Table of Contents Author Guidelines Submit a Manuscript
Emergency Medicine International
Volume 2013, Article ID 982318, 4 pages
http://dx.doi.org/10.1155/2013/982318
Review Article

Pitfalls in Emergency Department Focused Bedside Sonography of First Trimester Pregnancy

Department of Emergency Medicine, MedStar Georgetown University Hospital, MedStar Washington Hospital Center, Georgetown University School of Medicine, Ground Floor, CCC Building, 3800 Reservoir Road, NW, Washington, DC 20007, USA

Received 25 June 2013; Accepted 18 July 2013

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2013 Kerri Layman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. McRae, H. Murray, and M. Edmonds, “Diagnostic accuracy and clinical utility of emergency department targeted ultrasonography in the evaluation of first-trimester pelvic pain and bleeding: a systematic review,” Canadian Journal of Emergency Medicine, vol. 11, no. 4, pp. 355–364, 2009. View at Google Scholar · View at Scopus
  2. T. W. Wong, C. C. Lau, A. Yeung, L. Lo, and C. M. Tai, “Efficacy of transabdominal ultrasound examination in the diagnosis of early pregnancy complications in an emergency department,” Academic Emergency Medicine, vol. 15, no. 3, pp. 155–158, 1998. View at Google Scholar · View at Scopus
  3. American College of Emergency Physicians, “ACEP policy statement: emergency ultrasound guidelines,” October 2008, http://www.acep.org/workarea/downloadasset.aspx?id=32878.
  4. W. E. Durston, M. L. Carl, W. Guerra, A. Eaton, and L. M. Ackerson, “Ultrasound availability in the evaluation of ectopic pregnancy in the ED: comparison of quality and cost-effectiveness with different approaches,” The American Journal of Emergency Medicine, vol. 18, no. 4, pp. 408–417, 2000. View at Publisher · View at Google Scholar · View at Scopus
  5. S. Adhikari, M. Blaivas, and M. Lyon, “Diagnosis and management of ectopic pregnancy using bedside transvaginal ultrasonography in the ED: a 2-year experience,” The American Journal of Emergency Medicine, vol. 25, no. 6, pp. 591–596, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. K. T. Barnhart, I. Katz, A. Hummel, and C. R. Gracia, “Presumed diagnosis of ectopic pregnancy,” Obstetrics and Gynecology, vol. 100, no. 3, pp. 505–510, 2002. View at Publisher · View at Google Scholar · View at Scopus
  7. D. S. Kim, S. R. Chung, M. I. Park, and Y. P. Kim, “Comparative review of diagnostic accuracy in tubal pregnancy: a 14-year survey of 1040 cases,” Obstetrics and Gynecology, vol. 70, no. 4, pp. 547–554, 1987. View at Google Scholar · View at Scopus
  8. N. Kadar, G. DeVore, and R. Romero, “Discriminatory hCG zone: its use in the sonographic evaluation for ectopic pregnancy,” Obstetrics and Gynecology, vol. 58, no. 2, pp. 156–1561, 1981. View at Google Scholar · View at Scopus
  9. D. A. Nyberg, R. A. Filly, and F. L. Laing, “Ectopic pregnancy: diagnosis by sonography correlated with quantitative HCG levels,” Journal of Ultrasound in Medicine, vol. 6, no. 3, pp. 145–150, 1987. View at Google Scholar · View at Scopus
  10. B. E. Seeber and K. T. Barnhart, “Suspected ectopic pregnancy,” Obstetrics and Gynecology, vol. 107, no. 2, part 1, pp. 399–413, 2006. View at Publisher · View at Google Scholar · View at Scopus
  11. S. Gurel, “Ectopic pregnancy,” Ultrasound Clinics, vol. 3, no. 3, pp. 331–343, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. C. R. Gracia and K. T. Barnhart, “Diagnosing ectopic pregnancy: decision analysis comparing six strategies,” Obstetrics and Gynecology, vol. 97, no. 3, pp. 464–470, 2001. View at Publisher · View at Google Scholar · View at Scopus
  13. G. Condous, E. Kirk, C. Lu et al., “Diagnostic accuracy of varying discriminatory zones for the prediction of ectopic pregnancy in women with a pregnancy of unknown location,” Ultrasound in Obstetrics and Gynecology, vol. 26, no. 7, pp. 770–775, 2005. View at Publisher · View at Google Scholar · View at Scopus
  14. R. Wang, T. A. Reynolds, H. H. West et al., “Use of a β-hCG discriminatory zone with bedside pelvic ultrasonography,” Annals of Emergency Medicine, vol. 58, no. 1, pp. 12–20, 2011. View at Publisher · View at Google Scholar · View at Scopus
  15. D. A. Nyberg, M. P. Hughes, L. A. Mack, and K. Y. Wang, “Extrauterine findings of ectopic pregnancy at transvaginal US: importance of echogenic fluid,” Radiology, vol. 178, no. 3, pp. 823–826, 1991. View at Google Scholar · View at Scopus
  16. S. W. Burgher, T. K. Tandy, and M. R. Dawdy, “Transvaginal ultrasonography by emergency physicians decreases patient time in the emergency department,” Academic Emergency Medicine, vol. 5, no. 8, pp. 802–807, 1998. View at Google Scholar · View at Scopus
  17. B. Durham, B. Lane, L. Burbridge, S. Balasubramaniam, and J. Mateer, “Pelvic ultrasound performed by emergency physicians for the detection of ectopic pregnancy in complicated first-trimester pregnancies,” Annals of Emergency Medicine, vol. 29, no. 3, pp. 338–347, 1997. View at Publisher · View at Google Scholar · View at Scopus