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.

This Issue of POCUS Journal is Sponsored by GE Healthcare

Articles in this issue

Commentary

A Comment on the November Issue of POCUS Journal

Benjamin T. Galen, MD - This is a very exciting issue of POCUS Journal.  We have two new sections: a book review and Innovations in POCUS Curriculum. 

Book Review

Book Review: “Ultrasound for the Generalist: A Guide to Point-of-Care Imaging”

Reviewed by: Daniel Restrepo, MD, FHM - Drs. Clare and Duncan, as well as the contributing authors for the chapters have compiled a comprehensive and complete work that champions the practice of point-of-care ultrasound (POCUS) by generalists, denoting its myriad utilities and diagnostic power.

Innovations in POCUS Curriculum

An Introductory Curriculum for Internal Medicine Interns in Point-of-Care Ultrasound to Detect Lower Extremity Deep Vein Thrombosis

Peter C. Nauka, MD; Darlene LeFrancois, MD; Benjamin T. Galen, MD - Lower extremity deep venous thrombosis (DVT) is prevalent amongst hospitalized patients and is associated with significant morbidity and mortality. Delays in DVT diagnosis may result from relying on duplex ultrasound studies performed and interpreted by the vascular laboratory.

Case File

A Potential Pitfall in POCUS of the Gallbladder: Beware of the Duodenum

Fan J. Yang, MD; Brian Kohen, MD; Sowmya Sanapala, MD; Michael Halperin, MD MPH - It is estimated that 20 million people in the United States have gallbladder disease. Of the patients who present to the Emergency Department (ED) with abdominal pain, 3-10% have acute cholecystitis.

Case File

Point-of-Care Ultrasound for the Diagnosis of Colon Cancer

Weihao Chen, MBBS (Spore), MRCP (UK), MMed (Int Med); Readon Teh, MBBS (Spore), MRCP (UK); Absar Qurishi, MBBS (Chittagong), MRCP (UK) - We present a case of a 64-year-old gentleman for whom point of care ultrasound (POCUS) expedited the diagnosis and subsequent early treatment of colon adenocarcinoma.

Case File

Ultrasound Diagnosis of a Retained Migrated Foreign Body Following Penetrating Injury to The Upper Thigh in a Child: A Case Report Demonstrating an Underused Indication for Diagnostic Ultrasound

Alexander Sheeka, BMBS BSc; Richard Jenkins, MBBS FRCR; Sufi Sadigh, FRCR; Nicholas Alexander, FRCS; Afshin Alavi, FRCRM - We present a case of delayed diagnosis of retained glass foreign body in the inguinal region of a child using ultrasonography following penetrating trauma to the upper thigh.

Case Report

Three Cases of Right Heart Thrombus: Using POCUS for the Diagnosis of Thromboembolism in COVID-19

Sergio Velasco Malagón, MD; Juliana Moreno Ladino, MD; Hector Andres Ruiz, MD - COVID-19 generates a series of challenges, one of them being thrombotic manifestations of the disease. The growing use of POCUS and its wide versatility have expanded its use outside of radiology rooms.

Case Report

POCUS Finding of Portal Venous Gas: An Unusual Consequence of an Amyloid Dysmotility Related Bezoar

Grace B. DeMarco, MD; Qiuchen Jiang, MD; Ernest A. Fischer, MD MS - A 73-year-old male with a recent finding of pericardial effusion and syncope was evaluated with point of care ultrasound for recurrent effusion. A thickened left ventricle and recurrent pericardial effusion were found.

Case Report

The Role of Point-of-Care Ultrasound in Pilonidal Sinus Disease

Hadiel Kaiyasah, CABS FACS ESCP; Lamis Abufool, MBBS; Labib Al Ozaibi, CABS ESCP - Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings.

Case Report

Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults

Zouheir I. Bitar FRCPuk, EDEC; Mohamad Abdelfatah MD; Ossama Sajeh Maadarani, FRCP; Muath Alanbaei, MD; Rashed Juma Al Hamdan, MD - Detecting dilated coronary sinus when assessing patients in an acute emergency with point-of-care ultrasound (POCUS) is important for differential diagnosis, including the detection of persistent left superior vena cava (PLSVC) and right ventricular dysfunction.

Case Report

Transesophageal Echocardiography Guided Partial Right Atrial Inflow Occlusion – A Case Study

Lucas Barboza, BSc; Rob Tanzola, MD, FRCPC - Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow.

Case Report

A Non-Resolving “Hematoma” Diagnosed as an Arteriovenous Malformation by POCUS

Michael Freilich, MD; Benjamin Galen, MD; Deborah Schwartz, MD - Point-of-care ultrasound (POCUS) is a useful tool for the evaluation of soft tissue masses. We present the case of a patient with a mass on his forehead initially thought to be a slowly resolving hematoma.

Case Report

A Rare Cause of Neck Lump in an Infant

David J McCreary, MBBS MRCPCH PgC US; Salmah Lashhab, MBChB MRCPCH - A 5 month old girl presented to the Paediatric Emergency Department with a rapidly growing neck mass over 24 hours. She was systemically well and otherwise asymptomatic.

Research

Intrauterine Pregnancy Detection and Gestational Age Assessment During Early Pregnancy by a Handheld Point-Of-Care Ultrasound Device Compared to a High-End Ultrasound System. An Accuracy and Reliability Study

Mariela Skendi , MD, MSc; Roxane Liard , MD, MSc; Charlotte Besacier , MD; Jean-Michel Correas , MD, PhD; Sohela Moussaoui , MD, MSc; Julie Chastang , MD, MSc; Gladys Ibanez , MD, PhD - The main objective of this study is the evaluation of the accuracy and reliability of a handheld point of care [...]

Research

A National Survey of Prehospital Care Services of United Kingdom for Use, Governance and Perception of Prehospital Point of Care Ultrasound

Salman Naeem, MBBS, Dip IMC, PG Cert Medical ultrasound; Christopher Edmunds, MBChB, FRCEM, FFICM, FIMC2; Thomas Hirst, MA, MBBS, MSc, Dip IMC; Julia Williams, PhD, BSc FCPara FEA4; Amir Alzarrad; James Ronaldson; Jon Barrat, RAMC, FRCEM, FIMC, DMCC; East Anglian Air Ambulance Research, Audit, Innovation and Development (RAID) Group; PreHospital Trainee Operated Research Network (PHOTON) [...]

Research

Effectiveness of Near-Peer Versus Faculty Point-of-Care Ultrasound Instruction to Third-Year Medical Students

Katie Rong, MD; Grace Lee, BS; Meghan Kelly Herbst, MD - Implementation of point-of-care ultrasound (POCUS) in undergraduate medical education (UME) has increased due to a growing appreciation for its value to students as a tool for learning anatomy, enhancing data acquisition during the physical exam, and formulating a diagnosis.

Review

Pictorial Essay of Cervical Duplex Ultrasonography

Siddharth Bhattacharjee, MBBS, MRCP (UK); Richa D. Jain, MD; Lokesh Bathala, DM; Anuradha HK, DM; Vijay K. Sharma, MD - Cervical duplex ultrasonography (CDU) is a simple, non-invasive, portable technique, that provides valuable high-quality visual information about the integrity of the carotid and vertebral vessels, plaque morphology and flow hemodynamics.

POCUS Protocol

Ultrasound-Guided Nerve Blocks: Suggested Procedural Guidelines for Emergency Physicians

Joseph R. Brown, MD; Andrew J. Goldsmith, MD, MBA; Alexis LaPietra DO, FACEP; Jose L. Zeballos, MD; Kamen V. Vlassakov, MD; Alexander B. Stone, MD; R. Starr Knight, MD; Jennifer Carnell, MD; Arun Nagdev, MD - Acute pain is one of the most frequent, and yet one of the most challenging, complaints physicians encounter in the emergency [...]