Health System Impact of Emergency Department-based Vascular Access Program in Patients with Difficult Intravenous Access

Nathan P. Roll; Shilpa Raju; Micah Ownbey; Jamal Jones; Christy Hopkins; Jennifer Cotton – We describe the impact of an Emergency Department (ED) based vascular access program with a specialized team of paramedics and emergency medical technicians (EMTs). This team is trained in USG PIV access to assist with patients that have difficult intravenous access (DIVA) both in the ED and throughout the academic medical center.

Grayscale POCUS images of a 25-year-old female standardized patient showing (A) sagittal view with a linear, hyperechoic structure within the lumen of the abdominal aorta and (B) transverse view with a normal, anechoic lumen of the abdominal aorta.

A Point of Care Ultrasound (POCUS) Artifact Mimicking an Aortic Dissection: A Case Series

Olivia Klee; Julia Buechler; Molly Fears; Caroline Gosser; Kahra Nix – In this case series, we describe an artifact that mimics a dissection involving the abdominal aorta that was found on a young, healthy, thin female medical student who was acting as a standardized patient. A radiology-performed ultrasound of her abdomen confirmed the abdominal aorta as normal. This same artifact was subsequently seen on three additional young, healthy, thin, female medical students.