Featuring contributions from internationally recognized experts in point-of-care sonography, Emergency Point-of-Care Ultrasound, Second Edition combines a wealth of images with clear, succinct text to help beginners, as well as experienced sonographers, develop and refine their sonography skills.
The book contains chapters devoted to scanning the chest, abdomen, head and neck, and extremities, as well as paediatric evaluations, ultrasound-guided vascular access, and more. An entire section is devoted to the syndromic approach for an array of symptoms and patient populations, including chest and abdominal pain, respiratory distress, HIV and TB coinfected patients, and pregnant patients. Also included is expert guidance on administering ultrasound in a variety of challenging environments, such as communities and regions with underdeveloped healthcare systems, hostile environments, and cyberspace.
Each chapter begins with an introduction to the focused scan under discussion and a detailed description of methods for obtaining useful images. This is followed by examples of normal and abnormal scans, along with discussions of potential pitfalls of the technique, valuable insights from experienced users, and summaries of the most up-to-date evidence.
Emergency Point-of-Care Ultrasound, Second Edition is a valuable working resource for emergency medicine residents and trainees, practitioners who are just bringing ultrasound scanning into their practices, and clinicians with many years of sonographic experience.
List of Contributors |
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Introduction: What is Point-of-Care Ultrasound? |
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1 | (4) |
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Part 1: Physics |
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5 | (8) |
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1 How Does Ultrasound Work? |
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7 | (6) |
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Part 2: Ultrasound by Region |
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13 | (246) |
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14 | (55) |
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2 Evaluation of the Chest Wall, Pleura and Lung |
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15 | (17) |
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3 Point-of-Care Ultrasonography of the Thoracic Aorta |
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32 | (7) |
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4 Anatomy/Ultrasonography of the Heart |
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39 | (8) |
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5 Basic Point-of-Care Echocardiography: Interpretation and Haemodynamic Assessment |
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47 | (9) |
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6 Beyond Basic Point-of-Care Echocardiography |
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56 | (13) |
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69 | (134) |
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7 Ultrasound Assessment of the Abdominal Aorta in the Acute Setting |
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71 | (12) |
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8 Focussed Assessment with Sonography in Trauma-The FAST Exam |
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83 | (18) |
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9 Advanced Gastrointestinal Ultrasound: Identifying Appendicitis, Pneumoperitoneum, Intussusception and Diverticulitis |
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101 | (14) |
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10 Intravascular Volume Assessment by Ultrasound Evaluation of the Inferior Vena Cava |
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115 | (11) |
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11 Emergency Ultrasound in First-Trimester Pregnancy |
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126 | (17) |
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12 Second-and Third-Trimester Pregnancy |
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143 | (9) |
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13 Gynaecological Ultrasound in Emergency Medicine: The Non-Pregnant Female Patient with Abdomino-Pelvic Pain |
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152 | (10) |
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14 Focused Hepatobiliary Ultrasound |
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162 | (13) |
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175 | (19) |
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16 Ultrasound Evaluation of the Acute Scrotum |
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194 | (9) |
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203 | (56) |
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17 The Lower Limb and the Upper Limb |
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205 | (16) |
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18 Ultrasonography of Deep Venous Thrombosis |
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221 | (12) |
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233 | (8) |
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241 | (10) |
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Dietrich von Kuenssberg Jehle |
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21 Airway/Ear, Nose and Throat (ENT) Sonography |
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251 | (10) |
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Part 3: Paediatrics |
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259 | (28) |
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22 Paediatric Musculoskeletal Point-of-Care Ultrasound |
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261 | (9) |
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23 Point-of-Care Ultrasound in Paediatric and Neonatal Intensive Care |
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270 | (10) |
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24 Paediatric Abdominal Ultrasound |
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280 | (7) |
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Part 4: Adjunct to Practical Procedures |
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287 | (60) |
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25 Ultrasound-Guided Vascular Access |
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289 | (7) |
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26 Pericardiocentesis, Paracentesis and Thoracentesis |
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296 | (6) |
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27 Suprapubic Aspiration and Catheterisation |
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302 | (5) |
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28 Ultrasound in the Management of Fractures |
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307 | (7) |
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29 Ultrasound-Guided (USG) Peripheral Nerve Block (PNB) |
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314 | (17) |
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30 Foreign Body and Abscess |
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331 | (6) |
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31 Ultrasound of the Airway |
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337 | (10) |
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Part 5: Syndromic Approach |
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347 | (76) |
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32 Chest Pain and Dyspnea |
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349 | (6) |
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33 Bedside Ultrasound as an Adjunct in the Evaluation and Management of Critically Ill Patients |
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355 | (16) |
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34 Point-of-Care Ultrasound in Resuscitation and Cardiac Arrest: The FEEL Protocol |
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371 | (4) |
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35 Non-Invasive Haemodynamics |
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375 | (4) |
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Christian Alcaraz Frederiksen |
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36 Doppler Assessment of Haemodynamics |
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379 | (7) |
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37 Algorithmic Bedside Approach to the Major Trauma Patient in Extremis |
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386 | (6) |
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38 A Syndromic Approach with Sonography to the Patient with Abdominal Pain |
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392 | (8) |
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39 A Syndromic Approach to the Pregnant Patient |
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400 | (4) |
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40 The Use of Ultrasound in Evaluating Dyspnoea/Respiratory Distress in Infants and Children |
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404 | (6) |
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41 Point-of-Care Ultrasound for Human Immune-Deficiency Virus (HIV) and Tuberculosis (TB) Co-Infection: The FASH Scan |
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410 | (8) |
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418 | (5) |
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Part 6: Different Environments |
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423 | (88) |
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43 The Role of Ultrasound in Pre-Hospital Care |
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425 | (15) |
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Appendix A1: Selected Protocols for Cardiac and Critical Care Ultrasound |
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440 | (71) |
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Index |
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511 | |
James A. Connolly, MBBS, FRCS (ed), FRCS (Glas), FCEM, CFEU is a Consultant in Emergency Medicine at Great North Trauma and Emergency Care Centre, Newcastle upon Tyne, UK.
Anthony J. Dean, MD is a Professor of Emergency Medicine and of Emergency Medicine in Radiology; and the Director of the Division of Emergency Ultrasonography at the University of Pennsylvania, Philadelphia, PA, USA.
Beatrice Hoffmann, MD, PhD, RDMS is Associate Professor of Emergency Medicine, Ultrasound Division Director, and Emergency Physician at Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Robert D. Jarman, MBBS, MSc(Medical Ultrasound), FRCS(Ed), FRCEM(UK), FRCP(Ed), CFEU is a Consultant in Emergency Medicine at Royal Victoria Infirmary, Newcastle upon Tyne, UK; Visiting Professor and MSc Point-of-Care Ultrasound Lead at University of Teesside, Middlesbrough, UK.