ECHO in peric.tamponade, ao dissection, volume status

[Robert F. Smith]

Ivan,

We're just simple country doctors and can't get a TEE emergently in real
time. So FAST or an ECHO by the cardiology Fellow emergently is how we make
our decisions. But my point was, it's not a question of how much fluid is in
the pericardium at presentation. The question is how do you decide why there
is any fluid and if it might be a sign of a life threatening injury. We
don't like to wait until all the clinical signs and symptoms of tamponade
are already present because then sometimes there isn't much time left on the
clock. Or so I've heard.

Night all.

Rob

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of IVAN HRONEK
Sent: Thursday, September 06, 2007 9:52 PM
To: Trauma & Critical Care mailing list
Subject: RE: ECHO in peric.tamponade, ao dissection, volume status

That's what it is  - it gives you an indication of perfusion by showing you
the volume load of the heart.
It does not show BP.Ivan Hronek MDChief, Critical Care & Trauma
AnesthesiaSFMC Gas, Inc.St. Francis Medical Center3630 E. Imperial
HighwayLynwood, CA 90262 Cell: 310 487-3288Pager: 310 636-6020



> From: KMATTOX at aol.com> Date: Thu, 6 Sep 2007 21:49:16 -0400> To:
trauma-list at trauma.org> Subject: Re: ECHO in peric.tamponade, ao dissection,
volume status> > > In a message dated 9/6/2007 8:39:11 P.M. Central Daylight
Time, ih7 at msn.com > writes:> > Also, TEE helps as another monitor during a
serious case of hemorrhagic > shock as it dynamically shows the volume
status of the patient. It sure helps me > a lot. The volume status is often
not easy to determine and the reason for > hypotension is often not that
easy to determine.> > > > Unequivically a device in search of an indication.
I no longer worry about > volume status, I am looking for perfusion, NOT
blood pressure. > > k> > > > ************************************** Get a
sneak peek of the all-new AOL at >
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