Ecografías en emergencias-UT Health-Dr. Wayman.pptx

Breve exposición sobre el abordaje de las principales ecografías en emergencias.

1. Ultrasound in Trauma Browning S. Wayman, MD Assistant Professor Department of Emergency Medicine

2. FAST Focused Assessment with Sonography in Trauma Detects intra-abdominal fluid and pericardial fluid RUQ LUQ Pelvic Cardiac

3. RUQ LUQ Cardiac Pelvic

4. Limitations

5. Where to start? Blunt Trauma = RUQ Penetrating Trauma = Cardiac Cardiac Trauma

6. RUQ Caudal Your perspective of your hand and the transducer on the patient How the image is displayed

7. Lateral Medial Cephalic Caudal Transducer-Skin Contact Point Lateral Medial Lateral Medial

8. Right Upper Quadrant Liver Diaphragm Lung (Air) Vertebrae Vertebrae Renal Parenchyma Renal Pelvis Vertebrae Vertebrae Liver Psoas Muscle Renal Parenchyma Renal Pelvis R I B S H A D O W R I B S H A D O W G A S S H A D O W

9. Fanning through the Hepatorenal Recess

10. Abnormal

11. Abnormal

12. LUQ Lateral Medial Caudal How the image is displayed Your perspective of your hand and the transducer on the patient

13. Transducer-Skin Contact Point Lateral Medial Cephalic Caudal Lateral Medial

14. Left Upper Quadrant Renal Parenchyma Renal Pelvis Spleen Diaphragm Lung (Air) Vertebrae Vertebrae Vertebrae Vertebrae R I B S H A D O W R I B S H A D O W R I B S H A D O W R I B S H A D O W Psoas Muscle G A S S H A D O W Vertebrae

15. Fanning through the splenorenal Recess

16. Abnormal

17. Pelvis Longitudinal Transverse

18. Transverse Right Left Anterior (Cephalic) Posterior (Caudal)

19. Transverse Abnormal

20. Longitudinal Anterior (Cephalic) Posterior (Caudal) Cephalic Caudal

21. Longitudinal Abnormal

22. Cardiac Subxiphoid Angle

23. Subxiphoid Right Left Posterior Cephalic Anterior Caudal

24. Abnormal Subxiphoid

25. Parasternal Long Cardiac Sternum 4 th or 5 th Intercostal Space

26. Right (Cephalic) Left (Caudal) Anterior Posterior Parasternal Long

27. Abnormal Parasternal Long

28. EFAST Extended FAST exam +pleural effusion +pneumothorax

29. HTX HTX PTX PTX

30. Extended - Thorax

31. Take Away Points RUQ most sensitive RUQ - Morrison’s pouch LUQ - subdiaphragmatic area

32. Questions?