Teach the eFAST exam remotely 3/4 - Left Upper Quadrant
In this series, Dr Peter Weimersheimer and myself teach the Royal College of Surgeons Ireland #RCSI #Sonogames team how to perform the Extended Focused Assessment with Sonography in Trauma #eFAST #POCUS exam. This episode it's the Left Upper Quadrant component of the exam. Chapters 0:00 Introduction 2:16 LUQ - Nicolas Lim 8:53 LUQ by Dr Peter Weimersheimer 14:16 LUQ - Nicolas Lim Tips - Hold the probe with your fingers underneath - between the probe and the trolley Mantra is 'To the Head and to the bed' To the bed - push your hand + probe into the bed. If you direct probe too anteriorly, you will see stomach and spleen. If you direct more posteriorly, you will see spleno-renal angle. To the head - the LUQ interface is higher than you think it is. Move the probe more cephalad. Free fluid appears between spleen and diaphragm not the spleen and kidney. Make sure to clear the space superiorly. Free fluid appears as sharp angles as opposed to fluid in bowel / stomach (which is rounded and no edges)

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