Ultrasound Applications

Emergency Medicine Ultrasound

Bedside US is used by doctors to diagnose/evaluate/screen for patients with respiratory decline, chest pain, shortness of breath, abdominal pain, back pain, flank pain, trauma, vision loss, shock, altered mental state, pelvic pain and pregnancy. The conditions we look for include hemorrhage from blunt and penetrating chest/abdominal/back trauma, pneumothorax, pericardial effusion/cardiac tamponade, cardiac motion during cardiac arrest, gall stones & acute cholecystitis, obstructive hydronephrosis, shock of unknown etiology, aortic dissection, abdominal aortic aneurysm, appendicitis, retinal detachment, vitreous hemorrhage, consequences of orbital trauma, 1st trimester and ectopic pregnancies, and testicular torsion... to name a few. We also use bedside ultrasound in order to guide our management of known processes such as serial IVC evaluation during volume resuscitation of those in shock, and serial trauma evaluations for stable patients with low mechanisms of injury and abdominal pain ( as well as pediatric trauma patients) to minimize radiation exposure.

We also use bedside US for procedural guidance to maximize patient safety standards, control pain, and prevent complications - these include peripheral and central line placement, fluid localization for thoracentesis, paracentesis and abscess drainage, lumbar puncture, nerve blocks, and foreign body localization ...to name a few.

ED Ultrasound Applications

E-FAST for Trauma and Shock
Aorta Ultrasound
Gallbladder Ultrasound
Renal Ultrasound
Pelvic Ultrasound - TransAbdominal
Echocardiography and IVC
Thoracic Ultrasound
Procedural Guidance
Musculoskeletal (MSK) Ultrasound
Bladder Volume Ultrasound
DVT Ultrasound
Orbital Ultrasound
Soft Tissue Ultrasound

Advanced Ultrasound Applications

Testicular Ultrasound
Right Lower Quadrant Ultrasound for Appendicitis
Pelvic Ultrasound - EndoVaginal
Bowel Ultrasound - Bowel Obstruction, Intussusception, Pyloric Stenosis

Symptom-Based Ultrasound Applications

Unexplained Shock: RUSH Exam - Rapid Ultrasound in Shock
Acute Shortness of Breath: RADiUS - Rapid Assessment of Dyspnea with Ultrasound
Acute Chest Pain: See above RADiUS Protocol
Acute Abdominal Pain
Acute Pelvic Pain
Altered Mental Status
Acute Headache
Vision Loss
Extremity swelling/edema