Emergency Ultrasound (EUS)

(Trauma)
(Shock)
(Sepsis)
2

EUS
(Emergency Ultrasound)
Hx & PEimpression
EUSYes or No

EUS
EUS
EUS

(Binary thinking)EUS

EUS

EUS
5

(yes-no)
EUS

(yes-no)

AAA

(FAST)

free fluid

DVT

effusion

pericardial tamponade

EUS
Problem or Symptom-oriented

Focused Abdominal
Sonography in Trauma

FAST
Focused
Assessment with
Sonography for
Trauma

FAST ()
:

()

10

11

RUQ View

12

Fluid in Morisons pouch

13

RUQ View for pleural fluid

14

Pleural fluid

15

Cardiac Views
Subxiphoid view

Parasternal long axis view

16

Subxiphoid View

17

Parasternal Long Axis View

18

Cardiac tamponade

19

20

LUQ View

21

Fluid surrounding the spleen

22

Pelvic View (Longitudinal)

23

Large amount of free fluid surrounding the uterus

24

Probe position for transverse pelvic view

25


(Extended, E-FAST)
Lung sliding ():
Seashore sign
Barcode sign

Comet tail artifact:

Lung point:

26

Chest US: Bat sign

27

Seashore sign

28

Lung point & Barcode sign

29

The RUSH Exam

Rapid Ultrasound in SHock

in the Evaluation of the Critically Ill

()
Step 1: The pump ( = )
Step 2: The tank ( = )
Step 3: The pipes ( = )
30

Emerg Med Clin N Am 28 (2010) 2956

RUSH 1: ()
A.
/

B.
C.

31

RUSH 1: ()

evaluation of the pericardium

determination of global left
ventricular function

assessment of right ventricular
strain

32

Emerg Med Clin N Am 28 (2010) 2956

RUSH 2: ()
A.
B. /

C. /

D. /
E. /

33

RUSH 2: ()

/

34

Emerg Med Clin N Am 28 (2010) 2956

RUSH 3: ()
A.
B.
C.
D.
E.
F.

35

RUSH 3: ()

36

Emerg Med Clin N Am 28 (2010) 2956

37

38


(Simple PLE)

39

 (Empyema)

40


Dynamic air-bronchogram

41

 (Hydronephrosis)

42

 (Pyonephrosis)

43


(Emphysematous Pyelonephritis)

44

 (Psoas muscle abscess)

45


(Biliary tree infection)

46

47

 (GB stone)

48

 (Acute cholecystitis)

49

 (GB empyema)

50

(Liver abscess)

51

(Liver abscess)

52

53

 (Splenic abscess)

54

55

56


18 y/o M, Rt leg cellulitis

57

58

43

59

&

60

ACEP 2008 EUS guidelines

61

Ann Emerg Med. 2009;53:550-570

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