Emergency department diagnosis of upper extremity deep venous thrombosis using bedside ultrasonography

Rosen, Tony; Chang, Betty Chia-Chen; Kaufman, Martha; Soderman, Mary; Riley, David C.

doi:10.1186/2036-7902-4-4

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…It allows practitioners to acquire and interpret images in real time with little training [10,11]. 95% of UEDVT cases can be detected by compression ultrasound alone [6,[10][11][12]. While the POCUS is generally safe procedure, there are growing concerns such as reporting, documentation, plus possibility of misinterpretations that could lead to wrong decisions at the bedside [7].…”

Section: Discussionmentioning

confidence: 99%

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Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report

et al. 2023

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Upper extremity deep venous thrombosis (UEDVT) is uncommon but may complicate intracerebral hemorrhage (ICH). A unique challenge arises when UEDVT is diagnosed and treated in situations of ICH. Case Report: We report a 43-year-old man developed edema in his hemiplegic arm 7 days after a spontaneous ICH. UEDVT was detected immediately despite pharmacotherapy with point-of-care compression ultrasound (POCUS). In addition to controlling thrombogenic factors, the dosage of enoxaparin was increased, yet it was subtherapeutic. Following this, the thrombosed veins recanalized and the hematoma diminished as well. Conclusion: A POCUS scan helps diagnose UEDVT, and the risk and benefits of treating UEDVT should be considered in patients with ICH.

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Section: Discussionmentioning

confidence: 99%

“…In intensive care, POCUS is increasingly used. It allows practitioners to acquire and interpret images in real time with little training [10,11]. 95% of UEDVT cases can be detected by compression ultrasound alone [6,[10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report

et al. 2023

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“…1 Bedside venous ultrasonography, including performance by emergency department physicians, has been shown to be a reliable modality for diagnosing upper- as well as lower-extremity DVT. 2–4…”

Section: Discussionmentioning

confidence: 99%

“…be a reliable modality for diagnosing upper-as well as lower-extremity DVT. [2][3][4] Rosen et al 3 described a case of axillary vein deepvein thrombosis detected by emergency bedside ultrasound; however, there is no literature demonstrating emergency physicians skill at evaluating acute arterial emergencies of the upper extremity. Despite this, case reports demonstrate emergency physicians using bedside ultrasound to detect axillary artery aneurysms, 5 inadvertent catheter placement in the carotid artery, 6…”

Section: Case Studiesmentioning

confidence: 99%

Hold the Stroke Alert! Acute Axillary Artery Embolus Unmasked by Emergency Bedside Ultrasound

Strony

2014

Journal for Vascular Ultrasound

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Objective —To describe a case of axillary artery embolus detected by emergency physician- performed bedside ultrasound. Case Report —A patient presented with a possible stroke but was diagnosed correctly with acute axillary artery embolus. The axillary artery embolus was detected by the emergency physician by the use of bedside ultrasound. Results —An acute axillary artery embolus was detected rapidly by emergency physician-performed bedside ultrasound. This led to rapid definitive vascular surgical care. Conclusion —Rapid bedside emergency ultrasound of the upper extremity arterial system can accurately detect life- and limb-threatening pathology and expedite, as this case demonstrates, definitive limb-saving surgical care.

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“…Brazil was chosen for being a southern upper-income LMC with a large populationapproximately 210 million in 2018 [41], for its lack of both EJ and CE studies, for its large number of WPs with significant contribution to the country's economy, and for its fast-growing metropolitan areas, among which is Fortaleza. This city experienced a sudden economic growth without an equivalent social-economic distribution, making it a fertile field for disparities, injustices, and EJ studies.…”

Section: The Case Selectionmentioning

confidence: 99%

Environmental Justice and Circular Economy: Analyzing Justice for Waste Pickers in Upcoming Circular Economy in Fortaleza, Brazil

Oliveira

2021

Circ.Econ.Sust.

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Sustainable development (SD) presents three pillars: environment, equality, and economy. Many scholars agree that circular economy (CE) currently displays a social gap, as most studies so far focus mostly on economic aspects and, occasionally, environmental too. Although some developed countries and especially the EU heavily promote it, there is little possibility of developing countries accepting CE unless it can fill what it is lacking. This study suggests the use of Schlosberg’s tripartite environmental justice (EJ) perspective to complete the concept of CE, bringing it closer to that of SD. Due to their significant contribution to both circularity and the environment, and, likewise, due to their poor social conditions, this paper focuses on the social group of WPs, mainly in Brazil. After conducting 19 semi-structured interviews, EJ was applied to the case of the Ecopoints in Fortaleza (northeastern Brazil) and each element—recognition, distribution, and participation—detected conflicts, such as underappreciation, continuously reduced access to recyclables, distrust, and miscommunication. If CE is successful in LMCs, it will heavily rely on WPs. The analysis suggests that it is necessary to recognize their contributions in order to value their work and consequently, promote their social inclusion.

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Emergency department diagnosis of upper extremity deep venous thrombosis using bedside ultrasonography

Cited by 9 publications

References 23 publications

Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report

Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report

Hold the Stroke Alert! Acute Axillary Artery Embolus Unmasked by Emergency Bedside Ultrasound

Environmental Justice and Circular Economy: Analyzing Justice for Waste Pickers in Upcoming Circular Economy in Fortaleza, Brazil

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