By Delia Gold, MD on 07/03/17 02:00 AM
The FAST exam is one of the founding fathers of point of care ultrasound. As ultrasound creeps into the pediatric world, it is being used in trauma patients to assess for intraabdominal injury. This article looks at what happens when you apply the FAST exam to a stable pediatric patient with blunt torso trauma. Spoiler Alert! - nothing happens. We discuss what this study shows us, how FAST can be used in pediatrics, and further directions of this modality.
By Michael Prats, MD on 06/19/17 02:00 AM
You are treating someone with a shoulder dislocation. You have a few options that can be used to help put it back where it belongs: A) Procedural sedation - the old standby. B) Intraarticular injection - some people love it, some hate it C) Relaxational maneuvers - sometimes feasible, and, last but not least D) Regional anesthesia - the new kid on the (nerve) block. This study compares procedural sedation to regional anesthesia with an ultrasound guided interscalene nerve block for the outcomes of pain and length of stay (and a few other things too).
By Michael Prats, MD on 06/05/17 02:00 AM
The idea here is that some people that suffer the misfortune and inconvenience of being stabbed in the abdomen will require a surgical laparotomy. On the other hand, some will not. We don't want to miss the ones that do, but we don't want the latter to get unnecessary operations. If the wound does not penetrate so deep as to violate the peritoneum then there is low risk of intraabdominal organ injury. Instead of probing and exploring the wound which can be painful, perhaps ultrasound can offer a less invasive way of determining whether or not the peritoneum was violated.