[PEM POCUS]

Originally sent Tuesday August 9, 2016

Unfortunately no….agree with Stephanie that it’s hard to appreciate the full extent of the fracture.
Sometimes I get a feeling that simple buckle fractures might be visualized adequetly enough, but I don’t think there is enough literature for that.
I do use it during reductions to verify good alignment, and to try to prevent repeat reductions. Still would get an X-ray at the end of procedure though….

Dr. Ron Berant
Attending Physician
Physician lead for Point Of Care Ultrasound
Pediatric Emergency Medicine
Schneider Children’s Medical Center of Israel

[PEM POCUS]

Originally sent Tuesday August 9, 2016

Nope… It’s hard to get an idea of the entire fracture with just ultrasound. Plus ortho still needs their X-rays.

Stephanie Doniger

[PEM POCUS]

Originally sent Tuesday August 9, 2016

Given the terrible performance of measurements, I don’t do them at all.
I just use the “gestalt” method in conjunction with cardiac contractility- mostly to guide fluid resuscitation and determine the need for ionotropic support. For the most part, I only use this for patients in shock or those who are persistently tachycardic or hypotensive after fluids.

Stephanie Doniger

[PEM POCUS]

Originally sent Tuesday August 9, 2016

I can’t say that I use it routinely….nevertheless in a resuscitation of a shocky child or even in a child with gastroenteritis when I want to convince myself even more that the child does not need fluids (i.e. the extremes…) I’ll look at the IVC/Ao ratio.

I won’t base my decisions just on that, but rather integrate the additional data to my decision process. It’s just another piece of the puzzle, as someone uses to say ??

Cheers,

Dr. Ron Berant
Attending Physician
Physician lead for Point Of Care Ultrasound
Pediatric Emergency Medicine
Schneider Children’s Medical Center of Israel

• This reply was modified 7 years, 7 months ago by PEM POCUS.

[PEM POCUS]

Originally sent Sunday June 26, 2016

Thanks to all who have volunteered! Please go into the PEC Editorial Manager site and confirm your email and contact information is correct.
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Thank you,
— Jennifer Marin

• This reply was modified 7 years, 7 months ago by PEM POCUS.

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