Alec P. Tolentino; Stanley Wojtas,; Camille D. Audette; Erin J. Meyer; Zachary W. Binder – This study presents a case of a teenage male evaluated in the pediatric emergency department for acute bilateral inguinal swelling, in which POCUS identified lymphadenopathy and guided the evaluation of a presumed infectious process, ultimately determined to be caused by cat scratch disease.
Michael Halperin; Maia Winkel; Ashley Aiken; Nora McNulty; Michelle Montenegro; Nicole Leonard Shiu; Trevor Dixon; Alyssia McEwan; William Murk; Ariella Gartenberg – This study presents The SHARP Exam, a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy).
Roody Menager; Rebecca St Louis; Anst Gelin; Flawendjee Djaweelentz Jacques – This case discusses a 36-year-old man presented to the ED with dyspnea, fever, abdominal pain, and abdominal distention in the area where an intra-abdominal tumor was reported. After ultrasound-guided aspiration, pyonephrosis was diagnosed. In the absence of other capable specialists, the emergency physician performed a percutaneous nephrostomy procedure, and eight liters of pus were removed.
Hae I. Yun, Brandon M. Wubben – This study demonstrates that POCUS using a non-piezoelectric ultrasound device was able to accurately rule in first trimester IUP in the emergency department at relatively low hCG levels, with no false positive IUPs identified. During the second and third trimesters, POCUS consistently detected fetal heart motion and had good accuracy for gestational age measurements compared to OB-US.
Harsh Sule; Rolando Valenzuela; Vennila Padmanaban; Enoch Obeng; Georgia Davies; Francisco Alvarado; Ziad Sifri – This study is a retrospective analysis of POCUS use during the perioperative course of patients undergoing definitive surgical treatment over the course of two STSMs.
David J. McCreary; Iain Fraser; Nigel Chan – This is the first documented case of POCUS being utilised in the evaluation of a child with omental infarction. While the patient’s diagnosis was less common than initially suspected, POCUS played a crucial role in guiding timely and effective patient care, highlighting its value in clinical decision-making However, there are indications of lower POCUS sensitivity to fluid overload with a full peritoneum.
Karunya Jayasimha; Wei Liu; William Hanna – This study correlates IJV POCUS with CVP in mechanically ventilated post-operative children following congenital heart disease surgery.
David J. McCreary; Maria Munir; Milan Gopal – This study presents the first reported case of a Canal of Nuck hydrocoele identified using POCUS in a child. This case highlights the role of POCUS as a safe, reliable, first-line imaging tool for identifying Canal of Nuck hydrocoeles in patients with VP shunts
Ryan Marinovich; Michael G. R. Beyaert; Steven J. Montague; Irene W. Y. Ma; Luke A. Devine – Point of care ultrasound (POCUS) is an important tool for bedside diagnostics and procedures within internal medicine. In 2017 the Canadian Internal Medicine Ultrasound (CIMUS) group provided recommendations for applications to teach POCUS to internal medicine trainees. The way that training programs have implemented these recommendations has not been assessed. We aim to assess POCUS applications taught within internal medicine training programs, five years after the CIMUS group’s recommendations.
Stephanie M. Conner; Mustafa Husaini; Maya Fiore; Mohamed Ramadan; Benjamin Hoemann; Nicholas Arnold; Farhan Katchi; Crystal Atwood; Carol Faulk; Karl Wallenkampf; Jing Li – Prolonged inpatient length of stay (LOS) is associated with worse clinical outcomes and increased healthcare costs. Transthoracic echocardiography (TTE) is commonly utilized in cardiac evaluation of hospital inpatients but is associated with prolonged LOS and may not always be necessary. Point of care ultrasound (POCUS) may help reduce the need for inpatient TTEs.