A Temporal Analysis from Point-of-Care Ultrasound to Subsequent Imaging By Dr Brian Doyle Sonographic signs of cholecystitis tend to progress from the primary findings of cholelithiasis and a positive sonographic Murphy’s sign to the secondary findings of gallbladder wall changes, namely wall thickening and pericholecystic oedema. The presence of these secondary signs increases the specificity for diagnosing cholecystitis and surgeons often rely on them to guide admission and

A systematic review and meta-analysis By Dr Brian Doyle We know manual pulse checks during CPR are unreliable and often slow. “Do you feel a pulse…? I’m not sure… is that my pulse?” So, is a POCUS pulse check faster and more accurate? But firstly: What is a POCUS pulse check? It’s not just looking at the heart during a rhythm check. It means using a linear probe to assess the carotid artery for compressibility and pulsatility, or using pulse-wave Doppler at the femoral artery

PENG: The New Kid on the block for Hip Fracture Analgesia? By Jonny Russell The fascia iliaca block has long been the go-to regional technique for hip fracture analgesia in the ED. But a newer technique — the pericapsular nerve group (PENG) block — is gaining attention. This randomised clinical trial, published in Anaesthesia, asked a simple question: does PENG provide better pain relief than the traditional fascia iliaca block in ED patients with hip fracture? 64 patients wi

“Never Skip Leg Day: Should We Ultrasound Every Swollen Leg in the ED?” By Jonny Russell In EMUGs we rarely skip an opportunity to use ultrasound, but should we be scanning every swollen leg — or is it safe for some patients to “skip leg day”? This paper examined whether emergency physician–performed proximal compression ultrasound (PUL), combined with clinical risk stratification, could safely diagnose or exclude lower-limb DVT directly in the emergency department. In this p