Bista Sachhyatkar, Rajbhandari Sabin, Karki Saurab, Pokharel Subashchandra, Karki Sudesha
Shree Birendra Hospital, Kathmandu, Nepal.
Military Hospital Itahari, Itahari, Sunsari, Nepal.
Ann Med Surg (Lond). 2022 Apr 29;77:103702. doi: 10.1016/j.amsu.2022.103702. eCollection 2022 May.
and importance: Deep vein thrombosis (DVT), frequently encountered in an emergency setting, if not identified and managed early, leads to pulmonary embolism that may be life threatening to the patient. The use of point-of-care ultrasound (POCUS) can be used as an effective and time saving tool for diagnosis of such life threatening conditions.
We present a case of a 53 years old male who presented to the emergency department (ED) with complaints of swelling and pain in the left lower limb for one week and redness of overlying skin for the same duration. Following a point-of-care ultrasound scan, a diagnosis of DVT was made. The condition was quickly identified and promptly treated preventing possible complications.
Use of point-of-care ultrasound to diagnose DVT has been shown to decrease the need for comprehensive scans, decrease time to diagnosis and length of stay at the emergency department. To improve medical care by increasing early detection, lowering costs, and improving overall patient care, more training of emergency physicians in ultrasound technique and standardized use of ultrasound to screen for DVT in the ED is required.
This case report highlights how, despite the unavailability of sophisticated diagnostic procedures, a skill of using POCUS can prove to be lifesaving in a resource-limited setting.
及其重要性:深静脉血栓形成(DVT)在急诊环境中经常遇到,如果不及早识别和处理,会导致肺栓塞,这可能对患者生命构成威胁。即时超声检查(POCUS)可作为诊断此类危及生命状况的有效且节省时间的工具。
我们报告一例53岁男性患者,因左下肢肿胀、疼痛一周,且同一时期皮肤发红前来急诊科就诊。经过即时超声扫描,诊断为深静脉血栓形成。该病情迅速被识别并得到及时治疗,预防了可能的并发症。
已表明使用即时超声诊断深静脉血栓形成可减少全面扫描的需求,缩短诊断时间和在急诊科的住院时间。为了通过提高早期检测、降低成本和改善整体患者护理来改善医疗服务,需要对急诊医生进行更多超声技术培训,并在急诊科规范使用超声筛查深静脉血栓形成。
本病例报告强调,尽管缺乏复杂的诊断程序,但在资源有限的环境中,使用即时超声检查的技能可被证明能挽救生命。