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2014, Number 4

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Anales de Radiología México 2014; 13 (4)

Ultrasound and its preponderant role in emergency situations

Motta-Ramírez GA, Bastida-Alquicira J, Béjar-Cornejo JR, Craviotto AB, Salgado-Camarillo J

Language: Spanish
References: 100
Page: 404-427
PDF size: 1215.29 Kb.


ABSTRACT

Ultrasound is useful in identification and diagnosis of entities that threaten a patient’s life in emergency wards or intensive care units. 405 Motta-Ramírez GA et al. Ultrasonido en situaciones de urgencia Therefore, emergency ultrasound is defined as a diagnostic procedure or as a guide in immediate invasive procedures required to resolve serious, life threatening conditions.
Objective: discuss the use of ultrasound and its different protocols in modern medical practice, and make ultrasonographic technique a commonplace, fully integrated tool in emergency wards and intensive care units.
Rationale: it is essential to establish guidelines for concepts, specific protocols, and sequences in order to avoid errors, reflecting the usefulness and feasibility of performing bedside ultrasound in critical care units on patients with life threatening clinical conditions, allowing for prompt implementation or timely modification of clinical management. The inclusion of ultrasound targeting specific situations and areas in the medical school curriculum will help familiarize medical students with the method and expand its recognition and use to improve diagnostic precision.
Conclusions: emergency ultrasound is no longer performed exclusively by radiologists; today any suitably trained and certified doctor can perform ultrasound protocols, in particular emergency physicians and specialists in critical medicine who require a rapid evaluation of patients in critical state. The ultrasound-based approach should be executed in an organized, systematized manner, with specific and standardized protocols, and with the proper focus to avoid errors and obtain immediate and reliable results which permit rapid and effective management, avoiding complications and even death of patients in emergency or intensive care services.


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