Case - 'Drug Problem'

Narration

So I think probably the best place to really show what POCUS is and what it can do is to give you a case - and this is an actual case I had a little more than a year ago. I was working in our emergency department and a young woman came in, in her 30s. She was put in our resuscitation bay unresponsive and billed as a “drug problem”. It wasn’t a bad guess – she was the demographic and she was unresponsive. However, she received 2mg of intravenous naloxone or narcan without response. When we got in there she was still unresponsive – she was very tachycardic, her heart rate was up and her blood pressure was low and she wouldn’t wake up at all. So we did the normal stuff – put an IV in, gave her some fluids, gave her ACLS drugs, and prepared to intubate. And actually the resident went ahead with the intubation and I took a look with the ultrasound, because that's what I do.

Introduction to Point-of-Care Ultrasound (POCUS)

Table of Contents

1	Introduction	1
2	Case - 'Drug Problem'	2
3	Case - Ultrasound	3
4	Case - Diagnosis	4
5	Looking Back	5
6	Daytime/Nighttime Speed	6
7	Availability & Barriers	8
8	What is POCUS	10
9	POCUS for Diagnosis, Procedures & Service	11
10	POCUS is Goal Directed	12
11	POCUS can save lives	13