{"id":14713,"date":"2023-10-03T13:20:23","date_gmt":"2023-10-03T16:20:23","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=14713"},"modified":"2023-10-03T13:20:23","modified_gmt":"2023-10-03T16:20:23","slug":"pocus-entenda-a-importancia-na-emergencia","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/pocus-entenda-a-importancia-na-emergencia\/","title":{"rendered":"POCUS: veja import\u00e2ncia na emerg\u00eancia"},"content":{"rendered":"\"pocus\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t

O POCUS \u00e9 um dos temas mais cobrados nas provas de cirurgia das bancas de Resid\u00eancia de S\u00e3o Paulo<\/p>\t\t\n\t\t\t

\n\t\t\t\tResumo\t\t\t<\/h4>\n\t\t\n

Defini\u00e7\u00e3o<\/strong><\/h2>\n\n

POCUS \u00e9 a sigla do termo Point of Care Ultrassound,<\/strong><\/em> ou seja, \u00e9 a avalia\u00e7\u00e3o do paciente atrav\u00e9s do aparelho de ultrassom \u00e0 beira leito no ambiente de UTI ou de emerg\u00eancia.<\/p>\n

\u00a0<\/p>\n\n

Qual o objetivo do POCUS?<\/strong><\/h2>\n\n

Diferentemente de uma avalia\u00e7\u00e3o detalhada de um radiologista, o POCUS pode ser realizado por qualquer m\u00e9dico treinado<\/strong> e visa avaliar rapidamente<\/strong> de forma espec\u00edfica estruturas anat\u00f4micas do paciente em quest\u00e3o sem necessidade de transporte,<\/strong> al\u00e9m disso, n\u00e3o <\/strong>\u00e9 invasivo.<\/strong><\/p>\n

\u00a0<\/p>\n\n

Como utilizar o POCUS?<\/strong><\/h2>\n\n

Para essa avalia\u00e7\u00e3o existem protocolos definidos, dependendo do contexto e das hip\u00f3teses diagn\u00f3sticas do paciente.<\/p>\n

\u00a0<\/p>\n\n

POCUS no choque<\/strong><\/h2>\n\n

Um dos exemplos, \u00e9 o protocolo RUSH (Rapid Ultrassound in Shock)<\/strong>, utilizado para auxiliar na classifica\u00e7\u00e3o do choque para r\u00e1pido manejo do mesmo. A avalia\u00e7\u00e3o consiste em 3 etapas, avalia\u00e7\u00e3o da bomba (4 janelas card\u00edacas), do Tanque (veia cava inferior e cavidades tor\u00e1cica e abdominal) e dos canos\/vasos (circula\u00e7\u00e3o arterial e venosa).<\/p>\n

\u00a0<\/p>\n\n

Veja abaixo a rela\u00e7\u00e3o dos achados patol\u00f3gicos com os respectivos tipos de choque:<\/p>\n\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"pocus\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t

POCUS no trauma<\/strong><\/h2>\n

<\/p>\n

Por fim, um dos temas mais cobrados na resid\u00eancia \u00e9 abordagem ao trauma. O ultrassom point of care n\u00e3o est\u00e1 fora disso.<\/p>\n

\u00a0<\/p>\n

<\/p>\n

O FAST (Focused Assessment with Sonography in Trauma)<\/strong><\/em> \u00e9 um protocolo para verificar, principalmente l\u00edquido livre em pacientes v\u00edtimas de trauma. Posteriormente, o FAST<\/strong><\/em> passou por uma atualiza\u00e7\u00e3o, sendo elaborado o *e-FAST (Extended *Focused Assessment with Sonography in Trauma),<\/strong><\/em> com a avalia\u00e7\u00e3o estendida, o que antes era verificado apenas a janela card\u00edaca, espa\u00e7o hepatorrenal<\/strong> (espa\u00e7o de morrison), espa\u00e7o esplenorrenal e pelve<\/strong>, passou a avaliar tamb\u00e9m o t\u00f3rax<\/strong> (com avalia\u00e7\u00e3o das pleuras, par\u00eanquima pulmonar e diafragma).<\/p>\n

\u00a0<\/p>\n

<\/p>\n

Portanto, o POCUS veio para auxiliar o diagn\u00f3stico r\u00e1pido em pacientes em gravidade tanto na UTI quanto na emerg\u00eancia!<\/p>\n

\u00a0<\/p>\n

<\/p>\n

N\u00e3o deixe de revisar esses temas na sua prepara\u00e7\u00e3o e continue nos acompanhando no blog para ficar por dentro das principais atualiza\u00e7\u00f5es da medicina.<\/p>\t\t\n\t\t

Como POCUS cai na prova?<\/strong><\/h2>

UNIVERSIDADE FEDERAL DE S\u00c3O PAULO – UNIFESP (2022)<\/strong><\/p>\n

<\/p>\n

\u00a0<\/p>\n

Homem, 21 anos de idade, \u00e9 admitido no PS, v\u00edtima de ferimento penetrante por arma branca no t\u00f3rax. Exame f\u00edsico: consciente, FC = 130 bpm, PA = 80 x 50 mmHg, FR 28 irpm, aus\u00eancia de estase jugular, les\u00e3o corto contusa de 3 cm no hemit\u00f3rax esquerdo, no 4\u00b0 espa\u00e7o intercostal. A conduta inicial mais adequada \u00e9:<\/p>\n

<\/p>\n

A) focused Assessment with Sonography in trauma<\/p>\n

<\/p>\n

B) angiografia com subtra\u00e7\u00e3o digital<\/p>\n

<\/p>\n

C) angiotomografia de t\u00f3rax.<\/p>\n

<\/p>\n

D) ultrassonografia point-of-care expandido.<\/p>\n

<\/p>\n

\u00a0<\/p>\n

Gabarito: Letra D, lembre-se que o FAST n\u00e3o avalia estruturas tor\u00e1cicas, al\u00e9m do cora\u00e7\u00e3o!<\/p>\t\t\n\t\t

Conquiste a aprova\u00e7\u00e3o<\/strong><\/h2>\n

<\/p>\n

As provas de resid\u00eancia m\u00e9dica est\u00e3o cada vez mais perto! Se voc\u00ea quer\u00a0ser mais\u00a0um aprovado\u00a0<\/a><\/strong>nas vagas das melhores institui\u00e7\u00f5es do pa\u00eds, ent\u00e3o conhe\u00e7a o\u00a0Grupo\u00a0MedCof<\/a>!\u00a0<\/strong>Temos um cat\u00e1logo repleto de cursos que te guiar\u00e3o na jornada para as provas de Resid\u00eancia M\u00e9dica que ocorrer\u00e3o em 2023\/2024!<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"medcof\t\t\t\t\t\t\t\t<\/a>","protected":false},"excerpt":{"rendered":"

Point of Care Ultrassound (POCUS) \u00e9 a avalia\u00e7\u00e3o do paciente pelo aparelho de ultrassom \u00e0 beira leito no ambiente de UTI ou de emerg\u00eancia.<\/p>\n","protected":false},"author":10,"featured_media":14739,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[202,222],"tags":[158,224],"ppma_author":[3613],"class_list":["post-14713","post","type-post","status-publish","format-standard","has-post-thumbnail","category-emergencias","category-radiologia","tag-medicina-de-emergencia","tag-radiologia"],"yoast_head":"\nPOCUS: veja import\u00e2ncia na emerg\u00eancia - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Point of Care Ultrassound (POCUS) \u00e9 a avalia\u00e7\u00e3o do paciente pelo aparelho de ultrassom \u00e0 beira leito no ambiente de UTI ou de emerg\u00eancia\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pocus-entenda-a-importancia-na-emergencia\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"POCUS: veja import\u00e2ncia na emerg\u00eancia\" \/>\n<meta property=\"og:description\" content=\"Point of Care Ultrassound (POCUS) \u00e9 a avalia\u00e7\u00e3o do paciente pelo aparelho de ultrassom \u00e0 beira leito no ambiente de UTI ou de emerg\u00eancia\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/pocus-entenda-a-importancia-na-emergencia\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-03T16:20:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/10\/Blog-MedCof-2023-10-02T171420.180-1024x576.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Grupo MedCof\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Grupo MedCof\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/\"},\"author\":{\"name\":\"Grupo MedCof\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/34686d6cd70bfed69d3206fb3bd4b14c\"},\"headline\":\"POCUS: veja import\u00e2ncia na emerg\u00eancia\",\"datePublished\":\"2023-10-03T16:20:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/\"},\"wordCount\":541,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/Blog-MedCof-2023-10-02T171420.180.png\",\"keywords\":[\"Medicina de Emerg\u00eancia\",\"Radiologia\"],\"articleSection\":[\"Emerg\u00eancias\",\"Radiologia\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/pocus-entenda-a-importancia-na-emergencia\\\/\",\"name\":\"POCUS: veja import\u00e2ncia na emerg\u00eancia - 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