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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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Ultrasound for Nailbed Injury

What?!

By Michael Prats, MD on 01/16/17 01:00 AM

Nail bed injuries are common from finger trauma, but we can't be just ripping off everybody's finger nail to see what what was injured. Maybe ultrasound can help? Hey maybe we also can find fractures of the finger tip while we're at it. This paper takes a look to see how accurate ultrasound is in the diagnosis of these injuries! Honestly, most people are probably not removing finger nails just to repair a small laceration these days so you will have to decide for yourself how this might be useful to you.


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