Knowledge and Confidence Among Five Cohorts of Faculty Learners in a Point of Care Ultrasound (POCUS) Program: Factors Defining Learner Success

Michael Janjigian, Anne Dembitzer, Isaac Holmes, Caroline Srisarajivakul-Klein, Khemraj Hardowar, Harald Sauthoff – The availability of faculty proficient in point of care ultrasound (POCUS) has emerged as a barrier to the ongoing expansion of POCUS across the field of internal medicine. We sought to examine the faculty graduates of our institutional POCUS program to identify characteristics associated with long-term proficiency to inform curricula and guide institutional support.

Association Between Standard Gait Measures and Anterior Quadriceps Muscle Thickness as Measured by Point of Care Ultrasound (POCUS)

Uyanga Ganbat, Boris Feldman, Shane Arishenkoff, Graydon S. Meneilly, Kenneth M. Madden – Gait parameters and sarcopenia both predict falls risk among older adults. Our objective was to evaluate whether fast, easy-to-obtain measures of anterior thigh muscle by point of care ultrasound (POCUS) are significantly associated with standard gait measures.

Subclinical Congestion Evaluated by Point of Care Ultrasound (POCUS) at Discharge Predicts Readmission in Patients with Acute Heart Failure: Prognostic Cohort Study

Sergio Velasco Malagón, Estivalis Acosta-Gutiérrez, José Atilio Nuñez-Ramos, Sebastián Salinas, Guillermo Mora Pabón – Heart failure (HF) is a complex entity that increases the risk of adverse outcomes. Point of care ultrasound (POCUS) allows easy lung and systemic venous congestion identification. Using ultrasound to detect sub-clinical congestion at discharge may help predict readmissions and mortality.

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.

Acknowledgments

Dear Readers, We extend our deepest gratitude to Bill and June Gladwish for their recent philanthropic support of point-of-care ultrasound research. Having benefited from the specialized care at Kingston Health Science Center over the years, their passion for advancing healthcare is evident in their generous contribution. This issue was partially supported by their contribution to […]

Inside the April 2024 Issue

Benjamin T. Galen, MD – We are thrilled to bring you the first issue of the ninth volume of POCUS Journal. Published since 2016, POCUS Journal is the only multi-disciplinary, peer-reviewed, POCUS-focused journal that is free for authors and readers alike. We are grateful for the vision of our founder Dr. Amer Johri and for the support of CINQUILL Medical Publishers, Inc. as we enter our ninth year of publication.

Pediatric Emergency Medicine Ultrasound Fellowship Programs

Sigmund Kharasch, MD; Matthew Moake, MD PhD; Antonio Riera, MD – Point of care ultrasound (POCUS) has undergone important growth in the field of Pediatric Emergency Medicine (PEM) in the last 14 years and is recognized as a critical diagnostic tool in the care of ill and injured children. The first PEM POCUS fellowship was established in 2010. Now, there are currently 30 ultrasound fellowships that offer training to PEM physicians. In 2014, 46 PEM POCUS leaders established the P2 (PEM POCUS) Network (www.P2network.org). This serves as a platform for sharing expertise, building research collaborations, and offering mentorship in the use of POCUS in PEM.

Vaginal Bleeding in a Peri-Menopausal Woman

Ambika Shivarajpur, DO; Brian Kohen, MD – Point of care ultrasound (POCUS) is a useful modality to initially identify a molar pregnancy. In this case, we describe a 51-year-old perimenopausal woman who presented to the emergency department (ED) with vaginal bleeding. A transvaginal POCUS was performed, revealing findings concerning for a molar pregnancy. These findings led to prompt diagnosis and treatment.

Point of Care Ultrasound Identification and Aspiration of a Neck Lymph Node

Andrew Moore, DO; Ali Mrad, MD; Leonard Riley, MD; Sonia M. Castillo MD – The tissue diagnosis and staging of all types of lung cancer is foundational for prognosis and establishing the optimal treatment plan. In order to appropriately stage lung cancer, the highest stage should be established using the 8th edition TNM criteria, where tumor size (T), nodal involvement (N), and metastasis (M) are all taken into account. Establishing a tissue diagnosis may involve the use of CT guided biopsy, navigational bronchoscopy, endobronchial biopsy, endobronchial ultrasound, percutaneous lymph node biopsy and/or excisional biopsy of supraclavicular nodes.

Hematometra: A Rare Case of Pelvic Pain in Females Identified with Point of Care Ultrasound

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.

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