Echocardiography in the emergency department

Wright, John; Jarman, Robert; Connolly, James A.; Dissmann, Patrick

doi:10.1136/emj.2008.058560

Cited by 37 publications

(24 citation statements)

References 37 publications

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“…1,2 These findings can at times dramatically change patient disposition. In the case presented, an ultrasound looking for biliary disease and free fluid in the abdomen was extended to include the heart.…”

Section: Discussionmentioning

confidence: 99%

Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma

Pourmand¹,

Boniface²

2011

WestJEM

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BackgroundEmergency ultrasound is now used in both community and academic hospitals for rapid diagnosis and treatment of life-threatening conditions. Bedside emergency echocardiography can rapidly identify significant pathology such as pericardial effusions and tamponade, right ventricle dilatation due to pulmonary embolism, and cardiac hypokinesis, and aid in the diagnosis and management of patients in emergency department (ED).Case ReportA 41-year-old man presented twice to the ED with history of abdominal pain and was diagnosed with primary cardiac angiosarcoma with point-of-care ultrasound.ConclusionThis case is illustrative of how bedside cardiac ultrasound in the ED can dramatically change a patient's hospital course.

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Section: Discussionmentioning

confidence: 99%

Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma

Pourmand¹,

Boniface²

2011

WestJEM

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“…Kardiyak USG son dekatlarda hasta ayırıcı tanısında kullanılmaya başlanmıştır (1,4). Odaklanmış Transtorasik Ekokardiyografik Uygulama (FATE, Focused Assessed Transthoracic Echocardiography) ve Odaklanmış Kardiyak Ultrasonografi (FOCUS, Focused Cardiac Ultrasonography) ile kalp boşlukları, duvarları, perikardiyal alan global ve hızlı olarak değerlendirilebi-lir (1,5). Yaşamsal durumlar sözkonusu olduğunda kardiyak ultrasonun temel eğitim ve yeterli olgu deneyimi sonrasında acil doktorunca yapılabilmesi güncel bir gerekliliktir (1,6).…”

Section: Discussionunclassified

“…Odaklanmış Transtorasik Ekokardiyografik Uygulama (FATE, Focused Assessed Transthoracic Echocardiography) ve Odaklanmış Kardiyak Ultrasonografi (FOCUS, Focused Cardiac Ultrasonography) ile kalp boşlukları, duvarları, perikardiyal alan global ve hızlı olarak değerlendirilebi-lir (1,5). Yaşamsal durumlar sözkonusu olduğunda kardiyak ultrasonun temel eğitim ve yeterli olgu deneyimi sonrasında acil doktorunca yapılabilmesi güncel bir gerekliliktir (1,6). Solunum sıkıntısı nedeniyle başvuran hastalarımızın %45.8'i Killip sınıfla-masına göre 2, %51.4'si (n=37) New York sınıflaması 3 ile uyumluydu.…”

Section: Discussionunclassified

“…Temel kardiyak bilgiler kardiyak USG ile sağlanabilir. Bu yolla global kardiyak fonksiyonlar, perikardiyal alan, kalp boşluklarının duvarı ile uzun ve kısa aksları hakkında bilgi edinilebilir (1,2). Çalışmamızda kliniğimize nefes darlığı başvurularında yapılan fizik bakı, hasta yönetimi ile beraber hastanın sonlandırılışında, kullanılan kardiyak ultrasonografinin etkinliği araştırılmıştır.…”

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Cardiac USG for Dyspneic Patients Performed in Emergency Departments

Gülalp¹,

Kayıpmaz²,

Altinors³

2011

JAEM

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GirişHastabaşı USG Acil Tıp Kliniklerinde hastanın ayırıcı tanı ve tedavisinde giderek artan hızla kullanılmaya başlanmıştır. Hayatı tehdit eden birçok durumda yalnız fizik bakı bulguları ile yetinmek yerine doğrudan ilgili sistem, organ ve yapılar hakkında görsel ve ölçülebilir bilgiyi verir. Acil servis yaşamda kalım için zaman ve karar ilişkisini kullanır. Kalp yaşam, yaşam hasta kazanımıdır. Kap hertürlü acil durumda doğrudan ya da dolaylı şekilde etkilenir. Kardiyak USG temel Ekokardiyografi prensibini içerir. Şok, perikardiyal tamponat, aort disseksiyonu, pulmoner emboli, kapak anomalileri, kardiyak anevrizma, sistolik ve/veya diastolik kalp yetmezliği, akut ve/veya kronik korpulmonale ayırıcı tanısını Acil Tıp Uzmanının hızla ayırd edebilmesini ve kardiyopulmoner resussi- AbstractObjective: The aim is to investigate the effi ciency of use of cardiac ultrasonography in patients brought in with respiratuary stress to the Emergency Department (ED). Materials and Methods: This prospective study included 72 patients between January 2009 and February 2010 in a third degree ED. It was accepted by the Ethics Committee of the University and informed signed consent was obtained from every patient after explanation. Age, sex, consultation, Killip and New York classifi cation, duration in ED, fi nalization, cost in ED, whether there are echocardiography and computerized tomography (CT) results and LVD (left ventricule diastole, LVS (left ventricule systole) longitudinal total lengths evaluated by a blind emergency physician (EP) were evaluated. All cardiac screens were archived by printing with lengths. The sonographic machine used was GE Proseries Logic 200. X2 and Fisher's Exact test for the relations between categorical data and Mann-Whitney U test for comparison in dual groups were used in statistical analysis. Results: There was a signifi cant diff erence in LVD and LVS lengths between the patients admitted to the cardiology clinic and the others (p=0.001, p=0.001). There was no signifi cant diff erence found in the same groups for the duration, cost in ED (p=0.778, p=0.194), the fi nalization of patients admitted to cardiology 40.3% (n=29), chest diseases 31.9% (n=23) and others. Conclusion: Cardiac USG performed in ED is helpful in the diff erential diagnosis and evaluation of the left ventricular sizes in dyspneic patients and is eff ective in management and fi nalization. (JAEM 2011; 10: 22-6)

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“…Indications for point-of-care (POC) ultrasonography continue to expand, and now encompass a range of critically ill populations from the emergency room, intensive care unit (ICU), and post-arrest states (16)(17)(18)(19). POC ultrasonography is recommended for use in unstable patients and is now a basic competency for ICU providers (20,21).…”

mentioning

confidence: 99%

Use of Point-of-Care Ultrasonography in Simulation-Based Advanced Cardiac Life Support Scenarios

Cha¹,

Gottschalk²,

Su³

et al. 2018

J Anesth Perioper Med

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Background: Ultrasonography is an effective tool for diagnosing potential reversible aetiologies of cardiac arrest. We developed an educational curriculum for critical care ultrasonography involving multiple sequential cardiac arrest simulation scenarios and assessed the efficacy of participants' performance. Methods: Didactic lectures and hands-on training sessions were provided before participants were divided into simulation teams for a series of five scenarios in which they were instructed to utilize ultrasonography during ongoing advanced cardiac life support (ACLS). Simulation sessions were videotaped and subsequently reviewed for extraction of parameters relating to ACLS adherence and performance of point-of-care ultrasonography examination. The primary outcome was duration of no-flow interval (NFI), the period during which chest compressions are halted and ultrasound examination is typically performed. We also collected data on NFI score (based on simulation team performance during NFI), time from arrest to first chest compressions, time from arrest to defibrillation, and other parameters describing team performance. Results: Fifty-five course participants comprised 12 simulation teams. For all participants, the average NFI was 22.2 s (95% CI, 19.1-25.2) during scenario 1, with declines in duration thereafter (P ≤ 0.004). In subsequent scenarios, an increasing proportion of NFI occurred within the interval of 10 s (P = 0.018). Conclusion: Simulation is an effective teaching modality for critical care ultrasonography. Novice ultrasound users can be taught to perform point-of-care ultrasonography effectively during simulated cardiopulmonary arrest in an ACLS-compliant manner, a finding that may have significant implications for the clinical management of in-hospital cardiac arrest. (Funded by the

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Echocardiography in the emergency department

Cited by 37 publications

References 37 publications

Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma

Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma

Cardiac USG for Dyspneic Patients Performed in Emergency Departments

Use of Point-of-Care Ultrasonography in Simulation-Based Advanced Cardiac Life Support Scenarios

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