Schellhaas S, Breitkreutz R
Abteilung für Kardiologie, Alice-Hospital, Darmstadt und FINeST, Goethe-Universität Frankfurt am Main.
Praxis (Bern 1994). 2012 Sep 5;101(18):1153-60. doi: 10.1024/1661-8157/a001055.
Focused ultrasound is a key methodology of critical care medicine. By referencing few ultrasound differential diagnosis, it is possible to identifying in real-time the reason of the critical state of a patient. Therefore typical focused ultrasound protocols were developed. The well known Focused Assessment with Sonography for trauma (FAST) was incorporated into the Advanced Trauma Life Support (ATLS) for shock room. Focused echocardiographic evaluation in life support (FEEL) has been designed to be conformed with the universal Advanced Life Support (ALS) algorithm and to identify treatable conditions such as acute right ventricular pressure overload in pulmonary embolism, hypovolemia, or pericardial effusion/tamponade. Using lung ultrasound one can differentiate pulmonary edema, pleural effusion or pneumothorax.