9 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... arrest. ... #effusion #tamponade ... #POCUS #Echocardiogram ... ultrasound #Cardiology #A4c
LV Pseudoaneurysm

• False “pseudo” aneurysm: rupture w/ blood contained *outside* wall layers. (case below)

• True aneurysm:
LV Pseudoaneurysm ... HeartToProve #LV ... Pseudoaneurysm #Ventricular ... #Clinical #POCUS ... #A4C #Echocardiogram
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
arrest SIRS ... infarction Tamponade ... pneumothorax LV ... papillary muscle rupture ... dysfunction LV
Hemopericardium in Cardiac Arrest on POCUS Echocardiogram after GSW
GSW right lateral chest. Witnessed arrest by EMS.
Hemopericardium in Cardiac ... Arrest on POCUS ... frag noted near LV ... #Arrest #POCUS ... clinical #trauma #s4c
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... male witnessed arrest ... fine quivering of LV ... Consistent with AWMI ... Fibrillation #VFib #S4C
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
occupying 1/3 the LV ... MI effecting [LAD ... territory] In PLAX ... echocardiogram #pocus ... #a4c
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Failure (PE, PHTN), LV ... cordae tendenae rupture ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... arrest, amniotic
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... male witnessed arrest ... SC from first break ... fine quivering of LV ... Consistent with AWMI
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
Intraoperative Cardiac ... infract of the LV ... the OR for post MI ... were evacuated (tamponade ... the heart was arrested