Ultrasound for Posterior Ocular Pathology

I can't believe my eyes

By Michael Prats, MD on 05/08/17 02:00 AM

The eye was made to ultrasound - it is fluid filled and easy to find. Ultrasound can be used to diagnose many causes of acute visual complaints. This is important because often times a) comprehensive dilated fundoscopy is not feasible and b) there are no ophthalmologists around. So how good is it? This study compares point of care ultrasound to an ophthalmologists exam in diagnosing posterior ocular pathology such as retinal detachment, vitreous detachment, and vitreous hemorrhage.

Simplified CVC Confirmation

Only a flush away

By Michael Prats, MD on 04/24/17 02:00 AM

Central lines are often needed in the sickest patient, and after we place them, we usually need to use them quickly. Traditionally, this means tapping your foot anxiously while waiting for a chest xray to confirm that the catheter is in the appropriate place. Well guess what - it turns out that ultrasound is pretty good at determining correct placement, at the bedside, right away. This study attempts to use a simplified flush protocol to see how accurately and how quickly ultrasound can confirm catheters placed in the internal jugular or subclavian veins.

Acute Chest Syndrome in Pediatric Patients

Do we still need the chest xray?

By Michael Prats, MD on 04/10/17 02:00 AM

Acute chest syndrome (ACS) is a feared complication of patients with sickle cell disease. Usually, whenever there is clinical concern for ACS, the first step is obtaining a chest xray. In an effort to reduce radiation to our vulnerable youth, this study examines the accuracy of point of care lung ultrasound in making the diagnosis compared to the chest xray.

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