Emergency medicine physicians saving time with ultrasound

被引:38
作者
Durham, B
机构
[1] Department of Emergency Medicine, Martin Luther King Trauma Med. Ctr., Los Angeles, CA
[2] Department of Emergency Medicine, Martin Luther King Trauma Med. Ctr., Los Angeles, CA 90059
关键词
ectopic pregnancy; culdocentesis; endovaginal ultrasound; transabdominal ultrasound; abdominal aortic aneurysm; echocardiography; cardiac tamponade;
D O I
10.1016/S0735-6757(96)90184-9
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In an attempt to provide comprehensive and timely patient care, emergency physicians have begun to use ultrasonography to perform and interpret goal-oriented examinations. Reducing time to diagnosis can potentially have a major impact on the treatment of patients with ruptured ectopic pregnancy, leaking aortic aneurysm, and cardiac tamponade, who require time-sensitive surgical intervention. A review of three cases reveals how ultrasonography performed by emergency physicians can rapidly provide valuable diagnostic information and expedite patient care in three different clinical scenarios. (Am J Emerg Med 1996;14:309-313. Copyright (C) 1996 by W.B. Saunders Company)
引用
收藏
页码:309 / 313
页数:5
相关论文
共 22 条
[1]  
BOHMVELEZ M, 1990, SEMIN ULTRASOUND CT, V11, P44
[2]  
Borrero E, 1988, Ann Vasc Surg, V2, P145, DOI 10.1016/S0890-5096(06)60797-8
[3]   DIAGNOSTIC ULTRASOUND IMAGING BY PHYSICIANS OF 1ST CONTACT - EXTENDING THE FAMILY MEDICINE EXPERIENCE INTO EMERGENCY-MEDICINE [J].
DEUTCHMAN, ME ;
HAHN, RG ;
RODNEY, WM .
ANNALS OF EMERGENCY MEDICINE, 1993, 22 (03) :594-596
[4]  
GEYMAN JP, 1989, J FAM PRACTICE, V28, P399
[5]  
HELLER M B, 1992, Emergency Medicine Clinics of North America, V10, P27
[6]  
JOHNSON JC, 1990, AM COLL EMERG PHYS N, V8, P4
[7]   TRANSABDOMINAL AND TRANSVAGINAL ULTRASONOGRAPHY IN THE DIAGNOSIS OF ECTOPIC PREGNANCY - A COMPARATIVE-STUDY [J].
KIVIKOSKI, AI ;
MARTIN, CM ;
SMELTZER, JS .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1990, 163 (01) :123-128
[8]  
LAWLOR HK, 1993, WESTERN J MED, V159, P195
[9]   SELECTIVE SCREENING FOR ABDOMINAL AORTIC-ANEURYSMS WITH PHYSICAL-EXAMINATION AND ULTRASOUND [J].
LEDERLE, FA ;
WALKER, JM ;
REINKE, DB .
ARCHIVES OF INTERNAL MEDICINE, 1988, 148 (08) :1753-1756
[10]   APPLICATION OF CLINICAL INDICATORS IN THE EMERGENCY DEPARTMENT [J].
OLEARY, MR ;
SMITH, MS ;
OLEARY, DS ;
OLMSTED, WW ;
CURTIS, DJ ;
GROLEAU, G ;
MABEY, B .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (24) :3444-3447