Archives

Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation

Zachary W. Binder, MD; Sharon E. O’Brien, MD; Tehnaz P. Boyle, MD, PhD; Howard J. Cabral, PhD; Joseph R. Pare, MD, MHS – The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ).   We were unable to find a published curriculum to deliver education for this at any skill level. 

Comparison of Clerkship Directors’ Expectations of Physical Examination Skills with Point-of-care Ultrasound Skills Using the RIME Framework

Valérie Desjardins, BSc; Paul Pageau, MD; Barbara Power, MD; Isabelle Burnier, MD, M.Ed; Carolina Souza, MD, PhD; Warren J. Cheung, MD, MMEd; Michael Y. Woo, MD – The expectations of point-of-care ultrasound (PoCUS) in undergraduate clerkship at the University of Ottawa has not been described. We compared clerkship directors’ expectations of physical examination skills with PoCUS skills, before and after completing the clerkship rotation.

The Use of Thoracic Ultrasound to Predict Transudative and Exudative Pleural Effusion

Peter T. Evans MD; Robert S. Zhang MD; Yulei Cao MS; Sean Breslin MD; Nova Panebianco MD, MPH; Cameron M. Baston MD, MSCE; David M. DiBardino, MD – Pleural effusion is a common reason for hospital admission with thoracentesis often required to diagnose an underlying cause. This study aimed to determine if the imaging characteristics of TUS effectively differentiates between transudative and exudative pleural fluid.

Development and Evaluation of Resident-Championed Point-of-Care Ultrasound Curriculum for Internal Medicine Residents

Leila Haghighat, MD; Hayley Israel, MD; Eric Jordan, MD; Ethan L. Bernstein, MD; Merilyn Varghese, MD; Benjamin M. Cherry, MD; Reinier Van Tonder, MD; Shyoko Honiden, MD; Rachel Liu, MD; Christopher Sankey, MD – Point-of-care ultrasound (POCUS) is a powerful clinical tool that has seen widespread adoption, including in Internal Medicine (IM), yet standardized curricula designed by trained faculty are scant. To address the demand for POCUS education at our institution, we created a resident-championed curriculum with support from skilled faculty across multiple specialties.

Lung Ultrasound to Monitor Disease Severity and Aid Prognostication in COVID-19 Pneumonia: A Retrospective Analysis of Serial Lung Ultrasound Assessments

Matthew Llewelyn Gibbins, MBChB DTMH FRCA FFICM; Quentin Otto, MA MB BChir DiMM; Paul Adrian Clarke, BM BSc MRCP FRCA FFICM; Stefan Gurney, MB BS MD (Res) FRCA FFICM – The aim of this retrospective analysis was to assess if serial lung ultrasound assessments in patients with COVID-19 pneumonia, including a novel simplified scoring system, correlate with PaO2:FiO2 ratio, as a marker of disease severity, and patient outcomes.

Development of a Cardiac Point-of-Care Ultrasound Curriculum for Anesthesia Residents in Brazil: It is Time to Act.

Fabio de Vasconcelos Papa, TSA/FASE, MSsCH; Luiz Guilherme Villares da Costa, MD, PhD – Although the use of cardiac point-of-care ultrasound in anesthesia is well established, with strong evidence supporting its benefit while managing hemodynamically unstable patients during the perioperative period, there is a lack of standardized curriculums incorporating this diagnostic modality as part of the anesthesia residency training.

Trans-hepatic Lung Ultrasound – A Window for Supine Patients

Miguel Lourenço Varela, MD; Sofia Branco Ribeiro, MD; Andriy Krystopchuk, MD; Daniel Nunez, MD – Lung ultrasound has gained increasing use in the last few years, especially in the critically ill patients. By applying the probe on the thorax, much of the lung can be inspected and multiple conditions can be diagnosed and monitored, through anterior, lateral and posterior thoracic views.

Pseudoaneurysm of the Dorsalis Pedis Artery Diagnosed on Point-of-Care Ultrasound

Nathan A. Friedman, MD; Caleb P. Canders, MD; Alan T. Chiem, MD, MPH – A 46-year-old man presented with a painless mass on his dorsal right foot one week after striking it on a door. A traumatic hematoma was suspected, and needle aspiration of the mass is considered. However, point-of-care ultrasound performed by the emergency physician identified a pseudoaneurysm of the dorsalis pedis artery, a rare condition that can occur after minor trauma or iatrogenic intervention.

Hematocrit Sign Elucidates Cause of Abdominal Pain

Jeffrey Lam, MD; Steven Montague, MSc, MD – A 78-year-old male with chronic kidney disease on peritoneal dialysis developed unprovoked bilateral pulmonary embolisms. He was started on IV unfractionated heparin, but shortly thereafter developed severe pain and a small firm abdominal nodule near his dialysis catheter site.