About Ryan Gibbons, MD

Assistant Director, Division of Emergency Ultrasound
Assistant Professor
Department of Emergency Medicine
Lewis Katz School of Medicine at Temple University

Ultrasound for the Win! 3-year-old with abdominal pain #US4TW

ultrasound for the win intussusception

A 3-year-old Hispanic female with no significant past medical or surgical history presents to the Emergency Department with her mother for a 3 day history of crampy abdominal pain, intermittent bloody diarrhea and fever. There has been no recent travel, admissions, or antibiotic use. Her older sister reports similar symptoms, which have resolved. The patient saw her pediatrician the day prior, who recommended supportive care including oral rehydration.

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By |2019-11-19T01:47:58-08:00Dec 4, 2019|Pediatrics, Ultrasound, Ultrasound for the Win|

Techniques for Ultrasound-Guided IV Placement

Y junction access

Imagine a busy evening shift interrupted by the news that the unstable dialysis patient still has no access. Begrudgingly, you drag the ultrasound into the patient’s room. Buried beneath a layer of muscle, a tiny vein lurks below an intimidating artery with a nerve nestled close by. Making matters worse, the patient is becoming increasingly more frustrated. “This always happens. I told them not to remove my last PICC line,” he notes. The use of ultrasound-guided IV improves successful cannulation and decreases complications, but cases like this have caused many emergency providers to resent, even fear, this basic procedure.​1–4​ Below, we provide additional techniques to increase your success and to avoid the risks associated with central line placement.

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By |2019-09-19T17:39:55-07:00Sep 19, 2019|Ultrasound|