GCS 16
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Apical 4 chamber deep view

  • Attempt to palpate the apex and place the transducer over the beat towards the right shoulder 
  • The marker should be facing the between 2 and 3 o'clock
  • Demonstrate the left and right ventricles and atria
  • Assess over all ventricular function normal vs abnormal vs hyperdynamic
  • Assess LV and RV size as a ratio to each other
  • Identify any free pericardial fluid
Picture

Normal LV function

Poor LV function

Hyperdynamic LV function

RV dilatation

Pericardial fluid

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