Echocardiography in the emergency room: Non-invasive imaging

Piérard, Luc; Lancellotti, Patrizio

doi:10.1136/hrt.2007.122796

Cited by 6 publications

(4 citation statements)

References 33 publications

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“…It is now established that a basic screening study can reliably facilitate the early diagnosis and initial medical management of such acutely unwell patients. [1][2][3][4] This has been recognised by both The American Society of Echocardiography and the American College of Emergency Physicians, who have indicated a number of goals and clinical applications for focused echocardiography in acutely unwell patients (Table 1). 2 It has further been endorsed by the College of Emergency Medicine, with emergency cardiac ultrasound stipulated as a minimum standard for level-1 training in trauma and peri-arrest patients.…”

Section: Echocardiographymentioning

confidence: 99%

“…A study is often needed immediately, far more quickly than is possible from most conventional cardiology‐based echocardiography services, especially out of hours. It is now established that a basic screening study can reliably facilitate the early diagnosis and initial medical management of such acutely unwell patients 1–4 . This has been recognised by both The American Society of Echocardiography and the American College of Emergency Physicians, who have indicated a number of goals and clinical applications for focused echocardiography in acutely unwell patients (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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A training programme in screening echocardiography

Victor

Rajani

Bruemmer-Smith

et al. 2013

The Clinical Teacher

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Section: Echocardiographymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A training programme in screening echocardiography

Victor

Rajani

Bruemmer-Smith

et al. 2013

The Clinical Teacher

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“…This constitutes a canonical form omitting any reference to all the real forms in which an ECG might present itself that could give rise to alternate readings. For example, it is known that “the electrocardiogram can be difficult to interpret even in healthy Africans” (Jolobe, 2001, p. 84) and that “a vast majority of patients have atypical chest pain and/or normal or non‐diagnostic ECG” (Piérard & Lancellotti, 2009, p. 164). There is therefore an interpretive flexibility of ECGs typical of practice consistent with Figure 1b that goes unacknowledged in the case materials from the science textbook more consistent with Figure 1a.…”

Section: Epicizing Tendencies In/of Science Education: Three Casesmentioning

confidence: 99%

Cultural diversity in science education through Novelization: Against the Epicization of science and cultural centralization

Eijck

Roth

2011

J Res Sci Teach

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Science educators are confronted with the challenge to accommodate in their classes an increasing cultural and linguistic diversity that results from globalization. Challenged by the call to work towards valuing and keeping this diversity in the face of the canonical nature of school science discourse, we propose a new way of thinking about and investigating these problems. Drawing on the work of Mikhail Bakhtin, we articulate epicization and novelization as concepts that allow us to understand, respectively, the processes of (a) centralizing and homogenizing culture and language and (b) pluralizing culture and language. We present and analyze three examples that exhibit how existing mundane science education practices tend, by means of epicization, towards a unitary language and to cultural centralization. We then propose novelization as a way for thinking the opening up of science education by interacting with and incorporating alternative forms of knowing that arise from cultural diversity. © 2011 Wiley Periodicals, Inc. J Res Sci Teach 48: 824–847, 2011

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“…Recently, the use of TTE has been increasing in the intensive care unit (ICU) [9][10][11][12][13] and emergency room 14,15 but its use in anaesthesia has been slower to evolve. This has been partly because of lack of formal training opportunities in TTE and because of challenging acoustic windows, particularly in patients with positive pressure ventilation and positive endexpiratory pressure, chronic obstructive airways disease, obesity, surgical site and drain limitations.…”

mentioning

confidence: 99%

Focused Transthoracic Echocardiography in the Perioperative Period

2010

Anaesth Intensive Care

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Ultrasound applications in perioperative medicine have expanded enormously over the past decade. Transoesophageal echocardiography has been performed by anaesthetists during cardiac surgery for over 20 years. With the increasing availability of portable ultrasound systems, the use of ultrasound to assist in vascular cannulation and regional anaesthesia has been well described. Portable ultrasound systems come with a range of probes for different applications, including transthoracic echocardiography. While transthoracic echocardiography has traditionally been the domain of cardiologists, its use has been increasing in critical care, the emergency room and, recently, by anaesthetists in the perioperative period. Unlike formal cardiology-based transthoracic echocardiography, focused, goal-directed transthoracic echocardiography is often more appropriate in the perioperative period to address a particular question and can be performed in just a few minutes. Transthoracic echocardiography allows rapid, noninvasive, point-of-care assessment of ventricular function, valvular integrity, volume status and fluid responsiveness. It can help distinguish undifferentiated systolic murmurs preoperatively, give valuable information on the aetiology of unexplained hypotension and cardiovascular collapse and assess response to therapeutic interventions such as vasoactive drugs and volume resuscitation. Focused transthoracic echocardiography should include qualitative assessment of left and right ventricular function, an estimate of aortic valve gradient, right ventricular systolic pressure and intravascular volume status as minimum requirements. Transthoracic echocardiography is a valuable tool in the perioperative period and ideally the equipment and expertise should be available in all operating rooms.

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Echocardiography in the emergency room: Non-invasive imaging

Cited by 6 publications

References 33 publications

A training programme in screening echocardiography

A training programme in screening echocardiography

Cultural diversity in science education through Novelization: Against the Epicization of science and cultural centralization

Focused Transthoracic Echocardiography in the Perioperative Period

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