Jim Tsung MD

Serial Trauma Abdominal Ultrasound in Children (STAUNCH): A Pilot Study dlvr.it/TKMsXJ

Clinical Characteristics, Outcomes, and Interobserver Agreement of Point-of-Care Ultrasound Detected Mesenteric Adenitis in Nonsurgical Pediatric Abdominal Pain: A Retrospective Cohort Study dlvr.it/TL6qXB

Point-of-Care Ultrasound for Pediatric Vaginal Obstruction in the Emergency Department: A Case Series dlvr.it/TLNWc7

Point-of-Care Ultrasound Evaluation of Pediatric Osteomyelitis in the Emergency Department: A Case Series dlvr.it/TNGNgw

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.

🚨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 thelancet.com/journals/lanch…

Clavicle fracture in the ED? We have a simple ultrasound-guided block for that...Multimodal analgesia for your patients @ACEPNow @HGHED @ACEP_EUS acepnow.com/article/how-to…

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

#POCUS in PEA Cardiac Arrest, an interesting case + relevant literature #cardiacarrest #echofirst First - pericardiocentesis?

My study looking at techniques to confirm intraosseous catheters has been published! bit.ly/3OVJjEj 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/

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. 🥹

🚨 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

@HeyDrNik @reverendofdoubt @SchwartziEMPEM pubmed.ncbi.nlm.nih.gov/34338342/ If I see fluid increasing on repeat, I call for O neg blood on standby in case becomes unstable…avoid resus in CT scanner…

TL;DR FAST in kids is not that helpful. Why? Mostly because detecting free fluid requires ~250cc, which is a significant enough percentage of blood volume in most kids that they’ll have hemodynamic changes first. #PedsEM #POCUS

@drevanyates LOL!

Offered to block him and was initially told by consultants, nah he’ll be fine, we’ll just sedate Me: ok, whatever you say Me also:

Distal humerus fracture after fall from e-bike. Wasn’t initially my patient but walked by and saw him hanging for reduction looking like this: 🥺 (@NagdevArun @GoldyMD @JoeStegemanMD #blockheadsgang et al)

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

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: bit.ly/2TLpXZJ bit.ly/2SPE7c2

#WorldSickleCellDay adult #PoCUS #LungUltrasound data for #AcuteChestSyndrome in #SickleCellDisease: bit.ly/2TOW9vr bit.ly/2TRvRs8

For many, the severe impact of Covid infections lingers. Amazing images of lung damage—and moving stories of people whose lives have been changed forever. bit.ly/45FFXNo