Delphi Consensus Recommendations for the Development of the Emergency Medicine Point of Care Ultrasound (POCUS) Curriculum in Nepal

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.

Evaluation Of Congestion Levels in Septic Patients Admitted to Critical Care Units with a Combined Venous Excess-Lung Ultrasound Score (VExLUS) – a Research Protocol

Miguel Romano, MD; Eduardo Viana, MS; José Diogo Martins, MD; Rogério Corga da Silva, MD – Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to infection with a high mortality rate. Septic shock is a subset of sepsis with manifest circulatory dysfunction (use of vasopressors and persistent elevation of lactic acid) . As stated in literature, in addition to the use of empiric antibiotics and control of the infectious focus, intravenous fluid therapy is an essential intervention to promote hemodynamic stabilization. However, the literature also describes harmful outcomes related to fluid overload.

Recovery of Severe Acute Kidney Injury in a Patient with COVID-19: Role of Lung Ultrasonography

Varun Madireddy, MD; Daniel W. Ross, MD MPH; Deepa A. Malieckal, MD; Shamir Hasan, DO;  Azzour Hazzan, MD;  Hitesh H. Shah, MD – Acute kidney injury (AKI) is recognized as a complication of COVID-19 among hospitalized patients. Lung ultrasonography (LUS) can be a useful tool in the management of COVID-19 pneumonia when interpreted correctly. However, the role of LUS in management of severe AKI in the setting of COVID-19 remains to be defined.