Archives

Point of Care Ultrasound (POCUS) Applications Taught Within Canadian Internal Medicine Residency Programs: Results of a National Survey

Ryan Marinovich; Michael G. R. Beyaert; Steven J. Montague; Irene W. Y. Ma; Luke A. Devine – Point of care ultrasound (POCUS) is an important tool for bedside diagnostics and procedures within internal medicine. In 2017 the Canadian Internal Medicine Ultrasound (CIMUS) group provided recommendations for applications to teach POCUS to internal medicine trainees. The way that training programs have implemented these recommendations has not been assessed. We aim to assess POCUS applications taught within internal medicine training programs, five years after the CIMUS group’s recommendations.

Building a Point of Care Ultrasound (POCUS) Curriculum in Undergraduate Medical Education Through Stepwise Development and Assessment

Nancy L. Hagood; Romik Srivastava; Marc E. Heincelman; Meghan K. Thomas – Point of care ultrasound (POCUS) training is increasingly incorporated in undergraduate medical education (UME). However, limited resources and lack of standard guidelines lead to questions regarding the most effective curriculum and assessment method. The authors aimed to develop a longitudinal UME POCUS curriculum through staged intervention.

Performance of the Cardiovascular Point of Care Ultrasound (POCUS) Exam by Internal Medicine Residents

Christopher Chew; Katherine Lang; Manuel De La Rosa; Amanda K. Bertram; Ariella Apfel Stein; Apurva Sharma; Timothy M. Niessen; Brian T. Garibaldi – The purposes of this study were to determine the overall proficiency of internal medicine interns in performing cardiovascular POCUS, assess how POCUS skills relate to traditional cardiovascular physical exam skills, and examine how POCUS skills impact patient management.

Demonstrating Feasibility of Point of Care Ultrasound (POCUS)-Guided Inpatient Transthoracic Echo Triage Decision Pathway

Stephanie M. Conner; Mustafa Husaini; Maya Fiore; Mohamed Ramadan; Benjamin Hoemann; Nicholas Arnold; Farhan Katchi; Crystal Atwood; Carol Faulk; Karl Wallenkampf; Jing Li – Prolonged inpatient length of stay (LOS) is associated with worse clinical outcomes and increased healthcare costs. Transthoracic echocardiography (TTE) is commonly utilized in cardiac evaluation of hospital inpatients but is associated with prolonged LOS and may not always be necessary. Point of care ultrasound (POCUS) may help reduce the need for inpatient TTEs.

Troubleshooting Transvenous Pacemakers with Point of Care Ultrasound (POCUS)

Emily Gohde; Seth Lotterman; Ikram Irfanullah; David Hansen; Felix Pacheco; Adam Wise; Matthew Tichauer; Trent She – We discuss two cases that illustrate the utility of POCUS in troubleshooting unsuccessful or difficult TVP placements. Thereafter, we describe a workflow for future TVP placements and offer some troubleshooting tips.

Perforation of the Interventricular Septum by a Temporary Transvenous Pacing Lead Detected by Cardiac Point of Care Ultrasound (POCUS)

Pablo Blanco; Liliana Figueroa – A 63-year-old woman was admitted with symptomatic complete atrioventricular block. Her medical history was notable for arterial hypertension, managed with enalapril. A TTP was successfully placed via the right internal jugular vein under the guidance of POCUS and intracavitary electrocardiogram (ECG), following this procedure:…

Advanced cardiac point of care ultrasound (POCUS) illustrating tricuspid regurgitation.

Cardiac Point of Care Ultrasound (POCUS) Used to Diagnose Infective Endocarditis Following Multiple Negative Echocardiograms

Adriano Sanjuan; Daniel S Brenner; Heather Andrade; Alyson Bundy; Philip Clapham; Nathan Markus; Irina K Hariri; Edwin Jackson – We present a case of a 68-year-old African American man with a history of housing insecurity, chronic obstructive pulmonary disease, chronic hypoxic respiratory failure, heart failure with mildly reduced ejection fraction, chronic kidney disease, hypertension, opioid use disorder, schizophrenia, and mild mitral, tricuspid, and aortic valve insufficiency.

Health System Impact of Emergency Department-based Vascular Access Program in Patients with Difficult Intravenous Access

Nathan P. Roll; Shilpa Raju; Micah Ownbey; Jamal Jones; Christy Hopkins; Jennifer Cotton – We describe the impact of an Emergency Department (ED) based vascular access program with a specialized team of paramedics and emergency medical technicians (EMTs). This team is trained in USG PIV access to assist with patients that have difficult intravenous access (DIVA) both in the ED and throughout the academic medical center.