Cardiac Us

Emergency Cardiac Ultrasound Phillip D. Levy, MD, MPH, FACEP Assistant Professor of Emergency Medicine Wayne State University, Detroit Receiving Hospital

Introduction ,[object Object],[object Object],[object Object]

Primary Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Secondary Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Primary Clinical Concerns ,[object Object],[object Object]

Anatomical Overview ,[object Object],[object Object],[object Object],[object Object],[object Object]

From: Yale Center for Advanced Instructional Media, Yale University. 2000

Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Normal Appearance ,[object Object],[object Object],[object Object]

Subcostal ,[object Object],[object Object],[object Object],[object Object],[object Object]

Subcostal ,[object Object],[object Object],[object Object],[object Object]

Parasternal Views ,[object Object],[object Object],[object Object],[object Object],[object Object]

From: Gray, H. Anatomy of the Human Body 20 th ed. 2000 Short axis Long axis

Parasternal Long Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parasternal Short Axis ,[object Object],[object Object],[object Object]

Parasternal Short Axis From: Yale Center for Advanced Instructional Media, Yale University. 2000

Apical Views ,[object Object],[object Object],[object Object],[object Object]

Apical 4-chamber ,[object Object],[object Object],[object Object],[object Object]

Apical 2-chamber ,[object Object],[object Object],[object Object],[object Object]

Functional Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Measurements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pericardial Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Plummer D, et al. Abstract, SAEM Scientific Assembly 1995.

Pericardial Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tamponade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Guberman BA, et al. Circulation 1981

Tamponade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Ma, OJ and Mateer JR. Emergency Ultrasound, p 111. 2003

Effusion with Normal Dynamic Function

Acute Hypotension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Hypotension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Arrest Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Ettin D, et al. JEM 1999

Blunt Thoracic Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Blunt Thoracic Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Snow, et al. Surgery 1982 2 Sturaitis M, et al.. Arch Intern Med 1986 3 Maenza RL, et al. Am J Emerg Med 1996 4 Welch RD. Emerg Med Clin North Am 2001

Penetrating Thoracic Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Penetrating Thoracic Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Rozycki GS, et al. J Trauma 1999 2 Plummer D et al. Ann Emerg Med 1992

Myocardial Infarct ,[object Object],[object Object],[object Object],[object Object],1 Levitt MA, et al. Ann Emerg Med 1996 2 Muttreja M. Echocardiography 1999 3 Horowitz RS, et al. Circulation 1982 4 Sabia P, et al. Circulation 1991

Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object],1 Kasper W, et al. Am Heart J 1986 2 Nazeryollas P, et al. Eur Heart J 1996 3 Perrier A, et al. Int J Cardiol 1998 4 Rudoni R, et al. J Emerg Med 2001 5 Konstantinides S, et al. NEJM 2002

PE - Sonographic Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Massive Pulmonary Embolism From: Goldhaber, SZ. NEJM 2002

Resolution After Thrombolytics From: Goldhaber, SZ. NEJM 2002

Aortic Dissection ,[object Object],[object Object],[object Object],[object Object]

Other Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Procedural Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],1 Aguilera P, et al. Ann Emerg Med 2000

Cardiac Ultrasound Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object]

Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Take Home Points ,[object Object],[object Object],[object Object],[object Object]

Cardiac Us

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