Page 42 - Ultrasonography in Prehospital and Emergency Medicine - Rein Ketelaars

40 Chapter 2
Table 2.1 BLUE protocol
1 2
A-profile
Anterior chest wall
. lung sliding – visualization of the movement of the visceral pleura against the parietal pleura with respiration
. A-lines(a) – an indication of the presence of air below the parietal pleura
. lung sliding
Normal lung surface
3
B’-profile
Pneumonia
4 5
A/B-profile
. lung rockets
. unilateral lung rockets – indicative for a (unilateral) pneumonia and does not correspond with generalized pulmonary edema
. anterior lung consolidation – anteriorly located, therefore unlike to be caused by hemodynamic pulmonary edema or embolism.
. lung sliding
. A-lines(a)
. no DVT
. lung sliding
. A-lines(a)
. no DVT
. PLAPS(d) – posterolateral alveolar and/or pleural syndrome – pulmonary consoli- dation and pleural effusion
Pneumonia Pneumonia
6
A-profile with- out DVT(c)
Normal
P#
Profile name
Location
Appearance
Implication / diagnosis
B-profile
. lung rockets – a pattern of three vertical B-lines(b) caused by edema in the inter- lobular septa.
. NO lung sliding – in the B’ profile lung sliding is abolished by the deposition of fibrin caused by pneumonia
Pulmonary edema
C-profile
Anterior chest wall
A-no-V-PLAPS profile wall
Pneumonia
Posterolateral chest