We're still working on the Greater NY Sepsis Initiative. The next step towards making a non-invasive protocol possible is to teach folks how to use ultrasound of the IVC to assess fluid responsiveness. I developed this video to get ED & ICU docs up to speed. If you can do ANY ultrasound exam, you can do this one.
If you want to see the most recent version of the non-invasive protocol:
The invasive protocol that goes with it can be seen here:
photo from wikipedia
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[…] This post was mentioned on Twitter by Scott. Scott said: One step closer to non-invasive sepsis care. This video will show you how to ultrasound the IVC for fluid status. http://su.pr/2HHAzB […]
Very very interesting video. Probably faster and more informative than dropping a central line and certatinly more save for the patient. I was wondering though just how this can work in a intubated patient? is there some place that you have already explained this?
David,
it is a bit tougher on intubated patients. expect to see a video on that exact topic very soon.
scott
[…] show it can show subtle loss AJEM published this. Emcrit has a video showing you how to do it here (IVC collapse). Its not too […]
[…] yourself with this case-based Q&A: Bedside Echo in Pulmonary EmbolismIVC fillingThis video from Scott Weingart and emcrit.org shows how to visualise the IVC to check for fluid responsiveness:What to look for:An IVC diameter […]
[…] The video on ultrasound assessment for filling status of the IVC is here […]