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Unselected Patients

The Prevalence of Pathology in the ED

By Michael Prats, MD on 04/29/19 06:00 AM

We use ultrasound a lot. Sometimes we find things that are not clearly related to the reason the patient came in. The prevalence of these incidental findings relates to the usefulness of the diagnostic test. These authors take the bull by the horns, randomly whole-body-POCUS scanning emergency department patients to see what sort of findings might pop up. But should disease prevalence change our use of the tool? https://www.ncbi.nlm.nih.gov/pubmed/30587153


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POCUS in the Reduction of Distal Radius Fractures

Picking up the pieces?

By Michael Prats, MD on 04/15/19 06:00 AM

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Sure - it's not hard to see these on xray, but is there a better way? Ultrasound is great for finding fractures, but what about being able to guide the reduction? This has been shown to be useful in a pediatric population, but this study looks at a population of adult patients in the emergency department to see just how accurate ultrasound is for determining if the pieces have been put back together. https://www.ncbi.nlm.nih.gov/pubmed/30191190


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TEE to Shorten Compression Pauses in Cardiac Arrest

Better than TTE?

By Michael Prats, MD on 03/18/19 06:00 AM

TEE has been heralded as the latest and greatest way to monitor a cardiac arrest resuscitation. The advantages include continuous monitoring of cardiac activity, ability to evaluate efficacy of chest compressions, and better evaluation of etiologies of the arrest. Although many places are using it currently, there is not much evidence to support these theoretical benefits. What we do know is that a few studies have shown that transthoracic ultrasound leads to prolonged pauses in cardiac arrest. This study aims to see if TEE is the solution. https://www.ncbi.nlm.nih.gov/pubmed/30773413


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