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TRAINING IN EMERGENCY ULTRASOUND

Published on Nov 19, 2015

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PRESENTATION OUTLINE

ULTRASOUND

AT THE BEDSIDE IN THE EMERGENCY DEPT

circa 1950s

HISTORY OF ULTRASOUND USE IN CLINICAL PRACTICE

circa 1990s

CLUMSY ULTRASOUND MACHINES OF 1990S

TODAY

future is here

HAND HELD ULTRASOUND USED AT THE BEDSIDE (VSCAN)

scope of practice

OF BEDSIDE ULTRASOUND IN MODERN EMERGENCY DEPARTMENTS

FAST SCAN / AA SCAN

THE ORIGINS OF ULTRASOUND USE IN ED
Photo by tedeytan

FAST +VE

FOCUSSED ABDOMINAL SCAN IN TRAUMA

FAST NEGATIVE

PATIENT MUST BE SUPINE , ALL FIVE VIEWS NEGATIVE

AAA +VE

CLINICAL Q : IS THERE EVIDENCE AA

AAA

TRANSVERSE VIEW

AAA

LONG VIEW

AAA -VE

NORMAL

NORMAL

EARLY PREGNANCY

IS THERE DIRECT OR INDIRECT EVIDENCE OF ECTOPIC

EARLY PREGNANCY

IS THERE EVIDENCE OF FOETAL DEMISE

EARLY PREGNACY

CAN THIS PATIENT WITH MINIMAL PV SPOTTING GO HOME

GALL STONE DISEASE

IS THERE EVIDENCE OF BILIARY COLIC

GALLSTONE DISEASE

IS THERE EVIDENCE OF CHOLECYSTITIS

GALL STONE DISEASE

IS THERE DILATATION OF CBD OR BILIARY TREE

DVT

IS THERE EVIDENCE OF PROXIMAL LEG CLOT

PULMONARY EMBOLISM

IN THIS NORMALLY WELL PERSON IS THERE EVIDENCE OF RIGHT HEART STRAIN AND

INTERSTIAL FLUID

IN THIS SOB PT IS IT CHF OR COPD

CHF

B LINES CONFIRM INTERSTIAL PULMONARY FLUID

PNEUMOTHORAX +VE

PATIENT IN WHOM YOU SUSPECT PTX

PNEUMOTHORAX NEGATIVE

IN A SUPINE PT WHO YOU SUSPECT PTX

HYDRONEPHROSIS

IN THIS PATIENT WITH LIKELY RENAL COLIC IS THERE HYDRONEPHROSIS

HYDRONEPHROSIS

IN THIS PATIENT WITH LIKELY RENAL COLIC IS THERE HYDRONEPHROSIS

OTHER APPLICATIONS

TRAINING IN ULTRASOUND

HOW TO GET ACCREDITED TO PRACTICE USS IN ED