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

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Similar to Cardiac Us

Similar to Cardiac Us (20)

More from rahterrazas

More from rahterrazas (20)

Recently uploaded

Recently uploaded (20)

Cardiac Us