By Michael Prats, MD on 08/14/17 02:00 AM
Ultrasound is commonly used in the resuscitations of patients in cardiac arrest. It can help to determine cardiac activity and etiologies of the arrest. Usually the ultrasound evaluation is performed during a pulse check. We know that we need to minimize pulse checks to maintain good perfusion - so is it possible that ultrasound causes further delays between chest compressions? This article says yes.
By Michael Prats, MD on 07/31/17 02:00 AM
Ultrasound of the IVC is the people's volume responsiveness test. The idea is that you can non-invasively tell if a patient will benefit from getting more IV fluids. Everybody wants this to work so we can have a simple test to help us in critical situations. It is more reliable in mechanically ventilated patients with a fixed tidal volume but how about the non-intubated patient? Can we trust it?
By Delia Gold, MD on 07/03/17 02:00 AM
The FAST exam is one of the founding fathers of point of care ultrasound. As ultrasound creeps into the pediatric world, it is being used in trauma patients to assess for intraabdominal injury. This article looks at what happens when you apply the FAST exam to a stable pediatric patient with blunt torso trauma. Spoiler Alert! - nothing happens. We discuss what this study shows us, how FAST can be used in pediatrics, and further directions of this modality.