SCCM Resource Library-Game on! Stump the Intensivist!

Video Transcription

Video Summary

The second portion of the POCUS Stump the Intensivist session focused on case-based discussions and a pro-con debate on the use of ultrasound for patients presenting with shock. The first case discussed a 20-year-old patient with pericarditis who presented with generalized weakness, chest pain, and shortness of breath. Ultrasound was performed to assess for signs of congestive heart failure or cardiac tamponade. The presence of a large pericardial effusion and evidence of tamponade on Doppler ultrasound prompted the patient to be taken to the cath lab for immediate treatment. In the second case, a 50-year-old liver transplant patient with variceal bleed was discussed. The panel agreed that the patient needed immediate resuscitation and that ultrasound was not necessary at that time. In the third case, a patient who had just undergone coronary artery bypass graft surgery presented with hypotension. Ultrasound was attempted, but due to surgical dressing and chest tubes, only limited views were obtained. The panel agreed that further assessment was needed to determine the cause of the hypotension. In the fourth case, a patient with acute shortness of breath and high ammonia levels due to a urea cycle disorder was discussed. Ultrasound was used to assess for signs of cerebral edema and intracranial hypertension. The panel agreed that ultrasound was a valuable tool in guiding management decisions for this patient. In the final case, a patient with bilateral cerebral hemorrhages was presented. Ultrasound was used to assess the optic nerve sheath diameter and transcranial doppler ultrasound was used to evaluate cerebral blood flow. The panel agreed that ultrasound was a useful tool for monitoring and managing intracranial hypertension in this patient. Overall, the panel highlighted the importance of using ultrasound in conjunction with clinical assessment for diagnosing and managing critically ill patients.

Asset Subtitle

Professional Development and Education, Procedures, 2022

Asset Caption

This session will engage the audience by addressing controversial topics in point-of-care ultrasound (POCUS), including the presentation of challenging cases that both support and counter the idea that POCUS is an indispensable tool in ICU care.

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Professional Development and Education

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Skills and Procedures

Membership Level Select

Tag Medical Education

Tag Ultrasound

Year 2022

Keywords

POCUS

Stump the Intensivist

case-based discussions

ultrasound

shock

pericarditis

cardiac tamponade

liver transplant

variceal bleed

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