Jason T. Nomura, MD; Matthew Flannigan, DO; Rachel B. Liu, MD; Daniel L. Theodoro, MD MSCI – Point of Care Ultrasound (POCUS) use by emergency physicians has grown in both breadth and depth of clinical use [1-3]. POCUS workflow is different from a traditional imaging-based specialist workflow because a single clinician orders, obtains images, interprets, and reports the exam results.
Lianne J. McLean, MB BCh BAO, MHI; Resa E. Lewiss, MD – Point-of-care Ultrasound (POCUS) skills are required competencies for emergency medicine and paediatric emergency medicine training [1,2,3,4]. Over time, more specialties will require these skills of their graduates. Experienced physicians who completed their training before POCUS requirements may ask: How can I gain POCUS skills training and competency?
Alanna O’Connell, DO; Al’ai Alvarez, MD; Peter Tomaselli, MD; Arthur Au, MD; Dimitrios Papanagnou, MD MPH; Resa E. Lewiss, MD – A Medical Education (MedEd) fellowship provides emergency medicine (EM) residency graduates the structured and rigorous training to develop skills as educators. Although not accredited by the Accreditation Council for Graduate Medical Education (ACGME), MedEd fellowships have established minimum curriculum standards .
Nathaniel Reisinger, MD; Abhilash Koratala, MD – We know what you’re thinking. we’ve heard it a thousand times: “Oh, you’re a kidney doctor who dinks around with ultrasound? What do you look for? Hydronephrosis?” You may be asking, “Is this issue just going to be a bunch of pictures of hydronephrosis and distended bladders?” And yes, for the thousandth time, in acute kidney injury it’s almost never wrong to get a kidney and bladder ultrasound as part of the initial workup.
Ann Young, MD PhD; Benoit Imbeault, MD; Alberto Goffi, MD; Alireza Zahirieh, MD; Claire Kennedy, MD; Daniel Blum, MDCM; Ron Wald, MDCM MPH; William Beaubien-Souligny, MD PhD – In nephrology, point of care ultrasound (POCUS) has multiple applications including the rapid evaluation of acute kidney injury, enhancing the initial evaluation of chronic kidney disease, direct evaluation of vascular access, and improved fluid balance management in acute and chronic settings. Recently, the role of POCUS has been formally acknowledged by the American College of Physicians and curricula specific to nephrology have been proposed.
Nathaniel Reisinger, MD; Nova Panebianco, MD, MPH – Fluid overload (FO) contributes significantly to the development of cardiovascular disease among patients with end-stage kidney disease (ESKD) on hemodialysis (HD), yet remains underappreciated due to limitations of the physical exam. Lung ultrasound (US) is an established tool for quantification of FO.
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 as well as support for POCUS privileging by the American Medical Association.
Miguel Lourenço Varela, MD; Sofia Branco Ribeiro, MD; Andriy Krystopchuk, MD; Daniel Nunez, MD – Lung ultrasound has gained increasing use in the last few years, especially in the critically ill patients. By applying the probe on the thorax, much of the lung can be inspected and multiple conditions can be diagnosed and monitored, through anterior, lateral and posterior thoracic views.
Ammar Saati, MD; Arthur Au, MD; Titus Chu, MD; Rebecca L. Davis, MD; Rohin Singla, MD; Jason Smith, MBA, RN; Jennifer L. White, MD; Resa E. Lewiss, MD – A point-of-care ultrasound (POCUS) workflow is composed of multiple processes managed by various stakeholders. There are concurrent front and back end steps including: acquiring, archiving and interpreting images; documenting the POCUS study and ultimately coding and billing for the study.
Resa E. Lewiss, MD; Rachel B. Liu MD; Robert Strony DO – Ultrasound performed at the point of care (POCUS) is having its moment. The COVID-19 pandemic has seemingly caused the acceleration of POCUS acceptance by hospital leaders, and POCUS examinations are increasingly performed by specialists outside of emergency medicine. What is driving this rapid culture change?