Science
Day 2 of Bendfest 2019 is drifting further in the past, but that doesn’t mean we can’t relive it! In this interview summary, Jacob sits down with Creagh Boulger and Jenn Cotton and they talk about ultrasound in shock and pregnancy. Here are the salient points: Creagh Boulger (Ultrasound in Shock) Mnemonics can be helpful, but not every patient needs the same exam every time. First step for Dr. Boulger: Is it the pump (cardiac contractility) and/or is it the pipes (Preload)? Other things can cause shock that aren’t in the typical hypotensive algorithm (Gallbladder, Soft tissue, etc) Jenn Cotton (Pregnancy) Don’t get tricked by the hCG! You can have ruptured ectopics at hCG = 0. Additionally, viable pregnancies with hCG levels above the “discriminatory zone” and not visualized on US can still be viable Our job is to RULE IN uterine pregnancies, not RULE OUT ectopics. Fertility treatments increase risk of heterotopic ultrasounds Don’t be scared of performing a transvaginal ultrasound. Day 3’s summary will be out soon!If you’re interested in an online ultrasound fellowship, check out www.ultrasoundleadershipacademy.com