Browsing: Critical Care Ultrasound

Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha
Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t
The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for
Esophageal rupture is a rare condition that is recognized as one of the most fatal gastrointestinal injuries. Time to diagnosis is an independent predictor of mortality in acute esophageal rupture mak
Phlegmasia Cerulea Dolens
Phlegmasia cerulea dolens is a rare but emergent condition of massive venous thrombosis that can rapidly produce irreversible vascular gangrene. If your patient in the emergency department has a swoll
Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o
Undifferentiated patients showing signs of shock have a high mortality rate. The Rapid Ultrasound for Shock and Hypotension (RUSH) Exam is a protocolized ultrasound exam that can be done in minutes to
Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,
Cardiac tamponade is a critical emergency department diagnosis, but it can be a difficult diagnosis to make based on physical exam alone. Clinical signs of tamponade are often late findings and can be
Velocity time integral (VTI), also called stroke distance, is an ultrasound measurement that can help the emergency medicine provider guide both differentials and treatment. Here we will focus on its