The Most Sensitive View of the FAST

Winner: Caudal Edge of Liver

By Michael Prats, MD on 03/27/17 02:00 AM

The FAST exam (focused assessment with sonography in trauma) looks for two things - intraperitoneal free fluid in the abdomen and fluid around the heart. With regard to the abdomen, there are a lot of places the fluid can go. It would be helpful to know in which areas the fluid most commonly collects so you can make sure not to miss any. These authors break down each of the three abdominal FAST views (right upper quadrant, left upper quadrant, and suprapubic/pelvic) into three "sub-quadrants." Then they take a look at all the FAST exams done at their institution over a year and a half and determine how often the fluid goes to each of those places when there is a positive exam.


STONE PLUS - a Tool for Renal Colic

but is it a useful tool?

By Michael Prats, MD on 03/13/17 02:00 AM

Kidney stones can be tricky - who needs a CT? Who can go home? (Don't get us started about who needs tamsulosin.) POCUS now plays a key role in the diagnosis and management of these patients. This study takes a look at how well a clinical prediction tool that incorporates a bedside ultrasound can predict the diagnosis of renal colic and the need for intervention.


Fetal Outcomes After POCUS for Vaginal Bleeding in Pregnancy

What happens after they leave?

By Michael I Prats, MD on 02/27/17 01:00 AM

When patients come into the emergency department with vaginal bleeding, they often get a bedside point-of-care ultrasound (POCUS) to assess if this is an intrauterine pregnancy and to assess fetal viability when possible. We know that finding evidence of an intrauterine pregnancy and finding a fetal heart beat is good news for the pregnancy - but how good? What are the chances that these pregnancies will continue to full term? This paper follows these patients up to find out.

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Old school manual pulse checks got you down? How about using POCUS to check for a pulse in arrest?

Check out other fresh ideas on our More Articles page.