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pulling apart cases from the ED...

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bubble of trouble…

December 11, 2016 By Christopher Partyka Leave a Comment

the case.

76 year old male presents to your Emergency Department via ambulance with right hip pain and a fever of 38.1*C.

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Filed Under: #FOAM, Critical care, Infectious Disease, Surgery, Ultrasound Tagged With: nec fasc, necrotising fasciitis, necrotising soft tissue infection, sacral osteomyelitis, subcutaneous emphysema, ultrasound

FALLS protocol…

May 21, 2014 By Christopher Partyka Leave a Comment

Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.

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Filed Under: #FOAM, ECHO, Ultrasound Tagged With: A-profile, B-profile, BLUE protocol, ECHO, Emergency Ultrasound, FALLS protocol, lung ultrasound, RUSH protocol, shock, tamponade, ultrasound

shades of grey…

November 16, 2012 By Christopher Partyka Leave a Comment

Add your thoughts here… (optional)

Filed Under: Trauma, Ultrasound Tagged With: Emergency Ultrasound, FAST, FAST exam, focused assessment with sonography in trauma, positive FAST, Trauma, ultrasound

probe prevents probe…

November 11, 2012 By Christopher Partyka Leave a Comment

Recently, a colleague of mine was wanting to perform a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion….

I was asked to perform a bedside USS to mark out the safest place to perform the pleural aspirate.

I percussed the chest to the dullest point and then slapped the ultrasound on (left posterior chest wall, longitudinal plane, just below tip of scapula).
This is what I saw…

Needless to say the needle was re-sheathed and the procedure aborted. I am convinced that if we were going by x-ray and clinical examination alone we would have created more problems for this guy.

What made a difference….

  1. Turner JP, Dankoff J. Thoracic ultrasound. Emerg Med Clin North Am. 2012 May;30(2):451-73.
  2. Ultrasound Podcast Episode 31 (Pneumothorax & Pleural Effusion) & Episode 32 (Pneumonia & ARDS)
  3. Sonocloud

Filed Under: Respiratory, Ultrasound Tagged With: aspirate, lung, pleural effusion, pneumonia, ultrasound

shades of grey…

October 10, 2012 By Christopher Partyka Leave a Comment

A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features of peritonism.

As I placed the US-probe on for her FAST, this was the first image I acquired…..

   

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Filed Under: #FOAM, ECHO, Trauma, Ultrasound Tagged With: Emergency Ultrasound, FAST, FAST exam, focused assessment with sonography in trauma, positive FAST, Trauma, ultrasound

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