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• Case of the Week - Case # 89

  A 28-year-old male presents with chest pain after being struck in the chest with a baseball bat injury to his chest while playing ball. His vitals are BP 110/74, HR 118, RR 26, PO 93% on RA. You perform a bedside ultrasound…... Posted Aug 18 2008, 08:43 AM by Rob with | with no comments Filed under: Beginner, Intermediate, trauma, lung

• Case of the Week - Case # 86

  20-year-old male is admitted to the ED via EMS after a rollover MVC. The patient is hemodynamically stable. On exam you note that the patient has multiple torso bruises. After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic windows shown):... Posted Jul 28 2008, 04:14 PM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma

• Case of the Week - Case # 76

  26-year-old female found unresponsive after a multiple drug overdose. Pt was profoundly hypoxic and bradypneic upon EMS arrival. She was intubated by the paramedics without any medications. While in the ED, the patient remained unresponsive to both verbal... Posted May 19 2008, 10:41 PM by Rob with | with no comments Filed under: Intermediate, Ocular, trauma, ICP

• Case of the Week - Case # 66

  An 87-year-old female nursing home resident presents to the ED hypotensive after a fall. The patient has a history of organic brain syndrome, a fib on coumadin, hypertension, coronary artery disease, hypothyroidism and gout. The patient is nonverbal. Her vitals signs are as follows: BP 62/40, HR 108, RR 26 and PO of 95%. Her physical examination reveals multiple abrasions and a large ecchymotic region in the left flank and left lateral thorax. You perform a FAST exam to evaluate her for the hypotension. Her pericardial window reveals no evidence of pericardal effusion or tamponade. Her perihepatic and pelvic windows were negative. You note the following on her perisplenic window...... Posted Mar 04 2008, 04:57 PM by Rob with | with no comments Filed under: FAST, Advanced, trauma

• Case of the Week - Case # 62

  A 24-year-old male presents after having been stabbed to the anterior right hemithorax with a screwdriver. His vital signs are stable and his pulse ox is 95% on room air. You perform a FAST exam and note the following on the perihepatic window. ... Posted Feb 06 2008, 12:08 AM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma, lung

• Case of the Week - Case # 57

  A 32-year-old male presents to the ED after being shot. He has an entrance wound noted at the anterior axillary line near the lower costal margin. An upright chest radiograph reveals no intrathoracic trauma. The bullet's location is not seen on the chest radiograph. The patient's vital signs are stable. You are asked by the trauma surgeon to perform a FAST exam to see if the patient has hemoperitoneum in Morison's pouch.... Posted Jan 01 2008, 09:28 PM by Rob with | with no comments Filed under: FAST, Beginner, trauma

• Case of the Week - Case # 54

  A 26-year-old male presents to the ED after a stab wound to the left chest. The patient has stable vital signs and has diminished breath sounds on the left but the patient is splinting due to pain. You and your resident perform a FAST exam and see no evidence of a pericardial effusion. During performance of a thoracic ultrasound for the detection of a pneumothorax, your resident comments that he sees a lung point. What is your interpretation?... Posted Dec 10 2007, 09:19 AM by Rob with | with no comments Filed under: Intermediate, trauma, lung

• Case of the Week - Case # 41

  A 36 y.o. male is admitted to the ED via EMS after a high-speed MVC. The patient was the unrestrained driver of the vehicle. The medics report that the Ultrasound Case of the Weekpatient "broke the steering wheel. It was also noted on exam that the patient has extensive bruising in the upper abdominal region. His physical exam reveals multiple minor lacerations and a large bruise over his anterior torso. His abdomen is diffusely tender. His vital signs are stable. You perform a FAST exam... ... Posted Aug 27 2007, 10:12 PM by Rob with | with no comments Filed under: FAST, Intermediate, trauma

• Case of the Week - Case # 22

  A young woman is dropped off at the ambulance entrance by friends after being shot once in the right chest during a robbery attempt. On arrival she is minimally responsive and is noted to have a single GSW to the right lateral chest. Her blood pressure is 118/74 and her heart rate is 104. She is emergently intubated and a portable CXR is performed. After performing the ABCs, you perform a bedside cardiac ultrasound. You note the following...... Posted Apr 11 2007, 12:00 AM by Rob with | with no comments Filed under: Intermediate, Case, Cardiac, trauma

• Clinical Case # 5

  A 24-year-old male presents to the ED after a GSW to the left flank with an entrance wound noted posteriorly and an exit wound noted anteriorly. His vitals are stable and his examination is only remarkable for left flank and side tenderness. His abdominal exam is benign. Your trauma surgeon wants you to perform a FAST exam to see if there is any intra-abdominal involvement. You perform the FAST exam...... Posted Nov 29 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma

• Clinical Case #2

  A 55-year-old male was involved in a rollover MVC after his car was cut off by another vehicle. The patient was retrained and is complaining of generalized abdominal pain, in addition to neck pain, back pain and extremity pain. His vitals are stable upon arrival into the trauma room. He has obvious deformities of his right humerus, left wrist and left femur. He has no obvious thoracoabdominal trauma but has generalized abdominal tenderness. After the initial stabilization, the patient’s blood pressure… ... Posted Nov 08 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Advanced, trauma

• Clinical Case # 1

  A 32 y.o male presents after being stabbed in the R chest with a knife. He is hemodynamically stable and has symmetric breath sounds on exam. A chest x-ray cannot be immediately obtained...... Posted Nov 01 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Intermediate, trauma, lung