Date post: | 03-Jun-2015 |
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Health & Medicine |
Upload: | scgh-ed-cme |
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ULTRASOUND IN SHOCK
Anu Mascarenhas
OBJECTIVES
• Review the definition of shock and its forms• Highlight the
usefulness of Ultrasound in shock
PLAN
• Lecture
• Practical session
SHOCK
• Def: Absolute or relative circulatory failure resulting inadequate tissue perfusion.
SHOCK
• Hypovolemic
• Distributive
• Cardiogenic
• Obstructive
RUSH
• Rapid Ultrasound for SHock
3 PARTS
• The Pump• The Tank• The Pipes
• Heart• Blood Volume• Blood Vessels
THE PUMP
• Tamponade• LV function• Right Ventricular
Enlargement
• Parasternal Long• 4 Chamber view
THE TANK
• Fullness
• Leakiness
• IVC
• Morrisons Pouch
THE PIPES
• Rupture• Clogging
• Aorta• Pneumothorax• DVT
SUMMARY
• US offers quick evaluation
QUESTIONS
?
REFERENCE
• Rush protocol:• The RUSH Exam: Rapid Ultrasoundin SHock in
the Evaluation of the Critically l l l. Phillips Perera, RDMS, Thomas Mailhot, David Riley, Diku Mandavia,
• http://emcrit.org/rush-exam/• http://lifeinthefastlane.com/own-the-echo/
• Other:• http://lifeinthefastlane.com/smacc-the-dark-art
-of-ivc-ultrasound/• http://www.ultrasoundvillage.com/
educationresources/modules/?module=8