Current Issue

Incidental Findings in POCUS: “Chance favors the prepared mind”  

Sara Obeid, MD MPH; Benjamin Galen, MD; Trevor Jensen, MD MS - Point of Care Ultrasound (POCUS) has the potential to rapidly aide in diagnostic algorithms at the bedside, however POCUS users are often faced with the dilemma of appropriate management of incidental findings.


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, [...]


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 [...]


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 [...]


A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea  

Jacob E. Sundberg, MD; Ankit Mehta, MD - Point of care ultrasound (POCUS) is a reliable diagnostic tool for the evaluation of a patient with dyspnea. This case provides an example of an acutely dyspneic patient in which standard evaluation failed to elucidate the true etiology of the patient’s dyspnea.


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 [...]


Sonographic Crepitus, a Point-of-Care Ultrasound Finding  

Brian Kohen, MD; Michael Halperin, MD MPH; Gloria Felix, MD; Trevor Dixon, MD; Michelle Montenegro, MD; Fenil Patel, MD - Necrotizing fasciitis is a life-threatening polymicrobial skin and soft tissue infection that requires prompt diagnosis and treatment. Delays in diagnosis and treatment can result in an increase in morbidity and mortality [1]. Necrotizing fasciitis has [...]


Diagnosing Paget-Schroetter Syndrome Using Point of Care Ultrasound (POCUS)  

Khaled Taha, MD, MSc, MRCP, MRCEM; Tomás Breslin, MD, MRCP, FRCEM; John M. Moriarty, MD, FSIR; Shammy Ali, MBBS, MD; Bernhard Louw, MBChB, DipPEC (SA) - Paget-Schroetter Syndrome, or effort thrombosis, is a relatively rare disorder. It refers to axillary-subclavian vein thrombosis (ASVT) that is associated with strenuous and repetitive activity of the upper extremities [...]


Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis  

Olusegun Oduyoye, MBBS, MSc, FHEA, FRCPE; Euan Thomas, BSc, MSc - Pyomyositis is an acute bacterial infection of skeletal muscle that results in localised abscess formation presenting with symptoms, including pain, swelling, erythema, and fever. It is usually associated with tropical climates; however, there has been an increasing number of cases presenting with pyomyositis in [...]


The Takotsubo Syndrome: Clinical Diagnosis Using POCUS  

Josu López Libano, MD; Lorenzo Alomar Lladó, MD; Leire Zarraga López - Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiographically.


Avulsion Fracture of the Anterior Superior Iliac Spine in a Young Athlete Detected by Point-Of-Care Ultrasound  

Takaaki Mori, MD, MRCPCH, MSc; Takateru Ihara, MD; Osamu Nomura MD, MA, PhD - Pelvic avulsion fractures (PAFs) are rare and specific to adolescents and young athletes [1, 2]. Owing to their stage of musculoskeletal development, forceful contractions of muscles or tendons during sports activities frequently cause a PAF to occur in any of four [...]


Impact of Point-of-Care Ultrasound in Medical Decision Making: Informing the Development of an Internal Medicine Global Health POCUS Curriculum  

Michelle Fleshner, MD MPH; Steve Fox, MD; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Thuy Bui MD - Point-of-care Ultrasound (POCUS) is particularly useful in low-middle income countries (LMICs) where advanced imaging modalities and diagnostics are often unavailable. However, its use among Internal Medicine (IM) practitioners is limited and without standard curricula. [...]


Ultrasound Image Quality Comparison Between a Handheld Ultrasound Transducer and Mid-Range Ultrasound Machine  

Nayema Salimi, MD; Antonio Gonzalez Fiol, MD; N. David Yanez, PhD; Kristen L. Fardelmann, MD; Emily Harmon, MD; Katherine Kohari, MD; Sonya Abdel Razeq, MD; Urania Magriples, MD; Aymen Alian, MD - Not all labor and delivery floors are equipped with ultrasound machines which can serve the needs of both obstetricians and anesthesiologists. This cross-sectional, [...]


E-Point Septal Separation Accuracy for the Diagnosis of Mild and Severe Reduced Ejection Fraction in Emergency Department Patients  

José Atilio Núñez-Ramos, MD, MSc; María Camila Pana-Toloza, MD, MSc; Sheyla Carolina Palacio-Held, MD - Chest pain, dyspnea and syncope are among the most common reasons to seek care in the Emergency Department (ED). Chest pain accounts for more than a thousand visits per year [1], dyspnea and syncope represent approximately 7 to 8% of [...]


Near Peer POCUS Education Evaluation  

Cassidy Miller, OMS-III; Louisa Weindruch, OMS-III; John Gibson, MD -


Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum  

Michael  C. Cooper, MD; Jodi Jones, MD; Mandy Pascual, MD; Steven Field, DO; Juan M. Rendon, MD; Christine Kulstad, MD; Bryant Dixon, MD; Kristie Pham Tu; Aman Narayan; Hunter Pyle; Khiem Hoang; Anthony Han; Dalbir Bahga MD; Aman Pandey, MD; Lynn Roppolo, MD - Point-of-care ultrasound (POCUS) is used by emergency physicians to make rapid critical [...]


The Beauty of Sound Waves  

Ai Phi Thuy Ho, MD - “The Beauty of Sound Waves” is an artwork representing the anatomy of various organs in the human body that can be detected by ultrasound, either as normal findings or pathology.