Pericardial Effusions: Time to Intervention

Or is it?

By Michael Prats, MD on 12/18/17 04:00 AM

Pericardial effusions can be difficult to diagnose clinically. Luckily, ultrasound is the diagnostic of choice for finding those sneaky effusions. While we may know (in our hearts) that point of care ultrasound can be helpful in making this diagnosis, there is not a lot of literature showing improvement in patient centered outcomes. This study aims to see if performing a POCUS exam in the emergency department changed any meaningful outcomes for the patients that required a procedure to drain the fluid.


Pediatric Asthma

What do lung findings mean?

By Michael Prats, MD on 12/04/17 04:00 AM

I know what you're thinking...lung ultrasound in asthma?! - they should have a totally normal lung ultrasound, right? Traditionally, harkening back to the BLUE protocol - diseases such as asthma and COPD were diagnosed on ultrasound once every other cause of respiratory symptoms had been excluded and the patient had no other lung findings or DVT. With this background, this study wanted to evaluate pediatric patients in asthma exacerbation to see what lung ultrasound findings might be present, and when they were - what that meant for the patient.


PEA Arrest


By Michael Prats, MD on 11/20/17 04:00 AM

This is the second study from the REASON group - one of the most rigorously performed studies of ultrasound in cardiac arrest. In this article, they are looking at the population in pulseless electrical activity (PEA) with cardiac motion on ultrasound. From this group, they differentiate those with organized rhythms. The idea is that perhaps this population would have a different survival or respond to treatments differently. By reanalyzing their previous data, they are able to answer these questions.

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Have you been living under a rock? If not - then you know that POCUS doesn't help hypotensive patients. Well...maybe don't believe all the hype. We will cover this in a podcast later, but for now you should read it yourself!