Emergency medicine clinics of North America
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The management of patients in shock or arrest is a critical aspect of emergency medicine and critical care. Rapid and accurate assessment is paramount in determining the underlying causes and initiating timely interventions. This article provides a summary of essential ultrasound protocols for the critically ill patient including the extended focused assessment with sonography for trauma (EFAST), rapid ultrasound for shock and hypotension (RUSH), and sonography in hypotension and cardiac arrest in the emergency department (SHoC-ED).
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Emerg. Med. Clin. North Am. · Nov 2024
ReviewGastrointestinal and Biliary Point-of-Care Ultrasound.
Point-of-care ultrasound has been shown to have excellent diagnostic accuracy for a variety of gastrointestinal and biliary pathologies. This review explores the evidence and scanning techniques for hypertrophic pyloric stenosis, intussusception, appendicitis, small bowel obstruction, diverticulitis, hernias, pneumoperitoneum, and biliary pathology.
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Point-of-care ultrasound may be used to assist in the diagnosis of skin, soft tissue, and musculoskeletal concerns in the emergency department. Frequently, linear or curvilinear probes are used to perform these studies and ultrasound may be used to assist in common emergency department procedures related to these conditions.
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With the growing use of point-of-care ultrasound (POCUS) in various clinical settings, it is essential for users of ultrasound to have a thorough understanding of the basics of ultrasound physics, including sound wave properties, its interaction with various tissues, common artifacts, and knobology. The authors introduce and discuss these concepts in this article, with a focus on clinical implications.
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Emerg. Med. Clin. North Am. · Nov 2024
ReviewCardiac Point-Of-Care Ultrasound: An Emergency Medicine Review.
Cardiac point-of-care ultrasound (POCUS) can make critical diagnoses and monitor the response to interventions. In contrast with consultative echocardiography, cardiac POCUS serves to answer a specific clinical question. This imaging modality can be used to evaluate for left ventricular systolic and diastolic dysfunction, pericardial effusion and tamponade, acute and chronic right ventricular dysfunction, valvular dysfunction, and cardiac activity in cardiac arrest.