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LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening

LVOTO due to SAM ... on POCUS Echocardiogram ... Answer: Dynamic LVOTO ... due to SAM. ... #SAM #HOCM #POCUS

PLAX. Bit Las Vegas gains posteriorly 😉 lovely HOCM case with systolic anterior motion. Significant LVOT

Significant LVOT ... Cardiomyopathy #SAM ... #Clinical #POCUS

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... Sam Ghali @EM_RESUS ... #Clinical #POCUS ... #MSK #Shoulder

Systolic Anterior Motion (SAM) of the Mitral Valve (MV)

Systolic anterior motion (SAM) describes the dynamic movement

Anterior Motion (SAM ... anterior motion (SAM ... outflow tract (LVOT ... Anterior #Motion #SAM ... Cardiology #Clinical #POCUS

POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT

POCUS - Measuring ... ) CO = (LVOT Area ... ) x (LVOT VTI) X ... x HR (bpm) - POCUS ... Cardiac #Output #CO #POCUS

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... Accurately measure LVOT ... Zoom to LVOT 3. ... /2) 2 SV = LVOT ... #Measurement #POCUS

LVOT Obstruction noted during CPR on TEE (iatrogenic LVOT obstruction)

- Dr. Tom Jelic
@TomJelic

#LVOT #Obstruction #CPR #ACLS

LVOT Obstruction ... TEE (iatrogenic LVOT ... @TomJelic #LVOT ... Echocardiogram #POCUS

U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-

- Sam Ghali @EM_RESUS ... #Clinical #POCUS ... #MSK #Shoulder

Papillary Muscle Rupture on POCUS

See the "cracking whip"? This is what papillary muscle rupture looks

Muscle Rupture on POCUS ... Sam Ghali, M.D. ... Echocardiogram #POCUS

Intra-arrest Echo showing V-Fib at rhythm check!

Sam Ghali, M.D. @ https://twitter.com/EM_RESUS

#VFib #VentricularFibrillation #POCUS #Echocardiogram #Ultrasound #Clinical

Sam Ghali, M.D. ... VentricularFibrillation #POCUS

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