Acute Type A Aortic Dissection Diagnosed by POCUS in a 29-year-old Man

Vladimir Cárdenas López; Pablo Blanco – Aortic dissection (AD) is a medical emergency with a poor prognosis if not recognized early and treated promptly. In this setting, clinical data may be equivocal, while electrocardiogram, laboratory tests, and chest radiography often show nonspecific findings. In contrast, cardiac point of care ultrasound (POCUS) has proven useful in the diagnosis and detection of complications of AD. We present the case of a 29-year-old man with marfanoid habitus presenting with chest pain and acute heart failure, in whom cardiac POCUS aided in the rapid diagnosis of type A AD and pulmonary edema.

Effectiveness of Ultrasound-guided versus Landmark-based Glucocorticoid Injection in the Treatment of First Carpometacarpal Joint Osteoarthritis

Shamma Ahmad Al-Nokhatha; Sinead Maguire; Luke Corcoran; Neil Mac Eoin; Richard Conway; Ciaran Johnson – Osteoarthritis is a debilitating degenerative disease more pronounced in elderly affecting many joints. The first carpometacarpal joint (CMC1) is commonly affected. Pain is the major complaint, which can impact patient’s daily activities. Intra-articular glucocorticoid injection can be considered if conservative measures fail and ultrasound guided injection might be superior to the traditional anatomic landmark-guided technique.

Consensus Terminology for Point of Care Ultrasound Studies with Incomplete Documentation and Workflow Elements

Jason T. Nomura, MD; Matthew Flannigan, DO; Rachel B. Liu, MD; Daniel L. Theodoro, MD MSCI – Point of Care Ultrasound (POCUS) use by emergency physicians has grown in both breadth and depth of clinical use [1-3]. POCUS workflow is different from a traditional imaging-based specialist workflow because a single clinician orders, obtains images, interprets, and reports the exam results.

Avulsion Fracture of the Anterior Superior Iliac Spine in a Young Athlete Detected by Point-Of-Care Ultrasound

Takaaki Mori, MD, MRCPCH, MSc; Takateru Ihara, MD; Osamu Nomura MD, MA, PhD – Pelvic avulsion fractures (PAFs) are rare and specific to adolescents and young athletes [1, 2]. Owing to their stage of musculoskeletal development, forceful contractions of muscles or tendons during sports activities frequently cause a PAF to occur in any of four anatomical sites, including the iliac crest, anterior superior iliac spine (ASIS), anterior inferior iliac spine (AIIS), and ischial tuberosity [1, 2].