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Emergency sonography. Empowering resuscitation

Dr Sanjeev Bhoi
Emergency sonography. Empowering resuscitation

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Emergency sonography. Empowering resuscitation

  1. 1. Emergency sonography. Empowering resuscitation Brachial pl. Block in ED Sea-Shore sign
  2. 2. 0BJECTIVE Use of Emergency Sonography in initial assessment and management of an injured person.
  3. 3. 0730hrs ED AUTLS
  4. 4. How is EMED US different?  Highly focused  Limited Exam  Goal directed exam  Critically time dependent AUTLS
  5. 5. Why US in EMED? TIME CRITICAL In a disease in which there is a golden hour, every minute counts! AUTLS
  6. 6. Primary applications for emergency ultrasound ACEP Emergency Ultrasound Guidelines–2001  Trauma ultrasound  Emergency ultrasound in pregnancy  Emergency echocardiography  Abdominal aortic aneurysm  Biliary ultrasound  Renal ultrasound  Procedural ultrasound AUTLS
  7. 7. Primary Application Range of Documented and Outcome Reviewed Ultrasound Needed for Proficiency Trauma 25 25-50 Emergency cardiac 25 25-50 AAA 25 25 Biliary 25 25-50 Renal 25 25 ACEP recommended training and proficiency numerical goals per emergency ultrasound application AUTLS
  8. 8. Lets learn ABCDE of Trauma The ultrasound way AUTLS
  9. 9. Why the ultrasound way?
  10. 10. Ralls PW. Sonography in the 21st century. J Ultrasound Med. 2001;20:87-88.  It has been typically described as an extension of the palpating hand and a “visual” stethoscope during the physical examination, providing both anatomic and functional information complementary to the routine physical examination. AUTLS
  11. 11. But Why the chain? A (Airway) kills before B (Breathing) and C(Circulation) kills before D(Disability) so prioritize order of assessment with purpose to treat first that kills first Emerg Radiol. 2007 July; 14(3): 135–141. AUTLS
  12. 12. Ultrasound Algorithm AUTLS
  13. 13. A Airway Injuries Threatened Airway ET-Tube confirmation Needle crico-thyroidotomy Guided Tracheostomy
  14. 14. B Pneumothorax Pleural collection/ Hemothorax Lung contusion Pulmonary edema Pneumonia
  15. 15. C Focused ECHO •Cardiac performance •Pericardial Tamponde Pulmonary Embolism • E-FAST • VASCULAR • SOFT TISSUE INJURIES
  16. 16. D E CRANIAL USG Pupillary Reflex ONSD (Raised ICP) Midline shift Pediatric Cranial US Miscellaneous Fracture detection Foreign body detection Nerve Blocks
  • NandhiniKutty2

    May. 25, 2021
  • yazcitk

    Oct. 19, 2016

Dr Sanjeev Bhoi Emergency sonography. Empowering resuscitation

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