This month I thought it might be good to review the basics of assessment of LV function. This is a PLAX. What are the 3 ways you would assess systolic LVF in this patient? https://www.criticalcare-sonography.com/wp-content/uploads/2023/08/Produce.mp4 To help you with this, compare the clip with the PLAX of a patient [...]
Triage: -3.06pm on Wednesday afternoon -Cat 3 to acute bed. 2/52 of worsening SOB on exertion +dry cough. Postural drop with CDA. -Observations: BP 116/65, HR 80, RR 24, sats 96% on room air, temp 35.9C History -2/52 exertional dyspnoea and slight cough. Pre-syncopal x2 today whilst attempting to ambulate. [...]
Images and case Danielle Martinez An 89 year old lady presented to hospital with severe abdominal pain and collapse on a background of a known AAA. On arrival, she was hypotensive and pale with a reduced level of consciousness. A Point of Care Ultrasound was performed. A shows a transverse view [...]
Images Dr Ed Brentnall. History: A 22 year old man presents to ED with 1 week of a sore throat, a mild productive cough, fevers and rigors for 8 hours. On examination : temperature 39.6, HR 143/min, RR 28/min, BP 133/60, Sats 98% on RA Bloods were ordered. His WCC [...]
Images Micky Fiorentino Triage: A 46 year old lady presented to the Emergency department after being referred by the early pregnancy assessment clinic for an ectopic pregnancy and admission under O and G. She is 11 weeks pregnant. It is an IVF pregnancy. She is hemodynamically stable and is not complaining [...]
(Case and images courtesy of Jay Perera, text Jay Perera and Genevieve Carbonatto) Triage: 30F presents with 2/7 of worsening palpitations, worse post Salbutamol. She has a history of PTSD and anxiety. HR 78 regular. Further history: 3 years of fatigue and lethargy Complains of intermittent palpitations and dyspnoea. Trialled [...]
Images James Dent An 80 year old had an unsuccessful cannulation for a CT scan. 4 days later she presented with bruising and tenderness of the left antecubital fossa and a palpable pulsating mass. This is the US of the area https://www.criticalcare-sonography.com/wp-content/uploads/2021/09/Produce_48.mp4 https://www.criticalcare-sonography.com/wp-content/uploads/2021/09/Produce_50.mp4 B mode sonography shows a [...]
The EFAST examination is easily achieved in most circumstances. Name 4 clinical situations which may limit the feasibility of the EFAST exam 4 limitations of the EFAST exam Morbid obesity - It is very difficult to get good penetration of ultrasound waves through morbidly obese patients which is a [...]
Question 1 The "classic" presentation of a ruptured AAA is the triad of abdominal back or flank pain , a palpable abdominal aorta and hypotension. What percentage of patients present with this triad? Less than 25% of patients present with this presentation which is why a high clinical suspicion [...]
1.The kidneys may be difficult to image because of their proximity to the ribs and to air in the bowel. What can you do to optimise scanning? Turn the patient in the lateral decubitus position Have the patient breath in . This will lower the liver on the right [...]
