Category Archives: Ultrasound

USE ULTRASOUND FOR FEMORAL CANNULATION IN ARREST

For vascular access, you still hear the old “We don’t have time for using ultrasound – this is an emergency!”. In many settings, the old landmark techniques are quick and good in experienced hands. But when going for the femoral … Continue reading






Posted in Anesthesia, Cardiology, CPR, ECLS, ECMO, Emergency Medicine, Ultrasound | Leave a comment

SONOSCANDINAVIA, FEB 9-11, 2017

SonoScandinavia is the melting of the successful SonoSweden/SonoSTHML and SonoNorway, bringing together the best of Scandinavian ultrasound teachers – and a bunch of ultrasound folks from the land of the Trump, like Matt Dawson of the excellent ultrasoundpodcast.com, as well … Continue reading






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TEE TRAINER

Transesophageal Echo (TEE) is a bit of a niche thing in the ultrasound world, and trying to get into TEE, I find it really hard to wrap my head around the probe’s position and the spatial relations with probe, the … Continue reading






Posted in Cardiology, Ultrasound | Leave a comment

ULTRASOUND – FASTING FOR SURGERY

We’ve held on to our strict fasting regimes for decades. Gastric ultrasound is here to help us individualise our fasting rules a bit more. Gastric ultrasound has lots of uses, and lately it’s become fashionable to use it for evaluating … Continue reading






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LUNG US AND BNP

A small study in Ann Intensive Care reminds me that lung ultrasound is  good at detecting heart failure and differentiating against other causes of acute dyspnoea.






Posted in Emergency Medicine, Intensive Care, Ultrasound | Leave a comment

FAST THORACOTOMY

Ultrasound is being used for procedures and decision making everywhere. Now, someone’s evaluated it for decision making in penetrating trauma cardiac arrest emergent thoracotomies. Is there a place (and time) for ultrasound in this setting? A new article in Annals … Continue reading






Posted in AHLR, Trauma, Ultrasound | 4 Comments

CODE BROWN: COMBATIVE AND BLEEDING

I’ve had combative patients in my ER lots of times. Combative enough to warrant sedation or anaesthesia. And bleeding patients. Serious bleeding. Lots of times. But not the extremes of both at the same time.






Posted in Code Brown, Emergency Medicine, Trauma, Ultrasound | 11 Comments

TEE DURING CARDIAC ARREST

Transesophageal echocardiography (TEE or TOE) used to be the domain of cardiologists. It has lately seeped into other areas of medicine where hemodynamic evaluation is crucial. ICU’s and occasionally OR’s use them even for non-cardiac surgery. But the TEE probe … Continue reading






Posted in AHLR, Emergency Medicine, Ultrasound | 2 Comments

LATERAL VIEW OF THE AORTA

We normally visualise the aorta on ultrasound by scanning down the midline. However, we frequently fail to visualise the entire aorta. The view is often obscured by bowel gas. Abdominal pain often makes the examination intolerable. A small proof-of-concept study in … Continue reading






Posted in Emergency Medicine, Trauma, Ultrasound | Leave a comment

SC BETTER THAN IC

A study in AJEM compares ultrasound visualisation of the subclavian vein using the supraclavicular and infraclavicular approaches.  With the increasing dominance of procedural ultrasound in central vein cannulation, perhaps there will be a shift towards supraclavicular cannulation at the expense … Continue reading






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