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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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Ultrasound for Shoulder Dislocation

How does it fare compared to our old friend the xray?

By Michael Prats, MD on 11/21/16 03:00 AM

Have you ever used ultrasound to diagnose a shoulder dislocation? Why not?! The shoulder is one of the most commonly dislocated joints. We rely heavily on xray to diagnose the dislocation and also to confirm reduction. What if there was a faster way to know? Newsflash - there is! In addition to diagnosing dislocation, ultrasound, using its dynamic powers, can actually confirm your reduction as well! Oh I get it....you are worried about missing fractures. Well maybe ultrasound can help with that too...better check out this study to see just how well ultrasound performs in all of these tasks.


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Comparison of Four views versus Single View for Pneumothorax

Clinically significant pneumothorax that is

By Michael Prats, MD on 11/07/16 03:00 AM

Ultrasound is great at diagnosing pneumothorax. This is especially important in the trauma patient, where it has become integrated into the extended FAST exam. I think we are all wondering if we can (safely) get away with a quick look in a single space bilaterally to rule out a significant pneumothorax. This study prospectively evaluates this question to determine how well 1 view compares to 4 views in finding a pneumothorax in the trauma patient.


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