A Case of Apnea in COPD Patients Induced by Sedatives

The conditions of emergency patients are complex and variable, and difficult to move, so quick diagnosis and treatment in time is needed. Point of care ultrasound is an efficient tool in critical care. The author conducted preoperative evaluation for perioperative patients and rapid diagnosis for life-threatening factors so as to improve the accuracy and comprehensive preoperative evaluation.

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Point of Care Ultrasound: A Tool for Rapid Diagnosis of a Life-Threatening Hematoma

CHEST Journal ◽

10.1016/j.chest.2016.08.252 ◽

2016 ◽

Vol 150 (4) ◽

pp. 239A

Author(s):

Mohsin Ijaz ◽

Ariel Shiloh ◽

Lewis Eisen

Keyword(s):

Point Of Care ◽

Rapid Diagnosis ◽

Point Of Care Ultrasound ◽

Life Threatening

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Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽

10.24908/pocus.v3i1.13310 ◽

2018 ◽

Vol 3 (1) ◽

pp. 13-14

Author(s):

Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽

Maryam Al Ali, MBBS

Keyword(s):

Emergency Department ◽

Critical Care ◽

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Soft Tissue Infection ◽

Critical Care Unit ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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Telemedicine-guided point-of-care ultrasound can be feasible and effective in a life-threatening situation: The case of a field hospital during the COVID-19 pandemic (Preprint)

10.2196/preprints.24821 ◽

2020 ◽

Author(s):

Tarso Accorsi ◽

Karine De Amicis Lima ◽

Alexandra Brigido ◽

Deborah Belfort ◽

Fabio Habrum ◽

...

Keyword(s):

Point Of Care ◽

Image Interpretation ◽

Acquisition Time ◽

Point Of Care Ultrasound ◽

Field Hospital ◽

Portable Ultrasound ◽

Local Staff ◽

Assessment Protocol ◽

Life Threatening ◽

Threatening Situation

BACKGROUND Lightweight portable ultrasound is widely available, especially in inaccessible geographical areas. It demonstrates effectiveness and diagnosis improvement even in field conditions but no precise information about protocols, acquisition time, image interpretation, and the relevance in changing medical conduct exists. The COVID-19 pandemic implied many severe cases and the rapid construction of field hospitals with massive general practitioner (GP) recruitment. OBJECTIVE This prospective and descriptive study aimed to evaluate the feasibility of telemedicine guidance using a standardized multi-organ sonographic assessment protocol in untrained GPs during a COVID-19 emergency in a field hospital. METHODS Eleven COVID-19 in-patients presenting life-threatening complications, attended by local staff who spontaneously requested on-time teleconsultation, were enrolled. All untrained doctors successfully positioned the transducer and obtained key images guided by a remote doctor via telemedicine, with remote interpretation of the findings. RESULTS Only four (36%) general practitioners obtained the appropriate key heart image on the left parasternal long axis window, and three (27%) had an image interpreted remotely on-time. The evaluation time ranged from seven to 42 minutes, with a mean of 22.7 + 12. CONCLUSIONS Telemedicine is effective in guiding GPs to perform portable ultrasound in life-threatening situations, showing effectiveness in conducting decisions.

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Lidocaine: A Local Anesthetic, Its Adverse Effects and Management

Medicina ◽

10.3390/medicina57080782 ◽

2021 ◽

Vol 57 (8) ◽

pp. 782

Author(s):

Entaz Bahar ◽

Hyonok Yoon

Keyword(s):

Adverse Effects ◽

Local Anesthetic ◽

Local Anesthetics ◽

Adverse Reactions ◽

Rapid Diagnosis ◽

Diagnosis And Treatment ◽

Allergic Reactions ◽

Life Threatening

The most widely used medications in dentistry are local anesthetics (LA), especially lidocaine, and the number of recorded adverse allergic responses, particularly of hazardous responses, is quite low. However, allergic reactions can range from moderate to life-threatening, requiring rapid diagnosis and treatment. This article serves as a review to provide information on LA, their adverse reactions, causes, and management.

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Point‐of‐care ultrasound for prompt diagnosis and treatment monitoring of acute epiglottitis

Journal of General and Family Medicine ◽

10.1002/jgf2.373 ◽

2020 ◽

Vol 22 (1) ◽

pp. 51-52

Author(s):

Hiroshi Hori ◽

Takahiko Fukuchi ◽

Hitoshi Sugawara

Keyword(s):

Point Of Care ◽

Treatment Monitoring ◽

Diagnosis And Treatment ◽

Point Of Care Ultrasound ◽

Acute Epiglottitis ◽

Prompt Diagnosis

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Paediatric ultrasound

Point of Care Ultrasound for Emergency Medicine and Resuscitation ◽

10.1093/med/9780198777540.003.0011 ◽

2019 ◽

pp. 217-224

Author(s):

Jason Fischer ◽

Lianne McLean

Keyword(s):

Critical Care ◽

Abdominal Pain ◽

Pyloric Stenosis ◽

Imaging Modality ◽

Point Of Care ◽

Adult Patients ◽

Point Of Care Ultrasound ◽

Lung Pathology ◽

Skull Fractures ◽

Body Habitus

This chapter highlights the increasing use of point-of-care ultrasound (PoCUS) in children. The size and body habitus of infants and children are often ideal for sonographic visualization and make PoCUS an ideal imaging modality for paediatric patients. PoCUS applications that have been traditionally used for adult patients are increasingly being adopted for the care of children. Paediatric-specific applications are also being developed for problems common and unique to paediatrics. Focused abdominal scans for appendicitis, intussusception, and pyloric stenosis are now frequently used in patients presenting with abdominal pain or vomiting. PoCUS can differentiate lung pathology and is helpful in the assessment of suspected skull fractures in non-verbal infants. Ongoing integration of PoCUS into shock, trauma, and triage algorithms support its increasing role in paediatric emergency and critical care.

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