Pediatric Emergency Ultrasound

A Concise Guide

Marsha A. Elkhunovich, Tarina L. Kang, Marsha A. Elkhunovich, Tarina L. Kang

• Publisher: CRC Press
• Year: 2020
• ISBN:
  9780429822346
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

PART

I

Circulatory system

1Cardiac

2Inferior vena cava

1

Cardiac

Indications

●Aid in identification of cardiac arrest during resuscitation.

●Rapidly assess the global systolic function of a patient presenting with hemodynamic instability or shock.

●Evaluate for evidence of cardiac tamponade in the setting of blunt or penetrating trauma.

●Assess patient’s volume status by evaluation of inferior vena cava.

●Assess patient’s response to resuscitation with serial examinations.

Probe selection

●5-1 MHz low-frequency phased array transducer.

Technique: (Screen indicator located on the left)

Figure 1.1 Probe placement for focused cardiac ultrasound.

Parasternal short-axis view

Figure 1.2 Anatomical drawing of parasternal long axis (a) with still image (b).

Figure 1.3 Parasternal long view. Probe indicator pointing toward the patient’s left hip.

●Place probe over left parasternal border at the level of the nipple.

●Probe marker should face patient’s right elbow/right hip (90° clockwise from parasternal long-axis view).

Parasternal long-axis view

Figure 1.4 Anatomical drawing of parasternal short axis (a) with still image (b).

Figure 1.5 Parasternal short view. Probe indicator pointing toward the patient’s right hip.

●Place probe over left parasternal border at the level of the nipple.

●Probe marker should face patient’s left elbow/left hip.

Subxiphoid view

Figure 1.6 Anatomical drawing of subxiphoid view (a) with still image (b).

Figure 1.7 Subxiphoid view. Probe fanned from patient’s right to left, using the liver as an acoustic window to visualize the heart.

●Place the probe below the xiphoid process aiming up and into the thoracic cavity.

●Use the liver as an acoustic win...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Contents
• Introduction
• Ultrasound probes
• Part I: Circulatory system
• Part II: Respiratory system
• Part III: Musculoskeletal system
• Part IV: Integumentary System
• Part V: Digestive System
• Part VI: Trauma
• Part VII: Renal, urinary, and reproductive systems
• Part VIII: Procedural
• Part IX: Nervous system
• Bibliography
• Index