Jim Tsung MD

refining diagnosis one patient at a time

[Jim Tsung MD @JTsungMD]

#WorldSickleCellDay #PoCUS for acute splenic sequestration in sickle cell disease: https://t.co/np8dClRd0W
https://t.co/d2h5kkBbPG

[Ped Emerg Care @PedCareonline]

Serial Trauma Abdominal Ultrasound in Children (STAUNCH): A Pilot Study https://t.co/VhK6joMAEo

[Ped Emerg Care @PedCareonline]

Clinical Characteristics, Outcomes, and Interobserver Agreement of Point-of-Care Ultrasound Detected Mesenteric Adenitis in Nonsurgical Pediatric Abdominal Pain: A Retrospective Cohort Study https://t.co/AoI7o0H9Hl

[Ped Emerg Care @PedCareonline]

Point-of-Care Ultrasound for Pediatric Vaginal Obstruction in the Emergency Department: A Case Series https://t.co/9BkyJqeXwB

[Ped Emerg Care @PedCareonline]

Point-of-Care Ultrasound Evaluation of Pediatric Osteomyelitis in the Emergency Department: A Case Series https://t.co/FABl5uwm1s

[Josh Guttman @drjgutt]

A negative #POCUS can still lead you in the right direction

1/
A 25f, previously healthy, presents with sudden severe left flank pain that started an hour pta. no radiation. vomited once. No urinary symptoms, not pregnant. She is writhing in pain and is tender in her flank.

[PECARNteam @PECARNteam]

🚨Hot off the Press!

Introducing the #PECARN C-spine Rule!

This groundbreaking study, led by @JCLeonardMDMPH, provides a clinical prediction tool for identifying cervical spine injury risk in children experiencing blunt trauma.

@LancetChildAdol
https://t.co/x9xn8pcZsC

[Arun Nagdev @NagdevArun]

Clavicle fracture in the ED? We have a simple ultrasound-guided block for that...Multimodal analgesia for your patients @ACEPNow @HGHED @ACEP_EUS https://t.co/ObV4ahyCbG

[Sam Ghali, M.D. @EM_RESUS]

Here's a video I made breaking down this important case of a 14-year-old boy who presented to the ER with 'abdominal pain'

#FOAMed

[Michael I. Prats @PratsEM]

#POCUS in PEA Cardiac Arrest, an interesting case + relevant literature #cardiacarrest #echofirst

First - pericardiocentesis?

[Yonatan Greenstein, MD, FCCP🇺🇲🇮🇱 @Yonatan_G_MD]

My study looking at techniques to confirm intraosseous catheters has been published! https://t.co/N6L1syre2Q

I have exciting news on the horizon to leverage the novel pressure waveform technique described in this paper to make IO access safer for patients. First a summary:

1/

[Michael Todd Dolinger, MD MBA @DrMikeDolinger]

Today a child shared (and gave permission to share) her wonderful drawing of her IBD story and the impact a simple ultrasound had. It can’t be overstated how transformative IUS is for patients to see their inflammation or healing in real time. Inspiring. 🥹

[Brad Goldberg, MD @BradGoldbergMD]

🚨 Pediatrics 🚨

Did u know @ab_peds MOC cartel charges $4.32 per multi choice q in order to “maintain” your cert. If u are sub boarded, they graciously ask u complete twice the q’s at - discounted $3.02 each!

End MOC now! @AaronGoodman33 @grepmeded @megedison @CharlesPKroll

[Jim Tsung MD @JTsungMD]

@HeyDrNik @reverendofdoubt @SchwartziEMPEM https://t.co/zSxZV9X2np

If I see fluid increasing on repeat, I call for O neg blood on standby in case becomes unstable…avoid resus in CT scanner…

[Jim Tsung MD @JTsungMD]

@drevanyates LOL!

[RutgersNJMS_POCUS @RutgersPOCUS]

Replacing a G-tube is quick if not out too long and no trauma.

Yet, confirmation by gastrograffin x-ray takes forever.

Consider POCUS to confirm placement:
- Place probe adjacent to tube, see catheter and balloon
- Instill 50+ cc of saline, watch stomach expand with bubbles

[Jim Tsung MD @JTsungMD]

I did not know #JuneTeenth is also #WorldSickleCellDay (coincidence?), but I do know #PoCUS #LungUltrasound can be used to diagnose #AcuteChestSyndrome, a leading cause of death in #SickleCellDisease:
https://t.co/6F14G84ITP
https://t.co/BLexPEcrnP

[Jim Tsung MD @JTsungMD]

#WorldSickleCellDay adult #PoCUS #LungUltrasound data for #AcuteChestSyndrome in #SickleCellDisease:
https://t.co/jWUbbxkoHE
https://t.co/PsjuIwl5Ip