A5074764256- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Radiology practices and education
- Radiation Dose and Imaging
- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Trauma Management and Diagnosis
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Central Venous Catheters and Hemodialysis
- Muscle and Compartmental Disorders
- Abdominal Surgery and Complications
- Antibiotic Resistance in Bacteria
- Renal and Vascular Pathologies
- Acute Kidney Injury Research
- Vascular Procedures and Complications
- Poisoning and overdose treatments
- Aortic Disease and Treatment Approaches
- Abdominal Trauma and Injuries
- Metabolism and Genetic Disorders
- Nosocomial Infections in ICU
University of Pennsylvania
2016-2025
Hospital of the University of Pennsylvania
2015-2025
Rijnstate Hospital
2023
New York University
2023
Royal College of Emergency Medicine
2023
Intensive Care Foundation
2023
QT Ultrasound (United States)
2023
University of Pavia
2023
Istituti di Ricovero e Cura a Carattere Scientifico
2023
University of Pennsylvania Health System
2018-2022
RATIONALE: Critical care ultrasonography (CCUS) is rapidly evolving with new evidence being published since the prior 2016 guideline. OBJECTIVES: To identify and assess best regarding clinical outcomes associated five CCUS applications in adult patients publication of previous guidelines. PANEL DESIGN: An interprofessional, multidisciplinary, diverse expert panel 36 individuals including two patient/family representatives was assembled via an intentional approach. Conflict-of-interest...
Ultrasound (US) has been shown to facilitate peripheral intravenous (IV) placement in emergency department (ED) patients with difficult IV access (DIVA). This study sought define patient and vein characteristics that affect successful US-guided placement.This was a prospective observational of convenience sample DIVA an urban, tertiary care ED. were defined as having any the following: at least two failed attempts or history plus inability visualize palpate veins on physical exam. Patient...
Inferior vena cava ultrasound (IVC-US) is a noninvasive bedside tool to assess intravascular volume status. This study set out investigate the interrater reliability of IVC-US by clinician sonographers and determine whether alternative methods such as B-mode visual estimation are equally reliable traditional M-mode.A convenience sample adult emergency department (ED) patients was prospectively enrolled. Each patient underwent two different physicians (EPs), each whom first performed IVC...
Point-of-care ultrasound (POCUS) involves the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician. The current state cardiac POCUS terminology is heterogeneous ambiguous, in part because it evolved through siloed specialty practices. In particular, medical literature colloquial conversation contain wide variety terms that equate to POCUS. While diverse aided development dissemination throughout multiple specialties,...
Sonographic B-lines are a sign of increased extravascular lung water. Several techniques for quantifying within individual rib spaces have been described, as well different methods "scoring" the cumulative B-line counts over entire thorax. The interobserver reliability these is unknown. This study examined 3 inter-rater reliability.Videotaped pleural assessments adult patients presenting to emergency department with dyspnea and suspected acute heart failure were reviewed by blinded pairs...
Abstract Objectives The objective was to evaluate the test characteristics of clinical examination ( CE ) with addition bedside emergency ultrasound + EUS compared alone in determining skin and soft tissue infections SSTI s) that require drainage pediatric patients. Methods This a prospective study as diagnostic for evaluation patients 2 months 19 years age evaluated s department ED ). Two physicians clinically independently each lesion, reliability diagnosing lesions requiring calculated....
Objectives: To determine the feasibility and describe process of implementing a pediatric critical care bedside ultrasound program in large academic PICU to evaluate impact on clinical management. Design: Retrospective case series, description implementation. Setting: Single-center quaternary noncardiac children’s hospital. Patients: Consecutive patients from January 22, 2012, July with ultrasounds performed interpreted by practitioners. Interventions: A consisting 2-day immersive course...
Ultrasound (US) examination has many uses in resuscitation, but to use it its full effectiveness typically requires a trained and proficient user. We sought information technology advances remotely guide US-naive examiners (UNEs) using portable battery-powered tele-US system mentored either smartphone or laptop computer.A cohort of UNEs (5 tactical emergency medicine technicians, 10 ski-patrollers, 4 nurses) was guided perform partial complete Extended Focused Assessment with Sonography...
The COVID-19 pandemic has spread to 185 countries with over 2.1 million confirmed cases and 145,000 deaths, as per the Johns Hopkins University dashboard provided at https://coronavirus.jhu.edu/map.html. Imaging modalities such chest radiography, thoracic cardiovascular ultrasound, computed tomography (CT) have roles in diagnosis, prognosis, monitoring, therapy of COVID-19. However, potential benefits imaging need be balanced against resource utilization infectious risk. Point-of-care...
Objectives B‐lines are a lung ultrasound (LUS) artifact that often indicate pathology. Little is known about the optimal machine settings to assess B‐lines. We compared typically used evaluate at our institution with adjusted based on recent studies. Methods In order determine typical for B‐line assessment, we retrospectively reviewed LUS images obtained institution. then prospectively performed both and settings, using curvilinear phased array probes, in 20 patients presenting emergency...
Background Hip fracture is a common presentation to emergency departments. Opioid-based medications are often used for analgesia but associated with increased morbidity and mortality. Regional anesthesia hip fractures can improve pain other outcomes minimal risk. The adoption of this procedure in the department perioperative space low due lack training inadequate buy-in from consultants. Methods Departments Emergency Medicine, Anesthesiology, Orthopedic Surgery, Pharmacy, Nursing...
ACADEMIC EMERGENCY MEDICINE 2011; 18:174–182 © 2011 by the Society for Academic Emergency Medicine Objectives: The objective was to evaluate a training protocol pediatric emergency physicians (EPs) learning ultrasound (EUS) evaluation of skin and soft tissue infections (SSTIs) assessing technical ability interrater reliability. Methods: Pediatric medicine (EM) fellows attending completed 1-day course taught an expert sonologist. After course, EPs performed proctored examinations on patients...
We describe how to make an ultrasound compatible, low-cost, non-perishable, durable skin and soft tissue infection (SSTI) phantom model that simulates multiple pathologies including abscess necrotizing fasciitis. The SSTI simulator has extended shelf-life, can be recreated, serve as a needle aspiration simulator.