Pediatric Hospital Medicine 2012

Bedside Ultrasound - Is that an intussusception or is it raining in Chicago?
Matthew Garber, Scott Carney
At the conclusion of this session, participants will be able to:

  1. To obtain quality ultrasound images of various structures including the heart, blood vessels, and abdominal organs
  2. To correctly interpret ultrasound images of pediatric programmed patients including volume status, absence or presence of pericardial effusion and abnormal fluid collections in the abdomen
  3. To understand the basic physics behind ultrasound
  4. To understand the indications and limitations of pediatric bedside ultrasound

Our workshop, intended for pediatric hospitalists with no, or very limited ultrasound experience, will review ultrasound basics. The future of bedside ultrasound in pediatrics will be discussed, including a brief evidence review. Experienced sonographers will teach the attendees to obtain and interpret quality images for several focused ultrasound examinations with relevance to Pediatrics. The FAST (focused assessment with sonography for trauma) exam's objective is to detect free intraperitoneal fluid after blunt abdominal trauma, but is also an excellent introduction to bedside ultrasound as images of the kidneys, liver, spleen, bladder and heart are required. We will look at the abdominal aorta and inferior vena cava to assess volume status. Limited echocardiography to assess global function and effusions will be performed. The final station will depend on the experience of the sonographers and attendee preference, and will consist of assessment for one or possibly more of the following: hip effusion, long bone fracture, increased ocular pressure, DVT, abscess/cellulitis.




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