George Ntoumenopoulos, Georgina A. Pizimolas, Sarine Mani, Simon Hayward, Jane Lockstone – Lung Point of Care Ultrasound (POCUS) strongly influences physiotherapy and respiratory therapy clinical decision-making in the intensive care unit (ICU). The uptake of Lung POCUS training by physiotherapists and respiratory therapists is low in some countries, often due to many barriers to its implementation.
James H. Moak, Kristen C. Swann, Matthew M. Kongkatong, Jakob E. Ottenhoff, Christopher D. Thom – Visualization of the guidewire during internal jugular (IJ) vein catheterization by point of care ultrasound (POCUS) has been recommended for avoiding inadvertent carotid artery dilation. The purpose of this study was to determine the accuracy of POCUS for identifying guidewires inappropriately placed in the carotid artery.
Andrew R. Helber, MD; Margaret Provencher, MD; Christy Moore, BS; Nova Panebianco, MD – The differential diagnosis for abdominal or pelvic pain in women of child-bearing age that present to the emergency department is broad. A rare cause of abdominal and pelvic pain is hematometra, or a collection of blood products within the uterus. While blood is normally expelled through menses, this process is disrupted in some patients due to congenital or acquired abnormalities.
Eric Scheier, MD; Benjamin Taragin, MD – Studies of pediatric appendicitis treated conservatively show a considerable rate of recurrence. Point of care ultrasound (POCUS) imaging at our facility is routinely performed for abdominal pain and may be more likely than radiology-performed ultrasound to encounter cases that then self-resolve. We present a case series collected from a POCUS quality assurance review from 2019 through 2022.
Eric Scheier, MD – Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testicular torsion confirmed intraoperatively, who had intact blood flow on POCUS.
Abhilash Koratala, MD; Nilam J. Soni, MD MS; Rupal Mehta, MD; Nathaniel Reisinger, MD – The rising demand for point of care ultrasound (POCUS) instruction during nephrology fellowship has been limited due to a shortage of trained faculty and courses designed specifically for nephrologists. A hands-on POCUS pre-course was organized during the April 2023 National Kidney Foundation (NKF) Spring Clinical Meeting to address this challenge. The course consisted of pre-recorded lectures and a 4-hour hands-on workshop guided by multidisciplinary POCUS experts.
William Noel; Brian B. Donahue – A 59-year-old man with past medical history including obesity status post gastric banding surgery and atrial fibrillation on rivaroxaban, presented to the emergency department with a complaint of focal pain to his right abdomen along with areas of visible bruising. He noted that since his diagnosis of COVID-19 a week prior, he had been having paroxysms of coughing. During one episode of coughing a few days prior to seeking medical care, the patient recalled a “ripping” sensation in his right abdomen followed by intermittent achiness and bruising to that area.
Figure 3: Axial view of the plain CT thorax showing low density collection in the pectoralis major muscle of the left hemithorax (a) with underlying costochondral junction showing break in cortex (b). – Tuberculosis (TB) remains a global public health concern; most notably in endemic countries where there is a rise in its incidence. Although primary pulmonary involvement accounts for the majority of TB cases, extrapulmonary tuberculosis (EPTB) is rapidly growing in high income countries.
M. Bryan Dalla Betta, DO; Dasia Esener, MD; William Swanson, MD; Andrew Kaddis, MD; Felipe Aguayo Romero, MD; J. Matthew Fields, MD – Sepsis is a syndrome characterized by infection, widespread inflammation and organ dysfunction affecting millions of people in the United States and across the globe each year. Despite recent improvements in sepsis care, it is still associated with high rates of morbidity and mortality, accounting for nearly 270,000 deaths and treatment costs over $20 billion in the United States annually.
Hadiel Kaiyasah, CABS FACS ESCP; Lamis Abufool, MBBS; Labib Al Ozaibi, CABS ESCP – Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings.