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Emergency Ultrasound (EUS)(10)

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2006 ACEP US-guided procedures

Extended indication

To evaluate for and/or

drain with US

Soft tissue abscess Peritonsillar abscess Pericardial effusion Pleural effusion Peritoneal fluid Joint effusion Cerebrospinal fluid

To evaluate for and

localize with US

Soft tissue FB Pacemaker placement

and capture

Fracture reduction

Endotracheal tubeplacement

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2009 ACEP

1. Resuscitative

2. Diagnostic

3. Symptom/Sign-based

4. Procedure guidance

5. Therapeutic and

monitoring

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Procedures

Vascular access-central and peripheral

Pericardiocentesis

Paracentesis

Thoracentesis

Foreign body detection & removal Bladder aspiration

Arthrocentesis

Abscess identification and drainage

Endotracheal tube confirmation Shoulder reduction confirmation

Lumbar puncture landmark identification

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Anterior superficial structures of the neck

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IJV placement

SV placement

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Mechanical complications for CVC

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Position of IJV and CA

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US image of IJV & CA

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IVJ and CA

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Real-time US guidance

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LIVJ thrombus

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Femoral vein

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US of EJV & IJV

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Upper extremity veins

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Axillary venogram and US images

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Axillary vein approach

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Axillary vein (long axis)

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Cannulation of peripheral vein

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Basilic and cephalic vein

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Basilic and cephalic vein

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Basilic and cephalic vein

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Radial a. cannulation

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RA transverse view

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Clinical scenario

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Prescan

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Transverse and longitudinal

orientation

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Sterile Technique

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Short & long axis approach

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Good and bad positioned equipment

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Arthrocentesis

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Sagittal and transverse approach

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US-guided lumbar puncture

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US landmarks for LP

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Paracentesis

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Pericardiocentesis

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Suprapubic bladder aspiration

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Thoracentesis

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ETT placement

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IO needle placement

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IO needle placement