Welcome to POCUS Journal

POCUS Journal is a free, open-access, peer-reviewed publication that contains the latest research, case reports, and protocols on point of care ultrasound. We invite submissions from clinicians, researchers, and POCUS educators. Read the latest issue of POCUS Journal or visit the archive for past issues.

Articles in this issue


Point-of-Care Ultrasound Training and Credentialing for mid-late Career Emergency Physicians: Is it worth it?

Courtney M. Smalley, MD; Erin L. Simon, DO; McKinsey R. Muir, MHSA; Fernando Delgado, MSIE; Baruch S. Fertel, MD, MPA - Point-of-care ultrasound (POCUS) is becoming more prevalent in community emergency medicine (EM) practice with the current American College of Emergency Physician guidelines recommending POCUS training for all graduates from United States based residency programs [...]

Case File

Ultrasound Imaging of Quadriceps Tendon in a Recreational Golfer

Shawn D. Felton, EdD, LAT, ATC; Arie J. van Duijn, PT, MScPT, EdD - The patient was a 69-year-old recreational golfer who injured his right . While walking between the 9th and 18th holes, he slipped on pine straw. Ultrasound images of the quadriceps tendon post-injury revealed a full-thickness tear of the Quadriceps tendon, Rectus [...]

Case Report

Elastofibroma Dorsi: Case Report with Point of Care Ultrasound Primary Care Applications

Trent Mazer, MD; Karam Nabeel Gagi; Michael Bishop, MD - Elastofibroma dorsi (ED) is an uncommon, benign, slow-growing soft tissue tumor with an unclear etiology. The growth often presents as a local deformity with mild pain or discomfort in the subscapular region of geriatric populations.

Case Report

Adjunctive Use of Point of Care Ultrasound to Diagnose Compartment Syndrome of the Thigh

Neil Long, BMBS; Justin S. Ahn, MD; Daniel J. Kim, MD - Compartment syndrome is a medical emergency and must be considered in patients who present with severe limb pain. Compartment syndrome is a clinical diagnosis, classically described as presenting with the 5 ‘P’s (pain, pulselessness, pallor, paraesthesia, and paralysis).

Case Report

POCUS Evaluation in Acute Kidney Injury

Vanessa A. Hoytfox, MD; Brittney C. Ward, DO; Emily J. Cox PhD; Kang X. Zhang MD FACP - Acute kidney injury is a common clinical problem encountered in general internal medicine. The evaluation of acute kidney injury is mainly driven by the patient’s clinical history, physical exam, and laboratory investigation including urinalysis and urine sediment [...]

Case Report

Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion

Rahul V. Nene, MD, PhD; Rachna Subramony, MD; Michael Macias, MD; Colleen Campbell, MD; Amir Aminlari, MD - Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion.

Case Report

Diagnosis of Central Retinal Artery Occlusion in the Emergency Department Using POCUS: A Case Series

Nicholas Cozzi, MD, MBA; Kendall Stevens, BS; Yeoshina Pillay, MD; David Moore MD; Matthew Flannigan, DO; Mariah Barnes, MD; Matthew Singh, MD; Melisa Gagrica, MD; Christian Kolacki, MD; Jennifer Bach, DO; Dale McNinch, MD; Drue Orwig, DO; Jeffrey Jones, MD - Central Retinal Artery Occlusion is a cause of vision loss that warrants emergent evaluation. [...]

Case Report

How Point-of-Care Ultrasound Led to a Diagnosis of May-Thurner Syndrome

Daniel L. Belkin, BFA; Mitchell D. Belkin, BA; Maedeh Ashrafi, MD; Charan Vegivinti, MD; Yung-Hsien Wang, MD; Leonidas Palaiodimos, MD - A 65-year-old man with a history of a left-sided inguinal hernia presented with three days of left-sided groin pain worsened with exertion and fatigue. The patient was afebrile but tachycardic, and physical examination revealed [...]


Taking the Pulse of POCUS: The State of Point-of-Care Ultrasound at a Pediatric Tertiary Care Hospital

Peter Gutierrez, MD; Tal Berkowitz, MD; Lekha Shah, MD; Stephanie G. Cohen, MD - We aim to quantify and categorize point-of-care ultrasound (POCUS) usage by pediatric practitioners and trainees at our tertiary care center, and assess the degree of interest from pediatric residents, fellows, and program leaders for integrating POCUS into their training.


Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation

Zachary W. Binder, MD; Sharon E. O’Brien, MD; Tehnaz P. Boyle, MD, PhD; Howard J. Cabral, PhD; Joseph R. Pare, MD, MHS - The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ).   [...]


Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework

Valérie Desjardins, BSc; Paul Pageau, MD; Barbara Power, MD; Isabelle Burnier, MD, M.Ed; Carolina Souza, MD, PhD; Warren J. Cheung, MD, MMEd; Michael Y. Woo, MD - The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with [...]


The Use of Thoracic Ultrasound to Predict Transudative and Exudative Pleural Effusion

Peter T. Evans MD; Robert S. Zhang MD; Yulei Cao MS; Sean Breslin MD; Nova Panebianco MD, MPH; Cameron M. Baston MD, MSCE; David M. DiBardino, MD - Pleural effusion is a common reason for hospital admission with thoracentesis often required to diagnose an underlying cause. This study aimed to determine if the imaging characteristics [...]


Development and Evaluation of Resident-Championed Point-of-Care Ultrasound Curriculum for Internal Medicine Residents

Leila Haghighat, MD; Hayley Israel, MD; Eric Jordan, MD; Ethan L. Bernstein, MD; Merilyn Varghese, MD; Benjamin M. Cherry, MD; Reinier Van Tonder, MD; Shyoko Honiden, MD; Rachel Liu, MD; Christopher Sankey, MD - Point-of-care ultrasound (POCUS) is a powerful clinical tool that has seen widespread adoption, including in Internal Medicine (IM), yet standardized curricula [...]


Lung Ultrasound to Monitor Disease Severity and Aid Prognostication in COVID-19 Pneumonia: A Retrospective Analysis of Serial Lung Ultrasound Assessments

Matthew Llewelyn Gibbins, MBChB DTMH FRCA FFICM; Quentin Otto, MA MB BChir DiMM; Paul Adrian Clarke, BM BSc MRCP FRCA FFICM; Stefan Gurney, MB BS MD (Res) FRCA FFICM - The aim of this retrospective analysis was to assess if serial lung ultrasound assessments in patients with COVID-19 pneumonia, including a novel simplified scoring system, [...]


Development of a Cardiac Point-of-Care Ultrasound Curriculum for Anesthesia Residents in Brazil: It is Time to Act.

Fabio de Vasconcelos Papa, TSA/FASE, MSsCH; Luiz Guilherme Villares da Costa, MD, PhD - Although the use of cardiac point-of-care ultrasound in anesthesia is well established, with strong evidence supporting its benefit while managing hemodynamically unstable patients during the perioperative period, there is a lack of standardized curriculums incorporating this diagnostic modality as part of [...]