Jonathan Monti Shares His Story And the Power of POCUS
Thirteen years ago, on a remote military forward operating base in Afghanistan, I didn't have a clear reason for my trauma patient's hypotension. Although his penetrating wounds appeared relatively benign, something just didn't seem right. Thankfully, I had one of the first point-of-care ultrasound machines by my side. Within a minute, a FAST exam revealed a large pericardial effusion with early tamponade physiology. I alerted the surgeon who quickly took the patient to the surgical tent to undergo a pericardial window, revealing a piece of shrapnel embedded in the patient's right ventricle, and saving me from having to struggle through what would have assuredly been a very scary — and my first — pericardiocentesis.
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