Grace B. DeMarco, MD; Qiuchen Jiang, MD; Ernest A. Fischer, MD MS – A 73-year-old male with a recent finding of pericardial effusion and syncope was evaluated with point of care ultrasound for recurrent effusion. A thickened left ventricle and recurrent pericardial effusion were found.
Michael Freilich, MD; Benjamin Galen, MD; Deborah Schwartz, MD – Point-of-care ultrasound (POCUS) is a useful tool for the evaluation of soft tissue masses. We present the case of a patient with a mass on his forehead initially thought to be a slowly resolving hematoma.
David J McCreary, MBBS MRCPCH PgC US; Salmah Lashhab, MBChB MRCPCH – A 5 month old girl presented to the Paediatric Emergency Department with a rapidly growing neck mass over 24 hours. She was systemically well and otherwise asymptomatic.
Salman Naeem, MBBS, Dip IMC, PG Cert Medical ultrasound; Christopher Edmunds, MBChB, FRCEM, FFICM, FIMC2; Thomas Hirst, MA, MBBS, MSc, Dip IMC; Julia Williams, PhD, BSc FCPara FEA4; Amir Alzarrad; James Ronaldson; Jon Barrat, RAMC, FRCEM, FIMC, DMCC; East Anglian Air Ambulance Research, Audit, Innovation and Development (RAID) Group; PreHospital Trainee Operated Research Network (PHOTON) – Point of care ultrasound (POCUS) has become a common practice in prehospital care over the last 10 years. There is lack of literature on its use and governance structure in United Kingdom (UK) prehospital care services.
Sara Obeid, MD MPH; Benjamin Galen, MD; Trevor Jensen, MD MS – Point of Care Ultrasound (POCUS) has the potential to rapidly aide in diagnostic algorithms at the bedside, however POCUS users are often faced with the dilemma of appropriate management of incidental findings.
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 [1].
Brian Kohen, MD; Michael Halperin, MD MPH; Gloria Felix, MD; Trevor Dixon, MD; Michelle Montenegro, MD; Fenil Patel, MD – Necrotizing fasciitis is a life-threatening polymicrobial skin and soft tissue infection that requires prompt diagnosis and treatment. Delays in diagnosis and treatment can result in an increase in morbidity and mortality [1]. Necrotizing fasciitis has historically been a clinical diagnosis. Patients with a high clinical suspicion for necrotizing fasciitis generally receive antibiotics and undergo emergent surgical debridement.
Khaled Taha, MD, MSc, MRCP, MRCEM; Tomás Breslin, MD, MRCP, FRCEM; John M. Moriarty, MD, FSIR; Shammy Ali, MBBS, MD; Bernhard Louw, MBChB, DipPEC (SA) – Paget-Schroetter Syndrome, or effort thrombosis, is a relatively rare disorder. It refers to axillary-subclavian vein thrombosis (ASVT) that is associated with strenuous and repetitive activity of the upper extremities [1]. Anatomical abnormalities at the thoracic outlet and repetitive trauma to the endothelium of the subclavian vein are key factors in its initiation and progression. Doppler ultrasonography is the preferred initial test, but contrast venography is the gold standard for diagnosis [1,2].
Olusegun Oduyoye, MBBS, MSc, FHEA, FRCPE; Euan Thomas, BSc, MSc
– Pyomyositis is an acute bacterial infection of skeletal muscle that results in localised abscess formation presenting with symptoms, including pain, swelling, erythema, and fever. It is usually associated with tropical climates; however, there has been an increasing number of cases presenting with pyomyositis in patients with a history of intravenous drug use [1-3].
Josu López Libano, MD; Lorenzo Alomar Lladó, MD; Leire Zarraga López – Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiographically.