2019
Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs
Daley JI, Dwyer KH, Grunwald Z, Shaw DL, Stone MB, Schick A, Vrablik M, Hall M, Hall J, Liteplo AS, Haney RM, Hun N, Liu R, Moore CL. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Academic Emergency Medicine 2019, 26: 1211-1220. PMID: 31562679, DOI: 10.1111/acem.13774.Peer-Reviewed Original ResearchConceptsAbnormal vital signsComputed tomography angiographyBeats/minPulmonary embolismVital signsProspective observational multicenter cohort studyCardiac ultrasoundTricuspid annular plane systolic excursionObservational multicenter cohort studyAnnular plane systolic excursionDiagnosis of PERight ventricular dysfunctionMulticenter cohort studyRight ventricular dilationUrban academic EDEmergency department patientsEntire patient populationVital sign abnormalitiesFocused cardiac ultrasoundRapid bedside testDiagnostic test characteristicsSubstantial interobserver agreementMcConnell's signVentricular dysfunctionCohort study
2016
Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism
Daley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, Taylor A, Moore CL. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. The American Journal Of Emergency Medicine 2016, 35: 106-111. PMID: 27793505, DOI: 10.1016/j.ajem.2016.10.018.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCohort StudiesComputed Tomography AngiographyEchocardiographyEmergency MedicineFemaleHumansMaleMiddle AgedObserver VariationPhysiciansPoint-of-Care SystemsPoint-of-Care TestingProspective StudiesPulmonary EmbolismReproducibility of ResultsROC CurveSensitivity and SpecificitySystoleTricuspid ValveVentricular Dysfunction, RightYoung AdultConceptsTricuspid annular plane systolic excursionAnnular plane systolic excursionDiagnosis of PEPulmonary embolismSystolic excursionProspective observational cohort studyUrban academic emergency departmentObservational cohort studyAcademic emergency departmentCharacteristic curve analysisModerate diagnostic valueIntraclass correlation coefficientCohort studyEmergency departmentTomographic angiographyEmergency physiciansOptimal cutoffPatientsDiagnostic valueAbnormal cutoffsSecondary objectiveΚ statisticCurve analysisConvenience sampleInterrater reliabilityCorrected flow time: a noninvasive ultrasound measure to detect preload reduction by nitroglycerin
Pare JR, Liu R, Moore CL, Safdar B. Corrected flow time: a noninvasive ultrasound measure to detect preload reduction by nitroglycerin. The American Journal Of Emergency Medicine 2016, 34: 1859-1862. PMID: 27431739, DOI: 10.1016/j.ajem.2016.06.077.Peer-Reviewed Original ResearchConceptsAdministration of nitroglycerinIntravascular volume statusPreload reductionVolume statusPatient's intravascular volume statusProspective cohort studyChest pain centerDiastolic blood pressureBeats/minMean heart rateReliable noninvasive measureIntraclass correlation coefficientCardiac evaluationPain centerCohort studyBlood pressureSublingual nitroglycerinDoppler measurementsHeart rateInvasive measuresNitroglycerinNoninvasive measureUltrasound measuresAdministrationSpectral Doppler measurements