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POCUS - Cardiac Arrest Case and Review 

POCUS Geek
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Utilizing ultrasound during a cardiac resuscitation can be difficult to implement and interpret. In this video we will review a case that was difficult to interpret due to the pathological findings.
Remember the binary questions when interpreting any cardiac ultrasound:
1 - Is there cardiac motion?
2 - Is the global function normal?
If the global function is not normal is it:
2a - Hyperdynamic?
2b - Depressed?
2c - Severely depressed?
3 - Is there fluid surrounding the heart (Pericardial effusion)?
3a - Is there a pericardial effusion is there diastolic collapse of the RA or RV free wall?
4- Do any the chambers of the heart appear NOT to be of normal size?
5 - Is the IVC collapsed?
5a - If not is there respiratory variation with greater than 50% collapse?
6 - Anything else?
In this video we will see sonographic views showing cardiac standstill (systole) with a clotted hemopericardium.

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2 окт 2024

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Комментарии : 8   
@FreedomToRoam86
@FreedomToRoam86 Год назад
Would maybe have been easier to see if less gain. However, clotted blood like that can fool you. At first glance at the still, I thought "enlarged RV, septal hypertrophy" But following the effusion on the video is what makes it clearer. Very good teaching case! As to the comment about that being stomach, I think that is less likely, due to the tissue homgeneity at the diaphragm. The anechoic areas were likely refluxed blood due to collapsed RV from the hemopericardium. The one thing I would say about this case is that it demonstrates the need for very rapid POCUS. I took care of a Marine shot through the heart with large hemopericardium, and in that case, we were able to aspirate a lot of it. That being said, if it doesn't occur in a trauma center, it won't change outcome to aspirate it probably, because they just bleed more.
@pip9002
@pip9002 Год назад
Very good! Thanks
@walidelkanuni5956
@walidelkanuni5956 2 года назад
Tranks a lot for this Video, but i think that structur above the pericardium is Stomach und not the Liver.
@martinbrigham3379
@martinbrigham3379 3 года назад
Thanks, you rock!!!
@VadymVus
@VadymVus 3 года назад
Дякую. Гарний приклад прикроватного використання УЗД
@abdoumsr7778
@abdoumsr7778 2 года назад
Thnks
@liebeliebe5302
@liebeliebe5302 3 года назад
Thank you
@liebeliebe5302
@liebeliebe5302 3 года назад
👍👌
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