Emergency Ultrasound Made Easy

Description:

This simple, jargon-free text fits in your pocket, providing an ‘on-the-spot’ guide to clinician-performed ultrasound in the emergency department, intensive care unit or in the field.

Written by an international team of experts and comprehensively updated in its third edition, Emergency Ultrasound Made Easy brings together in one volume the latest indications for focused ultrasound, including those related to the COVID-19 pandemic.

The text is highly accessible and easy to use in an emergency. It is aimed at the rapidly expanding cohort of non-radiologist clinical sonographers who use focused ultrasound. However, its broad scope (for example using ultrasound in the rapid diagnosis of DVT) makes it an invaluable addition to the library of any doctor with an interest in the technique, whether in primary care or the hospital setting.

Simple to read and follow

Free of jargon

Fast step-by-step guide to ultrasound procedures

Clear diagrams

Tips and pitfalls to avoid

Multiple accompanying videos featuring examples of ultrasound in clinical practice

New chapter on the use of ultrasound in small anatomical structures such as the eyes and testes

New chapter on paediatric ultrasound

Respiratory chapter updated to include COVID-19

  Multiple accompanying videos featuring examples of ultrasound in clinical practice

  New chapter on the use of ultrasound in small anatomical structures such as the eyes and testes

  New chapter on paediatric ultrasound

  Respiratory chapter updated to include COVID-19

Table of Contents:

1 Introduction

What is ultrasound?

What is point-of-care ultrasound?

What it is not (you are not a radiologist!)

First considerations

Summary

2 How ultrasound works

What is ultrasound?

Types of ultrasound

Producing the image

The transducer

Orientation

Driving the ultrasound machine

Artefacts

Safety considerations

Handy hints

Summary

3 Abdominal aorta

The question: is there an abdominal aortic aneurysm?

Why use ultrasound?

Clinical picture

Before you scan

The technique and views

Handy hints

What ultrasound can tell you

What ultrasound cannot tell you

Now what?

Summary

4 Trauma and abdominal free fluid

The question: is there free fluid?

Why use ultrasound?

Clinical picture

Cautions and contraindications

Before you scan

Technique and views

Handy hints

What FAST can tell you

What FAST cannot tell you

Now what?

Summary

5 Lung and thorax

How can lung ultrasound help me?

Why use ultrasound?

What lung ultrasound can help you with

What lung ultrasound cannot tell you

Cautions and contraindications

Technique and views

What to look for

Alveolar consolidation

Pneumonitis and SARS/COVID-19

Handy hints and pitfalls

Now what?

Summary

6 Focused cardiac ultrasound and shock protocols

How can focused cardiac and shock ultrasound help me?

Why use ultrasound?

What focused cardiac ultrasound can tell you

What focused cardiac ultrasound cannot tell you

Technique and views

Handy hints

The heart

Beyond focused cardiac scanning

Suggested ultrasound approach to the patient with undifferentiated shock

Handy hints and pitfalls

Now what?

Summary

7 Renal tract

Introduction

Why use ultrasound? Five good reasons

Anatomy

The technique, probe placement and views

What ultrasound can tell you

What ultrasound cannot tell you

Handy hints and caveats

Now what?

Summary

8 The biliary tree and the gastrointestinal tract

Introduction

Biliary ultrasound: gall bladder and biliary tree

The gastrointestinal tract

Summary

9 Early pregnancy

Introduction

Ectopic pregnancy

Why use ultrasound?

What emergency ultrasound can tell you

What emergency ultrasound cannot tell you

The role of beta-human chorionic gonadotropin

Clinical picture

Before you scan

Technique and views

Findings

Now what?

Handy hints

Summary

10 Ultrasound-guided procedures

Why use ultrasound?

Aseptic technique

Ultrasound needle guidance technique

Central venous cannulation

Central venous cannulation using real-time ultrasound

Out-of-plane technique

Technique

Handy hints and pitfalls

In-plane technique

Handy hints and pitfalls

Thoracocentesis, pericardiocentesis and paracentesis

What ultrasound can tell you

Handy hints and pitfalls

Suprapubic catheterisation

Lumbar puncture

Handy hints and pitfalls

Endotracheal tube placement

Handy hints and pitfalls

Nasogastric tube placement

Handy hints and pitfalls

11 Nerve blocks

Why use ultrasound?

Which blocks?

Contraindications to regional anaesthesia

Complications of regional anaesthesia

Ultrasound appearance

Probe and scanner settings

Technique

Notes on specific techniques

Interfascial plane blocks

Peripheral nerve blocks

Handy hints and pitfalls

Summary

12 Deep vein thrombosis

The question: is there a deep vein thrombosis?

Why use compression ultrasound?

Anatomy

Clinical picture

Before you scan

The technique and views

Handy hints

What three-point compression ultrasound can tell you

What three-point compression ultrasound cannot tell you

Now what?

Summary

13 Musculoskeletal and soft tissues

Glenohumeral joint dislocation

Soft tissue infection

Fracture diagnosis

Knee arthrocentesis

Ultrasound of foreign objects

Summary

14 Use of ultrasound for small anatomic structures

The eye and orbit

What ultrasound can tell you

The testicles and scrotum

What emergency ultrasound can tell you

What emergency ultrasound cannot tell you

15 Paediatric ultrasound

Introduction: how is paediatric ultrasound different?

How to use this chapter

Paediatric lungs (see also Chapter 5)

Paediatric abdomen (see also Chapter 8)

Paediatric musculoskeletal

Paediatric hip effusion

Ultrasound-guided intravenous cannulation in infants and toddlers (see also Chapter 10)

16 Emergency ultrasound in prehospital medicine

Why use ultrasound in this setting?

EXAMPLES of resuscitative ultrasound in prehospital medicine

Handy hints and pitfalls

Before you scan

Airway and breathing

Airway assessment with ultrasound

Breathing assessment with ultrasound

Circulation

Vascular access

Musculoskeletal

Appendix: Resources and further reading

Chapter 5: Lung

Chapter 6: Cardiac

Chapter 9: Early pregnancy

Chapter 14: Small parts

Chapter 15: Paediatrics

Index