"If I'm satisfied with TA exam, I do not bother going for TVS. TA is extremely important to get a "panoramic view" before one gets closer by TVS. In case of urgency, I think an IV line and a safe diuretic are…"
"We must do TA & TV also. We request a foley. If the pt. refuses the foley we make a note of that on the exam sheet.
If we absolutely can not get their bladder full for the TA exam we note on the exam sheet that the exam is LIMITED…"
"The main indication for ED Pelvic ultrasound is the first trimester woman with abdominal pain or bleeding, where the concern is IUP vs. Ectopic vs. threatened miscarriage. For this exam, we normally perform a transabdominal exam first, and if there…"
"A very important & relevant topic. I face this dilemma a lot of times particularly with the patients of ectopic preg etc who come with out an IV line .Most of these patients have dehydration & some in shock. they can neither take or retain…"
"If I am attempting to visualize pelvic structures and pathology I will tend to only fill the bladder if it is a young non-sexually active patient. If I am attempting to fill the bladder then I use IV fluids if there is an IV, if not then PO…"
At your institutions/hospitals do you fill the patient's bladder prior to performing a pelvic ultrasound on Emergency Room patients?If yes, by what method do you fill the bladder? By mouth (drinking water)? By IV fluids? By retrofilling a foley catheter?Do your ER docs/Radiologists think filling the bladder is necessary for ER patients?Do you do EV ultrasounds only on ER pelvic patients?I would appreciate any input.thank you,KW See More
The Emergency & Critical Care Ultrasound Community includes individuals involved with the use of ultrasound in the analysis of emergency care patients. Disciplines vary from pediatrics, to obstetrics and gynecology, surgery, and general medicine.See More