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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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Contrast Ultrasound in Trauma

FAST of the future?

By Michael Prats, MD on 02/13/17 01:00 AM

The FAST (focused assessment with sonography for trauma) is great for picking up free fluid in cases of intraabdominal hemorrhage; however, it is not so good at diagnosing solid organ injury. What about if we add contrast? This articles takes a look at the use of contrast-enhanced ultrasound in blunt abdominal trauma patients. Is this the next cool thing in trauma diagnostics?


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Ultrasound Guided Femoral Nerve Blocks for Hip Fractures

Less pain, more walk

By Michael Prats, MD on 01/30/17 01:00 AM

Hip fractures have significant morbidity in the elderly. Pain can be difficult to control and providers have to balance analgesia with risk of side effects of sedating opioid medications. Ultrasound, which allows direct visualization of the nerve and surrounding vessels, has made regional anesthesia feasible for non-anesthesiologists. There have been multiple studies showing good pain control in these patients from regional anesthesia such as the femoral nerve block. This study takes it one step further (pun intended) to look at functional outcomes in these patients (in addition to pain control and side effects).


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