*you are great!!!* please, SOS from Germany: nobody here is able to show me step-by-step a TTE. Which angle for what measurements *and* what are the results saying for what dysfunction, when cw/ when pw, what then? Step-by-step TTE please my hero
@POCUSGeek
4 жыл бұрын
Try starting with this: kzitem.info/news/bejne/pGxm0HuQrJuBpag What is your profession?
@XX-ru5wu
4 жыл бұрын
@@POCUSGeek thanks a lot for your feedback. Internal medicine+cardiologist in spe. Yes, I saw this part from you.The best one , even with my commenz 1year ago. *great!* :). But what to do after finding PLAX,SPAX,apical+subxiphoidal views? When cw/pw,when which measurments, when I can say it's systolic/diastolic dysfunction etc?
@POCUSGeek
4 жыл бұрын
So typically for point of care ultrasound the idea is just to use 2d or B mode ultrasound and answer a few binary questions. Being a cardiologist this will differ for you compared to my work in the ED. For example a cardiology echocardiography typically takes between 30-45 minutes to complete with the measurements your referring to. In the emergency setting this needs to be done within a few minutes so typically I don't do more than the views shown in the videos that I've made so far. Here is a joint statement from some professional bodies in the United States about non-cardiologist performed cardiac ultrasound. www.onlinejase.com/article/S0894-7317(10)00871-0/pdf With that said at times it helps, emergency doctors like myself, to geek out with ultrasound and look at things more in depth and these often reflect what a cardiologist would do on a regular basis. Eventually I hope to put some of that content here but have not be able to do so, yet. Here is an on-line tool I've found (unfortunately costs money) that maybe useful to you in the meantime. ecgwaves.com/course/clinical-echocardiography/ (I have no financial interests with this product) Also if you have access to the apple store in your location here is another good resource: books.apple.com/us/book/practical-guide-to-critical-ultrasound-volume-1/id1439354416 (Put out by ACEP that gave the joint statement listed above but gives some in-depth cardiac ultrasound) Best of luck. I hope that helps.
@XX-ru5wu
4 жыл бұрын
@@POCUSGeek I apprechiate it+ your effort! Thaaank you sooo much. I'll do that, what you supose. Best greetings from Germany. *Thanks again*
@bahadrarslan4422
4 жыл бұрын
Are there any differences between PSAX ? wall positions etc. Is it same view?
@POCUSGeek
4 жыл бұрын
Same view (walls of the LV) but with change of vantage point (angle/approach to view) . Pay attention to the RV location and papillary muscle location. This will help you orient to the different walls of the LV.
@joeerwin8687
4 жыл бұрын
Do you find any particular patient position makes these views easier to obtain?
@POCUSGeek
4 жыл бұрын
Supine if possible for subxiphoid views if not then reclined. IVC variability can't be assessed in any other position.
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