Ultrasound in Shock
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Transcript of Ultrasound in Shock
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ULTRASOUND IN SHOCK
Anu Mascarenhas
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OBJECTIVES
• Review the definition of shock and its forms• Highlight the
usefulness of Ultrasound in shock
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PLAN
• Lecture
• Practical session
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SHOCK
• Def: Absolute or relative circulatory failure resulting inadequate tissue perfusion.
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SHOCK
• Hypovolemic
• Distributive
• Cardiogenic
• Obstructive
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RUSH
• Rapid Ultrasound for SHock
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3 PARTS
• The Pump• The Tank• The Pipes
• Heart• Blood Volume• Blood Vessels
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THE PUMP
• Tamponade• LV function• Right Ventricular
Enlargement
• Parasternal Long• 4 Chamber view
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THE TANK
• Fullness
• Leakiness
• IVC
• Morrisons Pouch
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THE PIPES
• Rupture• Clogging
• Aorta• Pneumothorax• DVT
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SUMMARY
• US offers quick evaluation
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QUESTIONS
?
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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