TEE in the ED

Feasibility and Impact

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

The benefits of transesophageal echocardiography (TEE) have been known a long time. It offers more consistent and superior image quality. However, because it is invasive and requires extra training, it has remained in the hands of specialists. Recently, it has been gaining use in the emergency department for special situations in which it has an advantage over transthoracic echo (TTE). This paper examines one department's experience and shows what TEE can offer.


Ultrasound in Cardiac Arrest

Does it predict survival?

By Michael Prats, MD on 12/19/16 01:00 AM

Ultrasound is used in cardiac arrest commonly. Often times people may stop a resuscitation based on the finding of no sonographic cardiac activity or continue a resuscitation if there are signs of cardiac activity. The question asked here is "really how well does ultrasound predict that this patient will live or die?". This is a high quality study taking a look at this important issue.


Echo for Right Ventricular Dysfunction in PE

How good are we?

By Michael Prats, MD on 12/05/16 01:00 AM

Ultrasound is commonly used in patients with pulmonary embolism to determine if there are signs of right ventricular dysfunction. This is valuable information that can help with prognostication and determining if a patient may benefit from certain interventions. The authors here wanted to know if providers need to wait for an echocardiographer or if they can perform the study themselves accurately. What do you think?

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

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