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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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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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