Hypotension + Abdominal Pain = Ultrasound

Hypotension + Abdominal Pain = Ultrasound

You are working an busy overnight shift at your rural community ER when a nurse comes to notify you of a new patient in the lobby - there are no open beds currently, but she thinks he looks ill.

You go out to evaluate the patient quickly - He is complaining of severe generalized abdominal pain that started a few hours ago and is worsening. He looks pale and slightly diaphoretic, has severe abdominal tenderness with peritonitis. Concerned, you wheel him back to your trauma bay...

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Just the thing for the faint of heart!

Just the thing for the faint of heart!

As Emergency Physicians, we pride ourselves on taking care of critically ill, undifferentiated patients. As technology as advanced, we’ve been able to add more and more tools to our arsenal to help guide the management of these patients. One such tool is cardiac ultrasonography. It is able to give us dynamic information about the patient, rule out life threatening pathology such as tamponade, and even help guide resuscitation in cardiac arrest. All of this, however hinges on the physician having the knowledge and skills to employ this in our fast paced environment. Are your skills up to snuff? Find out after the jump!

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Think FAST!

Think FAST!

The ultrasound machine has quickly become a fixture in the emergency department. For good reason, the machine often lives in the trauma or resuscitation bay, seemingly anxiously awaiting use. In recent years we have seen multiple protocols and algorithms for the use of ultrasound in differentiating trauma patients. There is no doubt that it can be a powerful tool in these patients, but one must be adept with its use and aware of potential pitfalls in order to use ultrasound effectively in these high pressure situations.

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Not Just Sound... It's ULTRAsound!

Not Just Sound... It's ULTRAsound!

Over recent years, ultrasound has permeated our specialty and become a core component in how we provide patient care. It allows us to obtain real time information and make clinical decisions, all while avoiding the harms of more traditional imaging techniques.

But what exactly is going on behind the scenes here?  Take a look at our educational pages dedicated to ultrasound physics and knobology

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