POC ultrasound an integral part of emergency care at St Mary’s

POC ultrasound an integral part of emergency care at St Mary’s

St Mary’s Hospital is one of London’s four major trauma centres and uses point-of-care ultrasound extensively in the assessment of patients visiting its extremely busy A&E department. Dr Ehsan...

Supplied by FUJIFILM SonoSite


St Mary’s Hospital is one of London’s four major trauma centres and uses point-of-care ultrasound extensively in the assessment of patients visiting its extremely busy A&E department. Dr Ehsan Hassan, a consultant in emergency medicine with a special interest in ultrasound, explained: “Our normal practice with trauma patients is to perform a FAST scan during the primary survey. This can make a significant difference to the care of unstable patients – for example, stab wounds to the heart – giving you a diagnosis straight away. This approach has enabled some patients to be fast-tracked into theatre.” The department’s SonoSite X-Porte ultrasound system is based in resuscitation, although its portability means it can be easily moved to other areas of A&E as required. Dr Hassan continued: “The Royal College of Emergency Medicine requires that all A&E consultants are trained to perform FAST (Focused Assessment with Sonography in Trauma), aortic scans, IV access and basic echo. However, once you are familiar with the techniques, it has a role in assessing so many different conditions – shock patients, abdominal pain, query ectopic pregnancies, pneumothoraces or hemothoraces, and numerous musculoskeletal complaints – as well as for draining pleural effusions and placing central or difficult-to-access IV lines. It is a very versatile technique.”


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