With a test that is essentially free and can be performed in minutes, it is a scan well worth the effort, prior to ordering that CT scan, to assist in guiding your diagnostic work up in the right direction.
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The reason we should be performing RUQ ultrasound in the emergency department is multifaceted. Not only does it decreased length of stay, it also has the potential to save a significant amount of money by reducing the number of additional radiology studies ordered..plus we're good at it.
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Today we are talking about ultrasound guidance in central venous cannulation (CVC). While once a procedure based on anatomic landmarks, it has now essentially become standard of care to perform CVC under direct ultrasound visualization.
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A man presents with pain and swelling to the left groin region for 3 days along with intermittent fever. A bedside ultrasound was performed.
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Enter the ultrasound guided peripheral IV. It is a procedure that can be learned online and immediately practiced at the bedside. It decreases the number of central lines that need to be placed in difficult access patients and it likely increased patient satisfaction (less pokes = happier patient).
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Initially, procedural ultrasound may seem to be quite a daunting task, given the Smörgåsbord of procedures we routinely perform. However, once you are able to understand the concept and capture the proper general technique, it will be merely application from here.
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