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 anatomical sites, including the iliac crest, anterior superior iliac spine (ASIS), anterior inferior iliac spine (AIIS), and ischial tuberosity [1, 2].

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. This study describes POCUS scans performed by U.S. IM residents rotating in LMICs to provide recommendations for curriculum development.

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, blinded, randomized observational study compares the image resolution (RES), detail (DET), and quality (IQ) acquired by a handheld ultrasound, the Butterfly iQ, and a mid-range mobile device, the Sonosite M-turbo US (SU), to evaluate their use as a shared resource. 

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 ED consults [2,3]. At this moment, a thorough cardiovascular evaluation cannot be accomplished only with physical examination. Valvular disease and systolic dysfunction diagnosis improve when evaluated with a physical exam along with cardiac ultrasound [4].

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 diagnoses in the emergency department (ED) [1]. POCUS is now being incorporated into medical student patient assessment curricula [2, 3]. Several studies have demonstrated the feasibility of medical students using POCUS and have included teaching multiple POCUS applications to medical students simultaneously [2,4,5]. However, there are few studies demonstrating medical students’ ability to accurately perform POCUS on pediatric patients and these studies have typically included one POCUS application taught at a time [6-9].

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.