regional anesthesia for pain management has become increasingly prevalent in Emergency Medicine, with studies noting excellent control while sparing opioid use. However, the may be hampered by concern about risks patient harm. This systematic review protocol describes our approach to evaluate incidence adverse events from Physicians as described literature. project will also seek document scope applications being performed Medicine literature, and potentially...
Objective—To describe a case of axillary artery embolus detected by emergency physician- performed bedside ultrasound. Case Report—A patient presented with possible stroke but was diagnosed correctly acute embolus. The the physician use Results—An rapidly physician-performed This led to rapid definitive vascular surgical care. Conclusion—Rapid ultrasound upper extremity arterial system can accurately detect life- and limb-threatening pathology expedite, as this demonstrates, limb-saving
Introduction: Echocardiography is an essential tool for diagnosis in critically ill patients and hemodynamic monitoring assessment of provided treatment. Methods: A hands-on, 2-days long course, running 8 hours/day was organized by two physicians trained echocardiography, one intensivists emergency medicine attending. Sixteen practicing clinicians were enrolled: critical care attendings, 6 fellows 2 mid-levels. The course consisted 7.25 hours didactic lectures 8.75 hands on skill stations...
ImageA25-year-old man presented to the ED complaining of pain, swelling, and erythema his glans penis. The patient reported that this developed after having a new bar penile piercing five days earlier. He had increased pain in swelling with painful bilateral inguinal lymphadenopathy for three days. made it difficult him walk, he was concerned because felt urine stream obstructed spraying. each night wrapping penis toilet paper then placing condom over as directed by studio. Vital signs were...