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Ultrasound is a Problem - Con
@jchristianfox Rated: PG-13
@jchristianfox
@jchristianfox
@jchristianfox
@jchristianfox
@jchristianfox
Dr. Fox: Paradigm of Educational Seduction
@jchristianfox
Dr. Fox: Paradigm of Educational Seduction
Work it harder, make it better
Do it faster, makes us stronger
More than ever, hour afterOur work is never over
20161986Source: The Health Management Academy Research; Huron Consulting
HarderBetterFaster
Stronger
@jchristianfox
Stroke Volume vs PreloadWho Responds to Fluid?
@jchristianfox
Fluid Responsive
@jchristianfox
(Vpeakmax - Vpeakmin) ∆Vpeak (%)= ----------------------------------- x 100
(Vpeakmax + Vpeakmin) / 2
AORTIC BLOOD VELOCITYRESPIRATORY VARIATION
(Vpeakmax - Vpeakmin) ∆Vpeak (%)= ----------------------------------- x 100
(Vpeakmax + Vpeakmin) / 2
Vpeakmax Vpeakmin
@jchristianfox
∆Vpeak = (0.63 - 0.46)/[(0.63+0.46)/2] x 100
∆Vpeak = 31.2%
Fluid Responsive
AORTIC BLOOD VELOCITYRESPIRATORY VARIATION
@jchristianfox
Critical Ultrasound Journal 2014, 6:5
CHEST 2015; 148(1):202-210
Television Rules the Nation
(around the world)
@jchristianfox
16 yo female SOB x 4 months
@jchristianfox
IVC Clot in 16 year old female
@jchristianfox
80 year old male
Syncopal episode
Asymptomatic now
@jchristianfox
Blunt Traumatic Full Arrest
@jchristianfox
Tamponade?
@jchristianfox
We’ve come too far to give up who we areSo let’s raise the bar and our probes to the stars
