Gastric Ultrasound - Dilated Stomach with Layering Dependent Debris on POCUS

What is the best next step in this patient’s management?
NGT placement-->3L gastric contents in this pt with sbo. The clip starts briefly with a subxiphoid view of the heart and the operator then fans the phased array probe into the epigastrium revealing a very large fluid filled stomach with dependent debris.

Labeled Schematic: https://twitter.com/EUSmkh/status/1

#Gastric #Dilated #Stomach #Ultrasound #Layering #Debris #POCUS #clinical 
Meghan Kelly Herbst, MD @eusmkh · 5 years ago
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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