We are really good at getting an ultrasound probe on your trauma patient's really fast to assess for bleeding, why not do the same when you need answers fast in the dying medical patient?
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That being said, aortic aneurysm is something to always keep on the differential, especially in a patient with previous smoking history. In the right patient, performing a simple aortic ultrasound can help you to diagnose an aortic aneurysm or a dissection and save a life.
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The origin of lung ultrasound dates back to the 1990s when a doctor by the name of Lichtenstein...He first described artifacts such as comet tails and b-lines and found that in a particular study, comet tails were present in a significantly higher proportion of patients with pulmonary edema.
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Cardiac ultrasound has become an essential component to our beside ultrasound curriculum in EM. It is fast, can identify key lesions that may require intervention, and is something that can be learned and implemented without significant training.
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Ultrasound provides us with a window into the trauma patient whom often is altered, or has significant distracting injuries, which prevents us from identifying occult injury.
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The idea of performing ultrasound in the emergency room isn't that new. We can trace back its history to a radiologist by the name of Golderberg in the 70s, who had the outlandish idea of injecting saline into the abdomens of cadavers and using an ultrasound to detect it.
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