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Extravasation of IVs placed by Ultrasound

The risk is real

By Michael Prats, MD on 10/24/16 04:00 AM

This article examines an issue that we all face. It can be frustrating to take the time to place an IV only to have it blow during a vital CT scan. Is this a result of the IV being placed by ultrasound or a result of the underlying causes that led to the patient having poor venous access? Come find out.


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Ultrasound in Pediatric Pneumonia

Replacing the chest xray?

By Michael Prats, MD on 10/10/16 04:00 AM

This study looks at how well point of care ultrasound performs in the evaluation for pneumonia in a pediatric emergency department. Two study arms were compared - an ultrasound first approach, in which patients did not necessarily require a chest xray, and a chest xray first approach, followed by an ultrasound. The authors hypothesized that using ultrasound could reduce the number of chest xrays needed. They performed follow up to see if there was any difference in return visits or antibiotic prescriptions. Impressive results followed!


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Multiorgan Ultrasound for Pulmonary Embolism

Does combining lung, heart, and vein scans improve test performance?

By Michael Prats, MD on 09/26/16 02:00 AM

We review a prospective study evaluating the accuracy of a combo ultrasound of the lung, heart, and veins to diagnose pulmonary embolism (PE) using CT pulmonary angiography as gold standard. Is it possible to use ultrasound to rule out a PE? Listen to our thoughts and let us know what you think!


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