Using a 1982 portable unit (ADR-4000), we could define, since 1985, a use of ultrasound devoted to the critically ill, different from the traditional one (radiological & cardiological). This technology was sufficient for making, at the bedside, a whole body approach, although a 1992 technology (Hitachi-405) was better for optic nerve assessment. Search for blood in trauma, inserting subclavian venous lines was a basis. The consideration of the lung (the main vital organ) allowed to change the rules of ultrasound. Lung ultrasound (in the critically ill: LUCI) showed its potential for not only allowing immediate diagnoses (pneumonia, pulmonary edema, pneumothorax and others), but mostly, associated to a simple venous approach, to simplify echocardiography. In the CEURF protocols, the heart analysis can be usually reduced to the right ventricle volume (the pericardium is apart). The potential of LUCI to show infra-clinical subtle signs of interstitial edema is the starting point of the FALLS-protocol for assessing a circulatory failure, providing this direct parameter of clinical volemia. The potential of LUCI to show the A-profile (ruling out pneumothorax) or the A’-profile (highly suggesting pneumothorax) is used in the SESAME-protocol, a very fast protocol in cardiac arrest assessment. The BLUE-protocol is a fast protocol assessing a respiratory failure, where only lungs and veins are on focus (the heart is not included). LUCI makes critical ultrasound a holistic discipline for all these reasons. LUCI shows its multifaceted potential from sophisticated ICUs to austere areas, from the elderly to the neonate, where the signs are the same, including ARDS in bariatric patients, and many less critical disciplines up to family medicine. A single, universal microconvex probe is used for our whole body approach. We do not use Doppler nor harmonics. The LUCIFLR project highly decreases medical irradiation. CEURF trains intensivists to this visual medicine since 1989.
Whole Body Ultrasound Centered on the Lung: A Holistic Approach by Daniel Lichtenstein
16 Bits of Anaphylaxis by Daniel CabreraPhoebe Adams, , The Talks DASsmacc, Anaphylaxis, 0
Anaphylaxis is a relatively common and potentially lethal emergency. Current definitions highlight the presence of allergic and allergic-like reactions...
Learning from Sim Part III: Critical Moments in the Intensive Care Unit by Jon GatwardPhoebe Adams, , The Talks DASsmacc, intensive care unit, Simulation, 0
We have difficult conversations in critical care. We deal with sick and complex patients who may be at the...
How to Fail by Kevin FongPhoebe Adams, , The Talks DASsmacc, Failure, 0
Useful advice on how to fail at everything.
The Clinician Advocate: How Evidence and Anecdote Produce ChangePhoebe Adams, , 2017, The Talks DASsmacc, Advocate, Alcohol, clinician, Emergency Departments, public health, 0
Emergency departments are at the forefront of dealing with the harmful effects of alcohol consumption. ED alcohol-related presentation data...
Neuro EM: Neuroimaging Nibble CTP mismatch in Acute Ischemic StrokePhoebe Adams, , The Talks DASsmacc, NeuroImaging, 0
Neuroimaging Nibble: CTP mismatch in Acute Ischemic Stroke by Ronan O’Leary
SMACCForce: Bringing Lessons from MERT back homePhoebe Adams, , The Talks DASsmacc, MERT, smaccFORCE, 0
Bringing Lessons from MERT back home by Claire Park
SonoBYTE: Global Relief UltrasoundPhoebe Adams, , The Talks DASsmacc, diagnostic imaging, Education, Global health, Point-of-care Ultrasound, Resource-limited environments, training, Ultrasound, 0
The scale of need, wide burden of disease, and complex systems challenges can at times be overwhelming in the...
The Everywoman’s Guide to Resuscitating the Post Cardiac Surgery PatientPhoebe Adams, , The Talks DASsmacc, Cardiac Surgery, critical care, Resuscitation, sternotomy, 0
The arrested heart surgery patient is a unique beast in surgery and critical care. Dr Nikki Stamp will discuss...