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- W2583593194 abstract "As the authors of this handbook point out in the preface, bedside ultrasonography is no longer an experimental modality. Physicians providing care to critically ill patients, whether in academic settings or small rural hospitals, are increasingly expected to incorporate ultrasonography into their practice. This handbook provides a very practical, user-friendly approach to the use of ultrasonography in emergency and critical care settings. The handbook was created after the success of the authors' first book, the Handbook of Trauma Ultrasonography. This book covers some of the same material as the first but with the addition of advanced trauma and critical care applications. The book is organized into 5 sections: physics and instrumentation (4 chapters), thoracoabdominal trauma (4 chapters), nontraumatic critical illness (1 chapter), ultrasonography-guided procedures (10 brief chapters), and establishing an ultrasonography program (2 chapters). In the 260 pages, there are 252 illustrations, algorithms, and photos. The first section covers the physics of ultrasonography, which some will find overwhelming. The last 4 pages of the chapter contain a very important discussion of ultrasonography artifacts, the recognition of which will greatly reduce false positive interpretations and significantly improve your skills. The second section is dedicated to ultrasonography scanning in trauma injuries. Highlights include photographs of appropriate probe placement for each of the 4 focused abdominal sonography for trauma views and pitfalls to image interpretation in each of those views. This section also covers advanced trauma scanning and reviews the “diamond” examination, a term coined by the authors to aid in the search for solid organ injuries, hemothorax, pneumothorax, and ultrasonographic indicators of central venous pressure through inferior vena cava assessment. The remaining chapters briefly cover testicular and ocular trauma. Although the utility of ultrasonography in diagnosing ocular pathology is impressive in chapter 8, the image quality is not optimal for ultrasonography novices. After readers are convinced of the utility of bedside ultrasonography in evaluating trauma patients, the author introduces the use of ultrasonography in evaluation of the crashing medical patient. The third section addresses how bedside ultrasonography can quickly assess the source of deteriorating vital signs. It includes how to investigate hypotension of unknown etiology by ruling out cardiac tamponade, hemoperitoneum, abdominal aortic aneurysm, and deep venous thrombosis when suspecting a pulmonary embolism. Since the 2001 Agency for Healthcare Research and Quality report advocating the use of ultrasonography to minimize complications associated with central line placement, ultrasonography-guided procedures have become the standard of care. Section 4 covers this important topic in multiple brief but focused chapters. The first chapter in this section covers venous cannulation and provides a clear step-by-step approach to the ultrasonography-guided technique; however, the pictures provide minimal clarification of transducer orientation on the patients. Ultrasonographic assistance in multiple other procedures, such as lumbar puncture, pericardiocentesis, paracentesis, thoracentesis, abscess drainage, joint aspiration, and foreign body localization, is discussed. The final section is a very short discussion on establishing an ultrasonography program and gives some good tips on trouble-shooting resistance encountered from hospital administration or other departments. A sample quality assurance form for the focused abdominal sonography for trauma examination is provided on the last page. Overall, this book would be a useful addition to your ultrasonography cart. Although it is not intended as a comprehensive reference source, it provides a good overview with some innovative sections." @default.
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- W2583593194 date "2005-01-01" @default.
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- W2583593194 doi "https://doi.org/10.1016/j.annemergmed.2004.06.026" @default.
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