11 hours of videos covering EFAST, AAA, DVT, ECHO,Biliary, Renal, Early pregnancy, Lung, vascular access and Fascia Iliaca Block. These videos will transform you from being a novice to being an expert. The e learning is ASUM and ACEM accredited and the basis for the University of Sydney’s on line Critical Care Ultrasound Course.
The extensive library showcases everything you might see using ultrasound in the Emergency Departement.
These cases are in depth discussions of real life Emergency Ultrasound cases. They will make you a better Emergency Physician while working any shift in the Emergency department. The cases will give you important information which will help you pass both your fellowship exam and your DDU emergency exams
Our fellowship resources will help you prepare for your Part II exam
Images and text by Genevieve Carbonatto Case history A 42 year old man presented to the Emergency department at 4.00 am with a history of sudden onset central abdominal pain since 2.00 am. The pain was constant, in fact, it was getting worse. It was not associated with vomiting. He had opened his bowels 4 times Read more about Intussusception – The doughnut sign or target sign, the pseudokidney sign[…]
Images and text by Genevieve Carbonatto An 85 year old presented to our Emergency Department with light headedness fatigue and SOB. BP 90 systolic on arrival , HR 100/min Bloods: haemoglobin of 78g/l, creatinine of 172micromol/l and urea of 13.9mmol/l. Haemoglobin 3 weeks prior to admission 90g/l Past history of AAA endovascular repair 4 years ago, Read more about The mystery of the falling haemoglobin[…]
Ultrasound Images and text by Genevieve Carbonatto Case History A 60 year old man presented to ED with a one day history of severe SOB on the background of a 2 month history of increasing SOB. He was so breathless that it was an effort to walk 3 to 4 metres. He had recently returned from Read more about TB cardiomyopathy – All done and dusted?[…]
Images and text by Genevieve Carbonatto and Jeremy Fry Name changed to protect patient confidentiality. Sam was 4 months old when he was brought by his parents to the ED. He presented with acute onset of crying and distress which awoke him from sleep. He was grunting and drawing his knees up to his chest. He Read more about Gallstones in 4 month old[…]
Images Genevieve Carbonatto Apical 4 chamber view Focus LV Apical 4-chamber view focussed on the apex. There is laminar thrombus on the apico-septal wall. The bright echogenic structure seen in systole. The septum is akinetic. There are multiple trabeculations / false tendons in the apex. The unusual trabeculations do not appear to be part of Read more about Apical thrombus[…]
Images by Genevieve Carbonatto A young 23 year old man presents to the Emergency Department with chest pain. A point of care ECHO is performed. An incidental finding of a bicuspid aortic valve is found. Parasternal long axis of left ventricle (PLAX) showing that the aortic valve closure is eccentric. It closes more towards the right Read more about Bicuspid Aortic valve[…]
Images by Genevieve Carbonatto Parasternal long axis of the left ventricle, (PLAX) demonstrating dilated LV, right ventricle, (RV) and left atrium, (LA). LV contractility in this view is moderate to severely impaired with some preservation of the IVS motion. Measurement of internal diameter of LV at end diastole. Parasternal long axis view of LV with Read more about Cardiomyopathy[…]
Images by Genevieve Carbonatto Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip showing a dilated right ventricle, (RV). There is elongation and thickening of the anterior mitral valve leaflet. Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip with Read more about Chronic pulmonary hypertension[…]
Images Genevieve Carbonatto Parasternal long axis (PLAX) of the left ventricle demonstrating asymmetric septal hypertrophy, compare the thickness of the interventricular septum, (IVS) in diastole with the infero-lateral (posterior) LV wall. The IVS / LVPW > 1.3 : 1. The LV cavity almost completely obliterates, “kissing walls” suggesting hypovolaemia. The left atrium, (LA) is Read more about Amyloidosis[…]
Images by Genevieve Carbonatto PLAX view. Very large pericardial effusion. Heart “swinging” in fluid Size should be measured at the end of diastole. To be accurate this should be done using the ECG for timing. Practically speaking the exact size of the effusion is not important. This effusion is circumferential and is over 2cm in Read more about Large pericardial effusion[…]