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Pattie Smith, RDMS
  • Female
  • Maineville, OH
  • United States
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Jason T Nomura MD, RDMS replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"Tip of the liver is a key point to evaluate, small amounts of fluid can be found there before other regions of the RUQ.  When I go through the FAST with my residents I remind them they don't look at just one slice of a CT scan, can't…"
Nov 21, 2011
Pattie Smith, RDMS replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"I couldn't agree more Joseph!"
Nov 6, 2011
Joseph Minardi replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"I generally teach all of our faculty, fellows, residents, and students that the UQ views in the FAST include above the diaphragm, and scanning all the way down past the inferior poles of the kidneys into the pericolic gutters. I have seen too many…"
Nov 6, 2011
Pattie Smith, RDMS replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"Sonoguide is a resource for ED physicians in the ultrasound section of the ACEP website. ( I am sure you are well aware of this), but I revisited the site to see what they had to say on the matter. If the link at the bottom doesn't work, copy…"
Nov 6, 2011
Scott D Weingart replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"Ah, I see. So the person who was arguing against the point was ok encompassing the entirety of the kidney in their scans, but not finding the liver tip. That might be a tougher sell to the non-ultrasound geek; I will certainly go down as far into…"
Nov 4, 2011
Pattie Smith, RDMS replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"Thanks for your reply Scott. I have performed thousands of abdominal ultrasounds and several hundred FAST exams. Quite frequently, more than you would think, the inferior tip of the liver extends more caudal than the inferior pole of the right…"
Nov 4, 2011
Scott D Weingart replied to Pattie Smith, RDMS's discussion FAST in the group Emergency & Critical Care Ultrasound Community
"I phrase it a bit differently, but I always call a RUQ FAST inadequate if they don't visualize the inferior pole of the kidney (where obv you would be seeing the liver tip as well). This is the first place fluid will track up from the paracolic…"
Nov 4, 2011
Pattie Smith, RDMS added a discussion to the group Emergency & Critical Care Ultrasound Community
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FAST

Greetings all, While teaching a member of the faculty how to perform a FAST, I was challenged as to whether you need to slide the probe caudally to make sure you also see the inferior tip of the liver. This is the money shot in a lot of instances, and is the way I teach the residents to scan. The question was brought up that this is not neccesary and not a part of the fast, but part of the "extended fast" (optional additional views). I say perihepatic is perihepatic and this includes the…See More
Nov 4, 2011
Jason T Nomura MD, RDMS replied to Pattie Smith, RDMS's discussion Point of Care bedside cardiac ultrasound in the group Emergency & Critical Care Ultrasound Community
"It will depend on the clinical indication for the exam and the status/stability of the patient. For example in the E-FAST exam for an unstable patient in the setting of penetrating thoracic trauma the presence of a pericardial effusion from that…"
Apr 10, 2011
Pattie Smith, RDMS added a discussion to the group Emergency & Critical Care Ultrasound Community
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Point of Care bedside cardiac ultrasound

When performing a bedside abbreviated echo in the emergency department setting to rule out pericardial effusion, do you utilize all three cardiac windows? (sub xyphoid, parasternal and apical 4 chamber) Or if you can answer the question on the first view, do you stop there? During the FAST we just use one view unless it is suboptimal. My question is if you can answer the question (pericardial effusion yes or no) with one view during the FAST, does that same logic apply to a dedicated cardiac in…See More
Apr 8, 2011
Pattie Smith, RDMS joined AIUM's group
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Fetal Echocardiography Community

The Fetal Echocardiography Community consists of professionals involved in the evaluation of the fetal heart with ultrasound imaging.
Mar 19, 2011
Pattie Smith, RDMS joined Kathi Keaton Borok's group
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AIUM Journal Club

The purpose of the AIUM Journal Club is to expand the educational experience through in-depth discussion of the literature. "Sign up" or "Sign in" at the right and then review the getting started information below. Wewelcome your participationSee More
Mar 19, 2011
Pattie Smith, RDMS joined AIUM's group
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General & Abdominal Ultrasound Community

The General & Abdominal Ultrasound Community represents professionals that are involved in general abdominal imaging, including areas of the abdomen and retroperitoneum, as well as superficial parts of the body.See More
Mar 19, 2011
Pattie Smith, RDMS joined AIUM's group
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Cardiovascular Ultrasound Community

The Cardiovascular Community provides a forum for discussion of issues of interest to sonographers and physicians involved in the science and practice of cardiac and vascular ultrasound.
Mar 19, 2011
Pattie Smith, RDMS joined AIUM's group
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U/S in Medical School

This special interest group brings together those with a special interest in the integration of ultrasound into medical student and resident education. It provides a forum for the exchange of ideas and program information. See More
Mar 19, 2011
Bret P. Nelson, MD, RDMS replied to Pattie Smith, RDMS's discussion Hand held ultrasound units in the group Emergency & Critical Care Ultrasound Community
"Although these new machines are convenient and portable, they generally lack easy ways to input patient data, send images to a server, etc. As image storage requirements become more of an issue (billing compliance, QA, etc.) it may be more difficult…"
Dec 8, 2010

Profile Information

What is your profession?
Sonographer
What is your medical specialty or primary interest in ultrasound?
RDMS in ABD, OB-Gyn, special interest critical care
Are you an AIUM member?
Yes

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