Archives

You’ve Gotten Under my Skin: How to Make a Simple, Non-Perishable, Low-Cost Soft Tissue Infection Ultrasound Simulator

John Barrett; Christy Moore; Jeffrey A. Kramer; Nova Panebianco – We describe how to make an ultrasound compatible, low-cost, non-perishable, durable skin and soft tissue infection (SSTI) phantom model that simulates multiple pathologies including abscess and necrotizing fasciitis. The SSTI simulator has an extended shelf-life, can be recreated, and can serve as a needle aspiration simulator.

Man with Abdominal Bloating, Weight Loss

Sara Greenwald; Mario Ramos; Brian Kohen – In this case file, we describe a 69-year-old man presenting with nausea, vomiting, left upper quadrant abdominal pain and recent weight loss who had findings concerning for intussusception on POCUS. This led the emergency provider to order computed tomography (CT) which confirmed the diagnosis.

Point of Care Contrast Enhanced Ultrasound Utility in the Diagnosis of a Gallbladder Perforation: A Case Report

Lauren Lu; Rebecca Leff; Tobias Kummer – A 61-year-old woman with metastatic ovarian cancer presented to the ED with evidence of localized gallbladder perforation with abscess development on an outpatient CT scan obtained as part of a routine consultation for her ovarian cancer. CT abdomen/pelvis with intravenous contrast revealed thickened nodular enhancement on the wall of the gallbladder with evidence of perforation and a large abscess extending into the right paracolic gutter and anterior pelvis.

Point of Care Ultrasound (POCUS) Used to Rapidly Diagnose Both Renal Colic and a Symptomatic Abdominal  Aortic Aneurysm in an Elderly Man with Left Flank Pain

Rie Seu; Ariella Gartenberg; Rachel Mirsky; Aamir Bandagi; Nicole J. Leonard-Shiu; Reema Panjwani; Nora McNulty ;Trevor Dixon; Michelle A. Montenegro ; Michael Halperin – A 70-year-old man with a history of tobacco use, hypertension, nephrolithiasis, chronic systolic heart failure, and recent diagnosis of a 5 cm infrarenal AAA one-month prior presented to the emergency department (ED) with acute onset left flank and lower back pain for two weeks

The Prevalence of Systemic Venous Congestion Post Kidney Transplant Detected by Point of Care Ultrasound (POCUS)

Santiago Beltramino; Agustín Manchado Bruno; Damián Fernández; Javier Walther; Gustavo Werber – Systemic venous congestion is a known cause of acute kidney injury (AKI), but its presence in kidney transplant patients has not been previously described in the literature. The objective of this study was to determine the prevalence of systemic venous congestion in recent kidney transplant recipients. We conducted a prospective, longitudinal, descriptive study including 30 adult patients during the first week post-renal transplant at the Instituto de Trasplante y Alta Complejidad in Buenos Aires, Argentina.

Comparison of Six Handheld Ultrasound Devices by Pediatric Point of Care Ultrasound (POCUS) Experts

Stephanie K. Leung; Ria Dancel; Riya N. Soni; Ariadna Perez-Sanchez; Michael J. Mader; Haitham Al-Wahab; Thomas W. Conlon; Maria V. Fraga; Javier J. Lasa; Andrea Matho; Hannah Smith; Nilam J. Soni – The primary objective of this study was to compare the image quality, ease of use, and overall satisfaction of six handhelds available in the United States when used by pediatric POCUS experts. Additionally, we sought to identify the most and least important characteristics of common handhelds per pediatric POCUS experts.

A Train-the-Trainer Point of Care Ultrasound (POCUS) Program for Pediatric Pneumonia in a Low-Resource Setting

Michelle S. Lee; Fatima Mir; Amerta Ladhani; Huba Atiq; Shaun K. Morris; Mark O. Tessaro – This study aimed to 1. Deliver a train-the-trainer program in Pakistan on lung POCUS for diagnosing pediatric pneumonia; 2. Determine inter-rater reliability between i) study-trained community health workers (CHWs) and a remote expert, with both interpreting POCUS examinations acquired by the CHWs, and ii) study-trained CHWs and local champions, with both interpreting examinations that they had acquired.

The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit

Alonso Marron, Michael S. Wolf, Marla Levine, Jeremy S. Boyd, Marta Hernanz-Schulman – The aim of this study was to investigate the role of point of care ultrasound (POCUS) as an alternative imaging modality to confirm the location of gastric and post-pyloric feeding tubes in patients admitted to the pediatric intensive care unit (PICU). This was a prospective descriptive study performed at a tertiary care children’s hospital.