Thread subject: NEPI :: Trauma and Fluid resuscitation

Posted by morpheus on 18-08-2008 10:21
#14

EM echo scans are good to know LV dysfunction.
Remember what most of EM physicians do are just have a visual gauge of the cardiac function than calculate cardiac output actually.
obviously the clinical scenario would define your likelihood of LV dysfunction also...as in a young patient... hmmm not really expecting LV dysfunction.... old patient... well ya maybe.
And even with all the adrenaline flying in ... if the patient has a background LV dysfunction you would see it on the ECHO scan.
the parasternal long axis view would give you enough information about the cardiac function...and you dont have to be a genious to do it.
so i would still go ahead and image the heart in the PLAX view along with the FAST scan... and judge for myself if theres a cardiac dysfunction or not.
Urine output as a monitor... bingo.