Sergio Velasco Malagón, Estivalis Acosta-Gutiérrez, José Atilio Nuñez-Ramos, Sebastián Salinas, Guillermo Mora Pabón – Heart failure (HF) is a complex entity that increases the risk of adverse outcomes. Point of care ultrasound (POCUS) allows easy lung and systemic venous congestion identification. Using ultrasound to detect sub-clinical congestion at discharge may help predict readmissions and mortality.
Anmol P. Shrestha, Wolfgang Blank, Ursula H. Blank, Rudolf Horn, Susane Morf, Sanu K. Shrestha, Shailesh P. Shrestha, Samjhana Basnet, Anjana Dongol, Raj Kumar DangalRoshana Shrestha – Emergency Medicine Point of Care Ultrasound (EM-POCUS) is a diagnostic bedside tool for quick and accurate clinical decision-making. Comprehensive training in POCUS is a mandatory part of EM training in developed countries.
Abhilash Koratala, MD; Nilam J. Soni, MD MS; Rupal Mehta, MD; Nathaniel Reisinger, MD – The rising demand for point of care ultrasound (POCUS) instruction during nephrology fellowship has been limited due to a shortage of trained faculty and courses designed specifically for nephrologists. A hands-on POCUS pre-course was organized during the April 2023 National Kidney Foundation (NKF) Spring Clinical Meeting to address this challenge. The course consisted of pre-recorded lectures and a 4-hour hands-on workshop guided by multidisciplinary POCUS experts.
Brandon M. Wubben, MD; Jad Dandashi, MD; Omar Rizvi, MD; Srikar Adhikari, MD – Emergency physicians commonly perform ultrasound-assisted abdominal paracentesis, using point of care ultrasound (POCUS) to identify ascites and select a site for needle insertion. However, ultrasound-guided paracentesis has the benefit of real-time needle visualization during the entire procedure. Our objective was to characterize the performance of emergency physician-performed ultrasound-guided paracentesis using POCUS, their ability to achieve good in-plane needle visualization, and factors associated with procedural success.
Nilan Schnure, MD; Mahmoud Mohamed Elfadil, MD; Wilma Chan, MD MSCE; Cameron Baston, MD MSCE; Frances Shofer, PhD; Nova Panebianco, MD MPH – Despite growing use of point of care ultrasound (POCUS), there remains a paucity of data about familiarity with POCUS among educators who dictate curricular content in undergraduate medical education. This paper aims to longitudinally characterize the level of comfort and frequency of POCUS use among faculty involved in undergraduate clerkship education.
David Cannata, BS; Callista Love, BS; Pascale Carrel, BA; Trent She, MD; Seth Lotterman, MD; Felix Pacheco, MD; Meghan Kelly Herbst, MD – Point of care ultrasound (POCUS) is specific for acute cholecystitis (AC), but surgeons request radiology imaging (RI) prior to admitting patients with POCUS-diagnosed AC. Objectives: We sought to determine the test characteristics of POCUS for AC when performed and billed by credentialed emergency physicians (EPs), the accuracy rate of RI when performed after POCUS, and the time added when RI is requested after POCUS demonstrates AC.
Antonio Gonzalez Fiol; Pedro Acevedo Rodriguez; Xiwen Zhao; Robert Gaiser; Adriana Herrera; Aymen Alian – Despite its many cited benefits, ultrasound guidance for neuraxial procedures is not widespread in anesthesiology. Some cited limitations include device cost and accessibility. We test the hypothesis that a handheld and relatively inexpensive ultrasound can improve neuraxial proficiency (e.g., decreased needle manipulations and block time). This prospective study compared the number of needle passes, redirections, and procedural time between epidural placed with a handheld ultrasound versus landmarks.
Ammar Saati; Arthur Au; Aditi U. Joshi; Rebecca Davis; Frances Mae West; Resa E. Lewiss – The SARS-CoV-2 pandemic accelerated the use of telehealth with consumer adoption increasing from 11% in 2019 to 46% in 2020 [1,2]. A telehealth visit often replaced an in-person office visit for infection control and safety to the patient and healthcare team. Telehealth, the use of technology for remote medical encounters, can be an efficient way to connect doctor and patient synchronously or asynchronously. “Store and forward,” a form of asynchronous telemedicine utilizes uploaded pictures by patients for evaluation by a clinician. This aids the patient evaluation and improves the diagnostic capacity of a virtual examination.
Stephanie R. Davenport; Nadya Ben Fadel; Jorge Davila; Nick Barrowman; Vid Bijelic; Allan E. Shefrin – Over the last 15 years, point of care ultrasound (POCUS) has emerged as one of the most important and most utilized tools in pediatric emergency medicine (PEM) [1,2]. What was initially used as a screening tool in the assessment of major traumas to help determine the requirements for further investigation or management is now used in over 40 clinical applications including the assessment of intra-abdominal hemorrhage, cardiac views to assess function and fluid, the identification of testicular torsion and the evaluation of skull fractures [1], to list a few.
Alireza Nathani; Shekhar A. Ghamande; Sarita Kambhampati; Braden Anderson; Matthew Lohse; Heath D. White – Intracerebral hemorrhage (ICH) results in spontaneous bleeding into the brain. In the United States, it accounts for 10-15% of all strokes [1]. It is associated with very high morbidity and in-hospital mortality of 32.4% [2]. In adults, the intracranial compartment is protected by the skull. The contents of the intracranial compartment include brain parenchyma, cerebrospinal fluid, and blood. Homeostasis of all three components is required to keep intracranial pressure less than 15mmHg.