Practical Guide to Emergency Ultrasonography
Always optimize gain, depth and window sector size. |
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Cardiac scan | Thoracic scan |
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Probe: Positioning: - Left lateral
- Supine (subcostal view)
Views: - Parasternal long-axis
- Parasternal short-axis
- Apical four-chamber
- Subcostal
Uses: Loading conditions Critical pathology in four areas of the heart: - The left ventricle
- The right ventricle
- Valve stenosis and regurgitation
- Pericardial effusion
| Probe: - Cardiac: for B-lines and pleural effusion
- Curved: for all purposes
- Linear: for pleura and detect pneumothorax
Positioning: - Seated forward with arms folded on pillow for pleural effusion
- Any position for pulmonary oedema
- Supine/near-to-supine for pneumothorax
Views: - Posterior approach for pleural effusion
- Anti-dependent zones for pneumothorax (anterior saggital, second intercostal space, mid-clavicular line)
- Dependent zones for cardiogenic pulmonary oedema
Uses: - Pleural effusions
- Pulmonary oedema (cardiogenic, non-cardiogenic)
- Consolidation
- Pneumothorax
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Abdominal scan Probe: Positioning: Views: - Central abdominal
- Left lower lateral
Uses:
| Bladder scan Probe: Positioning: Views: - Pelvis sagittal transverse
Uses: - Incomplete voiding
- Reduced urine output vs catheter blockage
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