Point-of-Care Ultrasound Training and Credentialing for mid-late Career Emergency Physicians: Is it worth it?

Courtney M. Smalley, MD; Erin L. Simon, DO; McKinsey R. Muir, MHSA; Fernando Delgado, MSIE; Baruch S. Fertel, MD, MPA – Point-of-care ultrasound (POCUS) is becoming more prevalent in community emergency medicine (EM) practice with the current American College of Emergency Physician guidelines recommending POCUS training for all graduates from United States based residency programs as well as support for POCUS privileging by the American Medical Association.

Ultrasound Imaging of Quadriceps Tendon in a Recreational Golfer

Shawn D. Felton, EdD, LAT, ATC; Arie J. van Duijn, PT, MScPT, EdD – The patient was a 69-year-old recreational golfer who injured his right . While walking between the 9th and 18th holes, he slipped on pine straw. Ultrasound images of the quadriceps tendon post-injury revealed a full-thickness tear of the Quadriceps tendon, Rectus Femoris and Vastus intermedius.

POCUS Evaluation in Acute Kidney Injury

Vanessa A. Hoytfox, MD; Brittney C. Ward, DO; Emily J. Cox PhD; Kang X. Zhang MD FACP – Acute kidney injury is a common clinical problem encountered in general internal medicine. The evaluation of acute kidney injury is mainly driven by the patient’s clinical history, physical exam, and laboratory investigation including urinalysis and urine sediment examination. Point of care ultrasound (POCUS) may be a useful tool to help clinicians to narrow and/or prioritize differential diagnosis in patients presenting with acute kidney injury.

Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion

Rahul V. Nene, MD, PhD; Rachna Subramony, MD; Michael Macias, MD; Colleen Campbell, MD; Amir Aminlari, MD – Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion.

Diagnosis of Central Retinal Artery Occlusion in the Emergency Department Using POCUS: A Case Series

Nicholas Cozzi, MD, MBA; Kendall Stevens, BS; Yeoshina Pillay, MD; David Moore MD; Matthew Flannigan, DO; Mariah Barnes, MD; Matthew Singh, MD; Melisa Gagrica, MD; Christian Kolacki, MD; Jennifer Bach, DO; Dale McNinch, MD; Drue Orwig, DO; Jeffrey Jones, MD – Central Retinal Artery Occlusion is a cause of vision loss that warrants emergent evaluation. Ocular Point of Care Ultrasound (POCUS) is a non-invasive, inexpensive, and rapid modality to establish diagnosis with reduced time to consultation and treatment.

How Point-of-Care Ultrasound Led to a Diagnosis of May-Thurner Syndrome

Daniel L. Belkin, BFA; Mitchell D. Belkin, BA; Maedeh Ashrafi, MD; Charan Vegivinti, MD; Yung-Hsien Wang, MD; Leonidas Palaiodimos, MD – A 65-year-old man with a history of a left-sided inguinal hernia presented with three days of left-sided groin pain worsened with exertion and fatigue. The patient was afebrile but tachycardic, and physical examination revealed a tender, erythematous immobile bulge in his left groin.

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.