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Nội dung text POCUS Provider Manual Second Edition First Edit.pdf


About SonoSchool SonoSchool is the first Emergency Ultrasound School in the Middle East, it was established in 2016, Over the past few years, the faculty has Grown number and Capacity to be the first leading Sonography School in the Region and the center of ultrasound Education in the middle East Countries, SonoSchool aims to give an efficient and reliable bedside Ultrasound education that makes a clinical Difference on physicians healthcare practice, SonoSchool’s efficiency is dedicated both in theo- retical and practical meanings POCUS Course in this course you will learn how to use Point of Care Ultrasound (POCUS) to di- agnose the most important Problems seen in the acute care setting, ideal for anyone who’s just starting to use in the emergency department, general ward, ICU or Private Clinic, learn to use POCUS to increase your Success rate and decrease complication when performing common procedures, we Depend on hands on Training with inter- active Cases and theoretical Lectures Written by Sonoschool Scientific Committee
Contents 1 Chapter One - Basic Physic of Ultrasound B-Mode 16 Chapter Two - Use of Echocardiography in Critical Patients 37 Chapter Three - Ultrasonography of the Thorax 50 Chapter Four - E-FAST 67 Chapter Fiv - Renal Ultrasound 57 Chapter Six - Abdominal Aorta 92 Chapter Seven - Ultrasonographic Examination Of Hepatobiliary System 106 Chapter Eight - Appendicitis 112 Chapter Nine - Bedside Airway Ultrasonography 120 Chapter Ten - Occular Ultrasound 136 Chapter Eleven - Ultrasonography of the Obstetric and Gynecological Emergencies 168 Chapter Twelve - Nerve Blocks Wıth Ultrasonography In Emergency Department 191 Chapter Thirteen - Interventıonal Ultrasonography 214 Chapter Fourteen - Lower-extremity Venous Ultrasonography 222 Chapter Fifteen - Rush Protocol 271 Chapter Sixteen - Evaluation of Volume Status by Bedside Ultrasonography 275 Chapter Seventeen - Other Shock Protocols for Focused Bedside Ultrasonography
Chapter One Basic Physics of Ultrasonography B-Mode 1 Aubrey Fessenden introduced trans- oceanic telegraphy and long-range ra- dio broadcasts into our lives. Later on, modern radars entered our lives after the sound waves that were used in war environments. The first US device in the field of medical use has entered the medical world with the method called "A-Mod" and forms the basis of the US device that we use today. 1.2. Basic Features of ultra- sound In addition to generating simul- taneous sound waves, the US device also detects the reflection and return of these sound waves from a surface, allowing us to visualize tissues and organs in various shades of gray on the monitor of the US device. Sound waves reflected back from the surface are called echoes (Figure 1-1). These echoes are projected onto the screen as bright or matt shades of gray, de- pending on the intensity of the “reflect- ed echo” with the help of transducers in the US device (Figure 1-2). 1.1. Introduction Although the introduction of ul- trasonography to Emergency Medicine patient care is about 20 years and it is widely used abroad, the use of ultraso- nography (US) in our country has start- ed to become widespread in the last 5 years. We can easily say that US, which is an indispensable diagnostic tool in some clinics, will replace our stetestops in the future. However, an- other important point we can say here is that any diagnostic tool can never replace a good physical examination. As it is an easily accessible, cheaper and practical method than other radio- logic diagnostic modalities, it is a safe and reproducible diagnostic method with no ionizing radiation burden. It is becoming increasingly popular not only in Emergency Medicine but also in other clinical branches. Pierre Curie, who made use of sound waves for the first time, discov- ered that when pressure is applied to crystals, it turns into electrical energy. This is called piezoelectric effect. Later in the early 19th century, Reginald

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