Commentary
Inside the April 2023 Issue
Benjamin T. Galen, MD - With this April issue, we are pleased to announce that POCUS Journal has been recently indexed on PubMed, providing us with the opportunity to reach a wider audience and showcase our high-quality scholarship to the global medical community. We are thrilled to join the ranks of other top-tier journals indexed [...]
Letter
We Don’t Talk Enough About Overuse Injuries in Clinicians Using POCUS
Traci Fox, EdD, RT(R), RDMS, RVT; Kaylah Maloney, MD; Arthur Au, MD; Resa E Lewiss, MD - The hospital is full of clinicians working with poor ergonomic form. In the emergency department, for example, this includes and is not limited to clinicians bending over to place IVs and intubating patients. When it comes to ultrasound, [...]
Innovations in POCUS Curriculum
“Teaching old dogs new tricks” – POCUS Education for Senior Faculty
Daniel Restrepo, MD; Thomas F. Heyne, MD, MSt; Christine Schutzer, RT, BS, RDMS; Renee Dversdal, MD - Point of care Ultrasound (POCUS) is a growing diagnostic modality across a variety of specialties and is increasingly being taught in undergraduate medical education. Uptake within internal medicine has been slow but is becoming more commonplace.
Case File
Thoracic Aortic Aneurysm Presenting as a Subacute Cough
Eduardo Diaz, DO; Hanan Atia, MD; Brian Kohen, MD; Seth Lotterman, MD - The suprasternal aortic notch cardiac point of care ultrasound (POCUS) window is a useful view for evaluating thoracic aortic pathologies. However, it is not routinely included in the standard cardiac POCUS exam despite its ability to capture emergent pathologies such as aortic [...]
Case File
Acute Upper Extremity Arterial Occlusion Diagnosed on POCUS in the Emergency Department
Derrick Huang, MD; Jacob Ruzicka, MD; Leoh León, MD; Latha Ganti, MD, MS, MBA, FACEP - Upper extremity acute limb ischemia (ALI) is a limb-threatening and potentially lethal pathology that is most commonly caused by vascular embolization. Outcomes of limb ischemia are time-sensitive due to the correlation between a longer time from symptom onset to [...]
Case Report
A Case of Pediatric Sternal Fracture Diagnosed by POCUS
Takaaki Mori, MD, MRCPCH, MSc; Sung Shin Teng, MBBS, MRCPCH, FAMS - A previously healthy, 4-year-old boy visited our emergency department due to chest pain after a fall from a skate scooter. Physical examination revealed tenderness over the sternal body. Point of care ultrasound (POCUS) of the sternum demonstrated a discontinuation of a hyperechoic structure [...]
Case Report
Use Of POCUS for the Paediatric Patient with an Undifferentiated Upper Limb Injury
David J. McCreary, MBBS MRCPCH PgC US; Alex White, MBBS - A 2-year-old girl presented to the Paediatric Emergency Department following an unwitnessed injury to her left arm while playing at nursery limiting further examination. On assessment she was reluctant to use her left arm and further examination was difficult. In cases of unwitnessed and [...]
Delayed Iatrogenic Bladder Rupture Diagnosed by POCUS in the Emergency Department
Helen J. Lu, MD; Edward H. Lee, MD; Stephen Alerhand, MD - Bladder rupture is an uncommon injury that leads to significant morbidity and mortality. Though occurring mostly due to trauma, this life-threatening pathology may also occur spontaneously or after a procedure such as transurethral resection of bladder tumor (TURBT). Computed tomography (CT) cystography is [...]
Case Report
Missing Inferior Vena Cava on POCUS: A Case of Left-Sided IVC with Azygos Continuation
Ankit Mehta, MD, FACP, SFHM; Kreegan Reierson, MD; Benji Mathews, MD, MBA, SFHM - The merits of utilizing point of care ultrasound (POCUS) in acutely ill patients is leading to a widespread embrace. Assessment of IVC via POCUS as part of a comprehensive multi-organ approach can help guide volume tolerance. Anatomical/developmental variations of IVC can [...]
Case Report
Sonographic Features of a Tuberculous Cold Abscess:A Case Report and Literature Review
Figure 3: Axial view of the plain CT thorax showing low density collection in the pectoralis major muscle of the left hemithorax (a) with underlying costochondral junction showing break in cortex (b). - Tuberculosis (TB) remains a global public health concern; most notably in endemic countries where there is a rise in its incidence. Although [...]
Research
A Longitudinal Evaluation of a Multimodal POCUS Curriculum in Pediatric Residents
Reshma Sabnani, MD; Celia S. Willard, MD; Carolina Vega, MD; Zachary W. Binder MD - Pediatric residency programs often do not include a point of care ultrasound (POCUS) curriculum. We analyzed a novel POCUS curriculum for pediatric residents that incorporated an online question bank (QB), in addition to a traditional teaching model of didactic instruction [...]
Research
Lessons Learned from POCUS Instruction in Undergraduate Medicine During the COVID-19 Pandemic
Sherwin Wong, BHSc, MD; Salwa Nihal, MD(MBBS), MPhil, MSc; Danny Yu Jia Ke, BSc; Emma Neary; Luke Wu MD, MSc; Edwin Ocran, MBChB MSc; Michael Cenkowski, MD, FRCPC; Nicholas Grubic, BScH, MSc; Stephen C. Pang, PhD; Amer M. Johri MD, MSc, FRCPC, FASE - In response to the growing demand for bedside ultrasound skills, medical schools [...]
Review
POCUS for Diastolic Dysfunction: A Review of the Literature
Samantha A. King, MD; Alexis Salerno, MD; Jessica V. Downing, MD; Zachary R. Wynne, MD; Jordan T. Parker, MD; Taylor E. Miller, MD; Semhar Z. Tewelde, MD - Emergency and critical care physicians frequently encounter patients presenting with dyspnea and normal left ventricular systolic function who may benefit from early diastolic evaluation to determine acute [...]
