Ultrasound

PHEMCAST

Some useful videos:

Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound:

How does ultrasound work?

Want to know how to use ultrasound? This is a whole 45 minute introductory lecture. Although a face-to-face course is really required before you start on patients!

The radiopaedia website is an amazing resource for all things imaging. Their section on POCUS is here.

The Sonosite website has some excellent resources, which you can filter according to specialty, including prehospital using ‘EMS/Air Med/Ambulance’.

Airway

Intubation

More detail on intubation from 5 minute sono

Front of neck access

Breathing

Pneumothorax

Lung pathologies including PE and pulmonary contusion

Pulmonary oedema

Pleural effusion

Circulation

FAST scan in trauma

Free fluid/haemoperitoneum in the RUQ

Pericardial effusion with engorged IVC

Disability

Ocular ultrasound

EMCRIT post on use of ultrasound to diagnose raised ICP with ocular sonography

Extremity

Rib & sternal fractures

Ultrasound guided hip nerve blocks (including femoral and FIB)

Cardiac arrest

Use of ultrasound in cardiac arrest (US)

POCUS in cardiac arrest (UK)

Further Resources

FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Kenji Inaba. Ann Surg. 2015

Marik PE, Cavallazzi R. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med 2013; 41: 1774-81.

Cavallaro F, Sandroni C, Marano C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Intensive Care Med 2010; 36: 1475-83.

https://theresusroom.co.uk/ultrasound-in-cardiac-arrest/

ResusMe bibliography of PH ultrasound papers

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism