Introduction to Emergency Echo
Focused Cardiac Ultrasound (FOCUS) Or Emergency Echo
Pathology and the 5Es
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Echo is an indispensable tool when a patient is sick
- Hypotension
- Tachycardia
- Shortness of breath
- Chest pain
- Syncope
- Penetrating trauma
Narration
Case - 42 Y.o. Male
- 42 y.o. male was ‘walking through metal detector’ and collapsed
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Arrives awake but in some distress, diaphoretic, complaining of shortness of breath
- HR 126
- Blood pressure 105/70
- O2 % saturation 94% on 2L
- EKG shows sinus tachycardia without ST elevation
- Differential? Plan?
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Case
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E Is For Effusion And Exit
Type A ascending thoracic aortic dissection
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Focused Cardiac Ultrasound (FOCUS) - Pathology
- We have developed the “5Es” of Emergency Echo
- Pathology that is relevant and reproducible
- E ffusion
- E jection
- E quality
- E xit
- E ntrance
Acad Emerg Med. 2015 May;22(5):583-93. doi: 10.1111/acem.12652
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Parasternal Long Axis – Imaging Conventions
See: Moore C, “Current Issues with Emergency Cardiac Ultrasound Probe and Image Conventions”
Acad Emerg Med 2008; 15:278–284
Acad Emerg Med 2008; 15:278–284
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