{"pk":24999,"title":"Use of Point-of-care Ultrasound for Placement of a Gastric Tamponade Balloon","subtitle":null,"abstract":"<p><strong>Case Presentation:</strong> A 30-year-old female with a history of alcoholic cirrhosis and esophageal varices presented with massive hematemesis. A gastric balloon tamponade device was subsequently placed to temporize variceal hemorrhage, and point-of-care ultrasound (POCUS) was used to confirm the appropriate placement of the gastric balloon before complete inflation. We describe a novel use of ultrasound for use in severely ill patients with gastrointestinal (GI) bleeding.</p>\n<p><strong>Discussion</strong>: A fluid-filled and distended stomach has long been recognized as a cause of a false-positive focused assessment with sonography in trauma exam but may also be a vital piece of information in the scenario of a patient with suspected upper GI hemorrhage. There is very little description in the literature of using POCUS to confirm the appropriate placement of a gastric tamponade balloon with none by emergency physicians.. Ultrasound may offer advantages over plain radiography in this application given its speed and safety; thus, its utility for this task is worth further investigation.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"POCUS"},{"word":"Gastric"},{"word":"Varices"},{"word":"MINNESOTA"},{"word":"BLAKEMORE"},{"word":"balloon tamponade device"},{"word":"hematemesis"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0zt8b4vv","frozenauthors":[{"first_name":"Patrick","middle_name":"","last_name":"Minges","name_suffix":"","institution":"University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio","department":""},{"first_name":"Martina","middle_name":"","last_name":"Diaz-McDermott","name_suffix":"","institution":"University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio","department":""},{"first_name":"Jazmyn","middle_name":"","last_name":"Shaw","name_suffix":"","institution":"University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio","department":""}],"date_submitted":"2024-07-21T21:28:09.832000-07:00","date_accepted":"2024-11-13T07:32:26.817000-08:00","date_published":"2025-02-15T16:24:00-08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/24999/galley/35746/download/"}]}