A National Survey of Prehospital Care Services of United Kingdom for Use, Governance and Perception of Prehospital Point of Care Ultrasound

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.

Pictorial Essay of Cervical Duplex Ultrasonography

Siddharth Bhattacharjee, MBBS, MRCP (UK); Richa D. Jain, MD; Lokesh Bathala, DM; Anuradha HK, DM; Vijay K. Sharma, MD – Cervical duplex ultrasonography (CDU) is a simple, non-invasive, portable technique, that provides valuable high-quality visual information about the integrity of the carotid and vertebral vessels, plaque morphology and flow hemodynamics.

Ultrasound-Guided Nerve Blocks: Suggested Procedural Guidelines for Emergency Physicians

Joseph R. Brown, MD; Andrew J. Goldsmith, MD, MBA; Alexis LaPietra DO, FACEP; Jose L. Zeballos, MD; Kamen V. Vlassakov, MD; Alexander B. Stone, MD; R. Starr Knight, MD; Jennifer Carnell, MD; Arun Nagdev, MD – Acute pain is one of the most frequent, and yet one of the most challenging, complaints physicians encounter in the emergency department (ED). Currently, opioids are one of several pain medications given for acute pain, but given the long-term side effects and potential for abuse, alternative pain regimens are sought.

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.

Point-of-Care Ultrasound for Physicians in Practice – A Training Model for Specialty Specific and Clinically Relevant Skill Development

Lianne J. McLean, MB BCh BAO, MHI; Resa E. Lewiss, MD – Point-of-care Ultrasound (POCUS) skills are required competencies for emergency medicine and paediatric emergency medicine training [1,2,3,4]. Over time, more specialties will require these skills of their graduates. Experienced physicians who completed their training before POCUS requirements may ask: How can I gain POCUS skills training and competency?

A Point-of-Care Ultrasound Rotation for Medical Education Fellows in Emergency Medicine  

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].

Hickam’s Dictum Incarnate: A Case of Simultaneous Left-Sided Urolithiasis and Ruptured Iliac Artery Aneurysm  

Melissa Bouwsema, MD; Colin Bell, MD – A 51-year-old man with a history of nephrolithiasis presented to the Emergency Department after a sudden onset of left-sided groin pain and syncope. At presentation, he described his pain as similar to prior renal colic episodes. At his initial assessment, point of care ultrasound (POCUS) was used, which revealed findings consistent with obstructive renal stones, as well as a substantially enlarged left iliac artery.