Category Archives: Ultrasound

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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E-POINT SEPTAL SEPARATION

A paper in AJEM describes a way to quickly assess left ventricular function that I wasn’t too familiar with. By measuring the distance between the anterior mitral valve and interventricular septum we can roughly assess the heart’s ejection fraction.

Posted in Cardiology, Emergency Medicine, Ultrasound | 5 Comments

QUOTE OF THE MONTH

“The CXR is a dying breed in the acute assessment of trauma.” – Brian Burns, Greater Sydney HEMS.

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PNEUMONIA AND ED ULTRASOUND

A study in AJEM sets out to compare diagnostic accuracy between chest x-rays and lung ultrasound for diagnosing pneumonia. Other recent ED studies have consistently shown how lung ultrasound outperforms chest x-rays when diagnosing pneumonia.

Posted in Emergency Medicine, Ultrasound, Uncategorized | 5 Comments

SKULL FRACTURES AND ULTRASOUND

We don’t want to irradiate young kids. On the other hand, we really don’t want to miss that skull fracture. What to do? Ultrasound to the rescue (again)?

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SAM

Until recently I didn´t really know what SAM was. I do now. Boy am I happy. SAM stands for Systolic Anterior Motion of the Mitral valve and is a not too uncommon complication of hypertrophic cardiomyopathies (HCM), myocardial infarction and … Continue reading

Posted in Cardiology, Emergency Medicine, Ultrasound | 3 Comments

ULTRASOUND FOR SPINALS AND EPIDURALS

This is a well known, but fairly novel use of ultrasound. Certainly not standard in any place I’ve worked. But ultrasound for epidurals and spinals seems to be in vogue. Here’s a meta-analysis on ultrasound for spinal and epidural access. … Continue reading

Posted in Anesthesia, Ultrasound | 2 Comments

ULTRASOUND BEST FOR PNEUMOTHORAX

We know ultrasound is great for detecting pneumothorax, there’s been lots of studies confirming this, and here’s the final meta-analysis from Chest – print it and use it to slap colleagues who still want x-rays over ultrasound scans.

Posted in Ultrasound | 3 Comments

CODE BROWN: PERICARDIOCENTESIS

This summer a patient was admitted to our mid-tier hospital semi-unconcious with severe hypotension and tachycardia. He had a massive history of heart disease and had been complaining of recurring chest pains for three days before suddenly collapsing at home.

Posted in Cardiology, Cases, Code Brown, Emergency Medicine, Ultrasound | 4 Comments

NYSORA

For anything related to regional anaesthesia or nerve blocks The New York School of Regional Anesthesia homepage is a good place to go. Excellent tutorials and videos on all relevant techniques. They post weekly (duh) Topics of the Week and … Continue reading

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