By Michael Prats, MD on 03/27/17 02:00 AM
The FAST exam (focused assessment with sonography in trauma) looks for two things - intraperitoneal free fluid in the abdomen and fluid around the heart. With regard to the abdomen, there are a lot of places the fluid can go. It would be helpful to know in which areas the fluid most commonly collects so you can make sure not to miss any. These authors break down each of the three abdominal FAST views (right upper quadrant, left upper quadrant, and suprapubic/pelvic) into three "sub-quadrants." Then they take a look at all the FAST exams done at their institution over a year and a half and determine how often the fluid goes to each of those places when there is a positive exam.
By Michael Prats, MD on 02/13/17 01:00 AM
The FAST (focused assessment with sonography for trauma) is great for picking up free fluid in cases of intraabdominal hemorrhage; however, it is not so good at diagnosing solid organ injury. What about if we add contrast? This articles takes a look at the use of contrast-enhanced ultrasound in blunt abdominal trauma patients. Is this the next cool thing in trauma diagnostics?
By Michael Prats, MD on 01/30/17 01:00 AM
Hip fractures have significant morbidity in the elderly. Pain can be difficult to control and providers have to balance analgesia with risk of side effects of sedating opioid medications. Ultrasound, which allows direct visualization of the nerve and surrounding vessels, has made regional anesthesia feasible for non-anesthesiologists. There have been multiple studies showing good pain control in these patients from regional anesthesia such as the femoral nerve block. This study takes it one step further (pun intended) to look at functional outcomes in these patients (in addition to pain control and side effects).