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Ultrasound in Emergency Medicine / Edition 1

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Editorial Reviews

Doody's Review Service
Reviewer: Ira J. Blumen, MD (University of Chicago Pritzker School of Medicine)
Description: This unique textbook provides the practicing emergency medicine physician with a practical approach to the use of emergency ultrasound.
Purpose: This book will provide the fundamental information and the necessary framework that will be essential to every emergency physician who will perform emergency bedside ultrasounds.
Audience: Practicing emergency physicians and residents in training are the intended audience.
Features: The book begins with an introduction to the basics of clinical ultrasound. It then addresses six major ultrasound uses that are important in the practice of emergency medicine: four acute life-threatening conditions (abdominal aortic aneurysm, traumatic hemoperitoneum, ectopic pregnancy, pericardial tamponade); and two other frequent and significant uses (acute gallbladder disease and obstructive uropathy).
Assessment: The clinical conditions that would benefit from emergency ultrasound are well presented and fairly easy to understand in this book. The chapters are well written, and the ultrasound reproductions are excellent. However, physicians inexperienced in this technique may find some of the pictures difficult to interpret. Many of the pictures have adequate labels and very good legends. Unfortunately, some ultrasound reproductions may be difficult to interpret and would benefit from more detailed explanations. Additional black-and-white illustrations would also be helpful. This book will be helpful to emergency medicine faculty and residents who will incorporate the use of ultrasound into their clinical practice. It will be useful in explaining the skill to do emergency ultrasounds and as a quick clinical guide to answer questions that may arise. However, hands-on experience will be essential to get full benefit of this text as a teaching/learning tool. This ultrasound book would be a beneficial reference in an emergency medicine library for anyone who will be exposed to the use of ultrasound in the emergency setting.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780721645063
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/1/1995
  • Edition number: 1
  • Pages: 236

Table of Contents

Ch. 1 Fundamentals 1
Sound and Ultrasound 1
Ultrasound Pictures 4
Basic Instrumentation 7
Understanding the Formed Image 12
Effects and Artifacts 18
Scanning Techniques 38
Biologic Effects and Safety Considerations 40
Ch. 2 Primary Applications of Ultrasound 41
Abdominal Applications 41
Gallbladder Disease 41
Obstructive Uropathy 65
Abdominal Aneurysms 86
Hemoperitoneum 95
Pelvic Applications 104
Abnormal First Trimester Pregnancy 104
Normal Findings in Early Pregnancy 111
Ectopic Pregnancy 115
Other Emergency Department Problems in Early Pregnancy 120
Sonographic Guidance of Clinical Procedures 123
Common Errors in Emergency Pelvic Scanning 124
Cardiac Applications 126
Cardiac Tamponade 126
Electromechanical Dissociation 133
Common Errors in Cardiac Scanning 134
Ch. 3 Other Emergency Department Applications 135
Abdominal Applications 135
Appendicitis 135
Sonography of Other Lower Abdominal Conditions 138
Hepatic and Hepatobiliary Scanning 138
Spleen 150
Stomach 150
Pancreas 152
Intraperitoneal Fluid (Ascites) 155
Pleural Effusion 160
Renal 162
Gynecologic Applications 166
Normal Pelvic Anatomy Scanning Techniques: Transabdominal Versus Transvaginal 171
Pelvic Masses 172
Second and Third Trimester Pregnancy 175
Other Cardiac Applications 184
Uses of Two-Dimensional Echocardiography 184
Hypotension of Unknown Cause 189
Cardiac Trauma 191
Ischemic Heart Disease 193
Disease of the Great Vessels 194
Iatrogenic (Procedural) Complications 194
Summary 194
Testicular Scanning Applications 195
Anatomic Considerations 196
Epididymitis 196
Torsion 197
Other Scrotal Disorders 199
Procedural Applications 201
Foreign Body Removal 201
Suprapubic Aspiration 203
Gynecologic Procedures 203
Vascular Access 204
Appendix 1: Equipment Criteria 207
Appendix 2: Model Curriculum for Physician Training in Emergency Ultrasonography 211
Glossary 221
Index 225
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