Echocardiography for COVID-19
Recent evidence suggests that patients with severe COVID-19 pneumonia may present cardiac complications such as acute myocardial injury and myocarditis.
Echocardiography can help to quickly identify the circulatory status and guide hemodynamic management for these patients.
Nevertheless, in hard hit areas, non-ICU and non-cardiology specialists are being asked to take on larger management roles and perform basic echo scan to COVID-19 patients.
Published evidence based on Chinese and Italian experience with COVID-19 patients shares the advantages of lung ultrasound and suggests that it has an important role in patient assessment and monitoring the evolution of the disease.
Lung ultrasound is considered an alternative to chest radiography or CT scanning in COVID-19 patients. It is safe, easy and quick for use at point-of-care, repeatable, low cost and radiation-free.
Training front line physicians to rapidly acquire the lung ultrasound skills can be critical for the success of COVID-19 management.
- Step by Step Task – Blue Protocol
- Healthy Patient
- Mild COVID-19 Patient
- Moderate COVID-19 Patient
- Severe COVID-19 Patient
- Step by Step Task – Bedside Echocardiography views
- COVID-19 patient with Normal echo findings
- COVID-19 patient with Acute Myocarditis
- COVID-19 patient with Pulmonary Hypertension
The module includes a rich video and document educational library, lung ultrasound and echocardiography basics, COVID-19 typical findings, triage and disinfection protocols, created in collaboration with international emergency medicine, critical care, pulmonary and intensive care experts.
During the pandemic, educational materials are open to the medical community in our e-learning resources.
Medical history and complaints:
38-year-old female, previously diagnosed with asthma, admitted to the emergency department due to 3 days of fever, presenting cough and shortness of breath.
Patient was in self-quarantine due to a recent encounter with COVID-19 patient. She was tested for COVID-19 and now waiting for the laboratory test results.
Physical examination results:
- Blood pressure: 155/78 mmHg
- Heart rate: 126 beats per minute
- Respiratory rate: 36 breaths per minute
- Saturation: 95% with 15l O2 / minute given to patient using Venturi mask system
- Prolonged expiration and wheezing present
- Lung auscultation: Expiratory wheezing present bilaterally
- Heart auscultation: No murmurs
Lung Ultrasound and Echocardiography COVID-19 Publications
The module was developed in collaboration with the following experts:
Abdulrazak F. Alchakaki, MD
Pulmonary and Critical Care Specialist
Trenton, MI USA
Shirley Friedman, MD
PICU attending physician
Dana-Dwek Children's Hospital
Tel Aviv Sourasky Medical Center
Ron Berant, MD
Lead physician for Point Of Care Ultrasound
Pediatric Emergency Medicine
Schneider Children’s Medical Center of Israel
Lior Fuchs, MD
Intensive Care Unit
Soroka University Medical Center
Neal F. Chaisson, MD
Director, Critical Care Medicine Fellowship
Cleveland Clinic, Cleveland, Ohio
Abdulghani Sankari, MD, Ph.D
Associate Professor of Medicine
Division of Pulmonary/Critical Care and Sleep Medicine
Wayne State University-School of Medicine
Detroit Medical Center
Detroit, MI USA
Steven W. Fox, MD
Fellow, Pulmonary and Critical Care Medicine