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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Classically, patients will exhibit Beck’s Triad...Unfortunately, as we mentioned above only a minority of patients will exhibit all three. So the bottom line is that if you see someone who you think might be worth having their heart looked at, go ahead and slap an ultrasound probe on their chest.
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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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This new study directly addresses this, with "high-risk diagnoses with potential complications" as a primary outcome along with radiation exposure and total costs. Maybe closer to our bottom line, rates of adverse events in general were comparable between groups.
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