Ultrasound-Guided Peripheral Nerve Blocks for Shoulder Dislocation in the Emergency Department: A Systemic Review

Conclusion: USG-PNBs performed by adequately trained EPs may be a reasonable first option for analgesia during closed reduction of dislocated shoulders in the ED, particularly in patients with cardiorespiratory comorbidities. Although USG-PNBs have lower overall success for reduction, they have lower complication rates compared with PSA. This systematic review can serve as a guide for designing larger prospective studies to compare the utility of USG-PNB, IAA, and PSA for shoulder dislocation management in the ED.

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Matt Fields
The effect of display size on ultrasound interpretation

Conclusions: The study found no statistically significant difference in the accuracy of US interpretation nor time spent interpreting when the pre-selected RUQ videos generated on a cart-based ultrasound machine were reviewed on a phone-sized versus a laptop-sized screen. This pilot study suggests that the accuracy of US interpretation may not be dependent upon the size of the screen utilized.

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Matt Fields