Echo In Life Support

Author:  John P Sloan / Editors: Tim Harris, Eric VanDenBergh, Jonathan Leung / Reviewer: James Ward / Code:Published: 30/12/2021

Description:

Understanding the use of Echo in Life Support (ELS)

After completing this session you will be able to:

  • Understand the use of Echo in Life Support (ELS)
  • Know which images to obtain
  • Understand the phased array transducer
  • Evaluate the images obtained
  • Interpret the images in a clinical setting

References:

  1. Wright J, Jarman R, Connolly J, Dissmann P. Echocardiography in the emergency department. Emerg Med J. 2009 Feb;26(2):82-6.
  2. Tsung JW, Blaivas M. Feasibility of correlating the pulse check with focused point-of-care echocardiography during pediatric cardiac arrest: a case series. Resuscitation. 2008 May;77(2):264-9.
  3. Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 2010 Nov;81(11):1527-33.
  4. Ahern M, Mallin MP, Weitzel S, Madsen T, Hunt P. Variability in Ultrasound Education among Emergency Medicine Residencies. West J Emerg Med. 2010 Sep;11(4):314-8.
  5. Daniel S & Dallon, M, Bedside echocardiography for prognosis of emergency department cardiac arrest? bestbets.org/bets/bet.php?id=2062 Submitted: 9th June 2010
  6. Bustam A, Azhar M, Veriah R et al, Performance of emergenct physicians in point of care echocardiography following limited training. Emerg Med J 2014;31:369-373
  7. Hayhurst C, Lebus C, Alkinson P et al, An evaluation of echo in life support (ELS): is it feasible? What does it add? Emerg Med J. 2011 Feb;28(2):119-21
  8. Jone P, Hinzman J, Wagner B et al, Right ventricular to left ventricular diameter ratio at end-systole in evaluating outcomes in children with pulmonary hypertension. J Am Soc Echocardiogr, 2014 Feb;27(2):172-8
  9. Lyon M, Blaivas M, Brannam L, Sonographic measurement of the inferior vena cava as a marker of blood loss. Am J Emerg Med 2005;23:4550
  10. Kircher BJ, Himelman RB, Schiller NB, Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol 1990;66:4936
  11. Brennan J, Blair J, Goonewardena S, et al, Reappraisal of the use of inferior vena cava for estimating right atrial pressure. J Am Soc Echocardiogr 2007;20:85761

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