Enter the name for this tabbed section: Case
A 50 year-old female presents with dyspnea and hypotension. She has a history of DVT. Based on the cardiac ultrasound below, please answer the following questions:

Q1: What findings on this US suggest increased right heart pressures?
Q2: What is the
specific sonographic pathology we see in the two clips?
Q3: What is your plan for this patient?
Enter the name for this tabbed section: Answer
[For more “answers” see the video below]

Q1: What findings on this US suggest increased right heart pressures?
The RV is enlarged compared to the LV (remember RV : LV should typically be around 0.6).

Q2: What is the
specific sonographic pathology we see in the two clips? This is a clot-in-transit. What we call the “death worm” (not scientific).

Q3: What is your plan for this patient? This patient deserves tPA or interventional IR (catheter-directed tPA).

This website, which will provide the foundation for a basic understanding of Emergency Ultrasound (EUS), is also an enormous work-in-progress. The key to proficiency in, and eventual mastery of, Emergency Ultrasound is practice. Following every lecture, every tutorial, every case discussion, apply your skill-set in the ED. Scan every sore abdomen, every pregnancy with cramping, every shortness of breath or chest pain. Developing a sense of "normal" allows for quick identification of what is "abnormal".

I hope you enjoy the site.....and I welcome any and all feedback!

Geoff Hayden, MD, RDMS
Director of Emergency Ultrasound
Division of Emergency Medicine
Medical University of South Carolina (MUSC)
  • Who made this site?

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    I am an Emergency Medicine attending at an academic medical center in Charleston, SC (MUSC). I completed an ultrasound fellowship at the University of Pennsylvania under Dr. Anthony Dean. My career path has led me through both private practice and academic practice. I sincerely believe in the clinical utility and improved patient care offered by emergency ultrasound, whether it be in a private ED or an academic setting.
  • Can I subscribe?

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    YES. If you subscribe (click here to subscribe), I do send emails of interesting cases with videos/images. Pretty educational. Website updates and such.
  • Is this site free?

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    Absolutely. I really dislike paying for things. And I hate to think that some information meets a dead-end because you have to sign up and/or pay for it. So this site is entirely free. Free for you, free of advertising. Down side is that it is an amateur web-site at best. I can vouch for the information/content, but the rest is subject to my meager skills at website development.
  • Who is my audience?

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    Anyone in the health care profession with an interest in ultrasound. Of course, the majority of the content is geared towards EM residents and attendings, but I plan to create more lectures in for PAs, NPs, nurses, and paramedics.
  • How can I contact the site?

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    Feel free to click on the "Contact Me" link below and email me directly. I usually will respond within 48-72 hours.
  • Can I borrow any content?

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    In general, no. However, I may be willing to authorize use of some of the content on a case-by-case basis. Feel free to contact me.
  • What else is planned?

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    I plan to create a more extensive video and image database that can be quickly searched and organized. I'd also like to offer an "upload" functionality to allow users to submit their own interesting cases. As for the "Case of the Week", I will eventually create an extensive archive to view dozens to hundreds of past cases. Always open to suggestions.



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