PV Card: Focused Echocardiography Ultrasound

Ultrasound cardiac focus echocardiography

So many great information can be gleaned from a focused echocardiogram in Emergency Department patients. What views are you obtaining? What is the importance of the e-point septal separation (EPSS) and how to measure this? Drs. Jimmy Fair, Mike Mallon, and Mike Stone provide a terrific step-by-step image-based guide to these questions that you can use at the bedside as a refresher.

 

PV Card: Focused Echocardiography Ultrasound


Adapted from [1, 2]

References

  1. Randazzo M, Snoey E, Levitt M, Binder K. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003;10(9):973-977. [PubMed]
  2. Nagdev A, Stone M. Point-of-care ultrasound evaluation of pericardial effusions: does this patient have cardiac tamponade? Resuscitation. 2011;82(6):671-673. [PubMed]
By |2021-10-05T13:03:32-07:00Feb 11, 2015|ALiEM Cards, Cardiovascular, Ultrasound|

PV Card: Focused Lung Ultrasound

focused lung ultrasound A LinesBedside pulmonary ultrasonography is becoming increasingly popular in the Emergency Department. You can you use it to assess for pneumothoraces, pleural effusion, pneumonia, pulmonary edema, and other etiologies. There are subtle nuances to help you differentiate these diagnoses. What are A-lines and B-lines? This PV card on the focused lung ultrasound by Drs. Anne Aspler, Clare Heslop, and Mike Stone outline some great bedside tips.

PV Card: Focused Lung Ultrasound


Adapted from [1–3]

References

  1. Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med. 2005;12(9):844-849. [PubMed]
  2. Liteplo A, Marill K, Villen T, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009;16(3):201-210. [PubMed]
  3. Volpicelli G. Lung sonography. J Ultrasound Med. 2013;32(1):165-171. [PubMed]
By |2021-10-06T09:48:34-07:00Feb 4, 2015|ALiEM Cards, Pulmonary, Ultrasound|

PV Card: Focused Ocular Ultrasound

ocular ultrasound vitreous hemorrhage ultrasound

 

Ocular injuries and pathology are a common cause for Emergency Department visits. With bedside ultrasonography, many of these conditions can be assessed. Did you know that you can check for a retinal detachment, vitreous hemorrhage, and even a lens dislocation? What do these look like? Check out this great PV card on the focused ultrasound assessment of the eye.

PV Card: Ocular Ultrasound


Adapted from [1, 2]
Go to ALiEM (PV) Cards for more resources.

References

  1. Blaivas M, Theodoro D, Sierzenski P. A study of bedside ocular ultrasonography in the emergency department. Acad Emerg Med. 2002;9(8):791-799. [PubMed]
  2. Kimberly H, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Acad Emerg Med. 2008;15(2):201-204. [PubMed]
By |2021-10-06T09:57:27-07:00Jan 28, 2015|ALiEM Cards, Ophthalmology, Ultrasound|

PV Card: Skin and Soft Tissue Ultrasound

Abscess Ultrasound

We know that ultrasonography can be used to identify soft tissue infections. But what exactly are the distinguishing features between cellulitis and abscess? Is that a foreign body? Should I put a scalpel to this soft tissue infection? This PV card, written by Drs. Alissa Genthon, Patricia Henwood, and Mike Stone, serves as a great reference card for you at the bedside.

PV Card: Skin and Soft Tissue Ultrasound


Go to ALiEM (PV) Cards for more resources.

US4TW Case: 74F with Right Arm Tingling | Ultrasound for the Win series

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In today’s case, a 74-year-old woman presents to the Emergency Department with painful right arm paresthesias.

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By |2017-07-19T00:08:52-07:00Dec 15, 2014|Cardiovascular, Ultrasound, Ultrasound for the Win|

Ultrasound For The Win! Case – 93F with Chest Pain

Welcome to another ultrasound-based clinical case, part of the “Ultrasound For The Win!” (#US4TW) Case Series! In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed the management or aided in diagnoses. In this month’s case, a 93-year-old female presents to the Emergency Department with crushing chest pain.

(more…)

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