Hemodynamically unstable, sick patient have high mortality and morbidity. Their physical exam findings can be misleading and the diagnosis still broad or unclear even after examination. When time counts and your patient is sick, bedside ultrasound can quickly make the diagnosis to help you provide appropriate and definitive care when it matters most. This is the basis for the SonoSave series, which examines ultrasound saves and the critically ill patients alive today because of point of care ultrasound.
Ultrasound is a lifesaver and luckily for a recent patient I mean this literally. Thanks to the early use of ultrasound a life was saved that would have been lost. A critical diagnosis was made within 5 minutes of arrival, preventing investment of precious time in ineffective treatments or delaying definitive care and making me look real slick in the process. The patient was successfully treated and admitted to the ICU. When I walk into work the next day, I find out the patient is not only alive but sitting up in bed talking to the team! With some simple ultrasound views and less than 2 minutes, the direction of our treatment completely changed and a man lived to see his family that I doubt would have otherwise. Two minutes to save a life… that’s some good stuff and even better ultrasound! These are the moments that make medicine worth it.
That Feeling When You Walk Out of Your Shift After A Good Save Continue reading SonoSave – It’s Just Sepsis
Everything in the you need to know about the eFAST in 2 minutes or less…
Who Needs an eFAST Ultrasound:
- Blunt and penetrating abdominal trauma
- Blunt and penetrating chest trauma
- Ectopic pregnancies
- Any patient you suspect has abdominal or thoracic free fluid/bleeding
The Technique: 5 Scans in 1 Exam
- Probe position: subxyphoid
- Image: four chambers of the heart and pericardium
- Evaluation for: pericardial effusion and cardiac tamponade
Continue reading Life in the eFAST Lane: Sonography for Trauma (Part 3)
The latest SonoMojo ultrasound cheat sheet is here! The Ocular Ultrasound Cheat Sheet is a brief review of ocular ultrasound and it’s applications. This and our other great Cheat Sheets are perfect for a quick review before performing a scan, teaching others, or as an overview of ocular ultrasound before diving into the Ocular Ultrasound Module.
In case you haven’t heard… Ultrasound Cheat Sheets are all the basic info you need to review before performing (or teaching) a specific ultrasound scan. They’re 1-2 pages long and consist of an brief check list of information on the application, image acquisition, and interpretation of a scan.
Be sure check out SonoMojo’s latest addition to the Ultrasound Cheat Sheets Collection, ocular ultrasound!
There are a few cases I could talk about… Ultrasound guided LPs have turned out to be a surprisingly useful skill. Lucky for you, I’ve restrained myself.
The first time I heard about ultrasound guided LPs was during a spectacular yearlong ultrasound elective in medical school. I was sitting in the doctor’s pod with THE ultrasound attending of ultrasound attendings. He casually asked “Have you ever heard of ultrasound guided LPs?” Never. “Do you want to see one?” Obviously. He explained how ultrasound guided LPs follow the principle of “Measure twice. Cut once.” He spent a minute (and I mean literally just one minute) visualizing the spinal landmarks and marking them on a somewhat altered, seriously chunky patient. He proceeded to get the LP in one stick! I remember thinking he was a wizard in that moment, a wizard who uses ultrasound to elevate patient care to another level; and that I want to be the badass attending that gets LPs on obese, altered patients in one stick. I had to learn this skill… Continue reading Getting to the Point of Ultrasound Assisted Lumbar Punctures