2023
Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity
Baloescu C, Weingart G, Moore C. Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity. Journal Of Ultrasound In Medicine 2023, 42: 1841-1850. PMID: 36840721, DOI: 10.1002/jum.16205.Peer-Reviewed Original ResearchConceptsLeft ventricular ejection fractionPleural line abnormalitiesSevere COVID-19Emergency departmentSevere COVIDPOCUS findingsCOVID-19Decreased LVEFEmergency department pointHypoxemic respiratory failureRetrospective cohort studyAdult ED patientsRight ventricular dilationVentricular ejection fractionWeeks of presentationSevere clinical courseCOVID-19 severityLung POCUSRespiratory failureCohort studyCare echocardiographyClinical courseDisease courseEjection fractionHospital admission
2015
McConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature
Walsh BM, Moore CL. McConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature. Journal Of Emergency Medicine 2015, 49: 301-304. PMID: 25986329, DOI: 10.1016/j.jemermed.2014.12.089.Peer-Reviewed Original ResearchConceptsPulmonary embolismMcConnell's signAcute right heart strainChronic obstructive pulmonary diseaseRight heart strainDeep venous thrombosisObstructive pulmonary diseaseSystemic lupus erythematosusComputed tomography angiogramRV free wallFour-chamber viewPulmonary hypertensionApical sparingHeart strainLeg swellingLupus erythematosusPulmonary diseaseVenous thrombosisD-dimerTomography angiogramEmergency departmentCase reportLower extremitiesEmergency physiciansFree wallThe “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance
Hall M, Coffey EC, Herbst M, Liu R, Pare JR, Taylor R, Thomas S, Moore CL. The “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance. Academic Emergency Medicine 2015, 22: 583-593. PMID: 25903585, DOI: 10.1111/acem.12652.Peer-Reviewed Original ResearchConceptsEmergency physiciansCardiac ultrasoundLife-threatening conditionLeft ventricular ejectionAcademic emergency departmentFocused cardiac ultrasoundRelevant clinical informationEmergency medicine literaturePericardial effusionEmergency departmentVentricular ejectionEmergency settingClinical informationFOCUS findingsMedicine literatureYears of experienceEffusionPhysiciansSpecific assessmentUltrasoundIndependent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath
Russell FM, Moore CL, Courtney DM, Kabrhel C, Smithline HA, Nordenholz KE, Richman PB, O'Neil BJ, Plewa MC, Beam DM, Mastouri R, Kline JA. Independent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath. The American Journal Of Emergency Medicine 2015, 33: 542-547. PMID: 25769797, PMCID: PMC7032017, DOI: 10.1016/j.ajem.2015.01.026.Peer-Reviewed Original ResearchConceptsRight ventricular dysfunctionClinical decision ruleSimple clinical prediction ruleRV dysfunctionPersistent dyspneaClinical prediction ruleVentricular dysfunctionDyspneic emergency department (ED) patientsProspective observational multicenter studyPrediction ruleIsolated RV dysfunctionUnexplained persistent dyspneaObservational multicenter studySevere tricuspid regurgitationShortness of breathEmergency department patientsNormal CTPARV hypokinesisStandard careTreatable causeTricuspid regurgitationDepartment patientsMulticenter studyEmergency departmentSame complaint
2013
Accuracy of emergency physician-performed limited echocardiography for right ventricular strain
Taylor RA, Moore CL. Accuracy of emergency physician-performed limited echocardiography for right ventricular strain. The American Journal Of Emergency Medicine 2013, 32: 371-374. PMID: 24559906, DOI: 10.1016/j.ajem.2013.12.043.Peer-Reviewed Original ResearchConceptsRight ventricular strainRight ventricular dilationRetrospective cohort studyEcho examinationPulmonary embolismCohort studyVentricular strainVentricular dilationLevel of agreementTest characteristicsCommon emergency department (ED) diagnosisConsecutive ED patientsEmergency department diagnosisChest painED patientsLimited echocardiographyED providersMortality rateLimited echoEfficient careModerate agreementEchocardiographyExaminationFocused examinationDilationPoint-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strain
2002
Determination of Left Ventricular Function by Emergency Physician Echocardiography of Hypotensive Patients
Moore CL, Rose GA, Tayal VS, Sullivan DM, Arrowood JA, Kline JA. Determination of Left Ventricular Function by Emergency Physician Echocardiography of Hypotensive Patients. Academic Emergency Medicine 2002, 9: 186-193. DOI: 10.1197/aemj.9.3.186.Peer-Reviewed Original ResearchConceptsEjection fractionEmergency physiciansPrimary cardiologistHypotensive patientsVentricular functionHypotensive emergency department patientsUrban teaching EDEmergency department patientsLeft ventricular functionVisits/yearAcute myocardial infarctionHistory of traumaGoal-directed trainingCardiac causesSymptomatic hypotensionAdult patientsTransthoracic echocardiogramDepartment patientsMyocardial infarctionObservational studyExclusion criteriaChest compressionsPrior ultrasound experiencePatientsEchocardiographic qualityDetermination of left ventricular function by emergency physician echocardiography of hypotensive patients.
Moore C, Rose G, Tayal V, Sullivan D, Arrowood J, Kline J. Determination of left ventricular function by emergency physician echocardiography of hypotensive patients. Academic Emergency Medicine 2002, 9: 186-93. PMID: 11874773, DOI: 10.1111/j.1553-2712.2002.tb00242.x.Peer-Reviewed Original ResearchConceptsEjection fractionEmergency physiciansPrimary cardiologistHypotensive patientsVentricular functionHypotensive emergency department patientsUrban teaching EDEmergency department patientsVisits/yearAcute myocardial infarctionHistory of traumaGoal-directed trainingCardiac causesSymptomatic hypotensionAdult patientsTransthoracic echocardiogramDepartment patientsMyocardial infarctionObservational studyExclusion criteriaChest compressionsPrior ultrasound experiencePatientsEchocardiographic qualityCardiologists