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https://www.readbyqxmd.com/read/28914287/certification-of-point-of-care-ultrasound-competency
#1
Nilam J Soni, David M Tierney, Trevor P Jensen, Brian P Lucas
No abstract text is available yet for this article.
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28914285/hospital-medicine-point-of-care-ultrasound-credentialing-an-example-protocol
#2
Benji K Mathews, Michael Zwank
Though the use of point-of-care ultrasound (POCUS) has increased over the last decade, formal hospital credentialing for POCUS may still be a challenge for hospitalists. This document details the Hospital Medicine Department Ultrasound Credentialing Policy from Regions Hospital, which is part of the HealthPartners organization in Saint Paul, Minnesota. National organizations from internal medicine and hospital medicine (HM) have not published recommended guidelines for POCUS credentialing. Revised guidelines for POCUS have been published by the American College of Emergency Physicians, though these are not likely intended to guide hospitalists when working with credentialing committees and medical boards...
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28911897/perioperative-point-of-care-ultrasound-in-pediatric-anesthesiology-a-case-series-highlighting-intraoperative-diagnosis-of-hemodynamic-instability-and-alteration-of-management
#3
Adam C Adler
No abstract text is available yet for this article.
April 19, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/28900520/first-year-medical-students-use-of-ultrasound-or-physical-examination-to-diagnose-hepatomegaly-and-ascites-a-randomized-controlled-trial
#4
Samantha Arora, Angela C Cheung, Usman Tarique, Arnav Agarwal, Mohammed Firdouse, Jonathan Ailon
PURPOSE: To compare point-of-care ultrasound and physical examination (PEx), each performed by first-year medical students after brief teaching, for assessing ascites and hepatomegaly. Ultrasound and PEx were compared on: (1) reliability, validity and performance, (2) diagnostic confidence, ease of use, utility, and applicability. METHODS: A single-center, randomized controlled trial was performed at a tertiary centre. First-year medical students were randomized to use ultrasound or PEx to assess for ascites and hepatomegaly...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28900519/point-of-care-ultrasound-in-cardiopulmonary-resuscitation-a-concise-review
#5
REVIEW
Pablo Blanco, Carmen Martínez Buendía
Point-of-care ultrasound (POCUS) is a widely used tool in critical care areas, allowing for the performance of accurate diagnoses and thus enhancing the decision-making process. Every major organ or system can be safely evaluated with POCUS. In that respect, the utility of POCUS in cardiac arrest is gaining interest. In this article, we will review the actual role of ultrasound in cardiac arrest and the main POCUS protocols focused to this scenario as well as discuss the potential role of POCUS in monitoring the efficacy of the chest compressions...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28898139/point-of-care-ultrasound-its-growing-application-in-hospital-medicine
#6
Aidan Kingwill, Graham Barker, Adrian Wong
Point-of-care ultrasound is emerging as an important adjunct to the clinical examination. Ultrasonography has long been seen as a modality for experts but this is changing and it is hoped that, with appropriate training, point-of-care ultrasound will become a modern-day diagnostic necessity.
September 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28875864/pulmonary-embolism-with-cardiac-arrest-a-stemi-patient-s-unexpected-course
#7
Zoë Piggott, Tomislav Jelic
We describe the successful use and complications of bolus-dose alteplase to treat strongly suspected pulmonary embolism (PE) with cardiac arrest in a patient initially presenting as ST-elevation myocardial infarcation (MI). Case description is followed by a review of the indications, safety, and dosing of systemic thrombolytic therapy for high-risk PE in the emergency department (ED). Diagnostic and therapeutic approach to PE in critically ill patients is also considered, including the potential utility of point-of-care ultrasound (PoCUS) in the ED...
September 6, 2017: CJEM
https://www.readbyqxmd.com/read/28875125/ultrasound-diagnosis-of-fractures-in-mass-casualty-incidents
#8
EDITORIAL
Fikri M Abu-Zidan
The role of point-of-care ultrasound in mass casualty incidents (MCIs) is still evolving. Occasionally, hospitals can be destroyed by disasters resulting in large number of trauma patients. CAVEAT and FASTER ultrasound protocols, which are used in MCIs, included extremity ultrasound examination as part of them. The literature supports the use of ultrasound in diagnosing extremity fractures both in hospitals and MCIs. The most recent systematic review which was reported by Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and specificity for detecting distal forearm fractures was 97% and 95% respectively...
August 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28851498/point-of-care-ultrasound-leads-to-diagnostic-shifts-in-patients-with-undifferentiated-hypotension
#9
Hamid Shokoohi, Keith S Boniface, Michelle Zaragoza, Ali Pourmand, James P Earls
OBJECTIVE: To assess the impact of an ultrasound hypotension protocol in identifying life-threatening diagnoses that were missed in the initial evaluation of patients with hypotension and shock. METHODS: A subset of cases from a previously published prospective study of hypotensive patients who presented at the Emergency Department in a single, academic tertiary care hospital is described. An ultrasound-trained emergency physician performed an ultrasound on each patient using a standardized hypotension protocol...
August 26, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28845599/paediatric-emergency-medicine-point-of-care-ultrasound-fundamental-or-fad
#10
Peter J Snelling, Mark Tessaro
No abstract text is available yet for this article.
August 28, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28845488/is-point-of-care-ultrasound-pocus-integrated-in-clinical-exam-a-key-tool-for-the-future-emergency-physician
#11
EDITORIAL
https://www.readbyqxmd.com/read/28837134/clinician-performed-ultrasound-in-fetal-growth-restriction-fetal-neonatal-and-pediatric-aspects
#12
A Sehgal, F Crispi, M R Skilton, W-P de Boode
Fetal growth restriction (FGR) affects 7-10% pregnancies. Conventional and tissue Doppler imaging has noted cardiac compromise during fetal and early neonatal periods in this cohort. In this article, we discuss the use of salient ultrasound parameters across age groups. During fetal life, certain feto-placental sonographic parameters have been linked to adverse perinatal outcomes and are predictive of later life hypertension. During the early postnatal period altered morphometry (hypertrophied and globular hearts) with sub-clinical impairment of cardiac function has been noted in both term and preterm infants with FGR...
August 24, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28806175/point-of-care-ultrasound-facilitated-detection-of-femoral-occlusive-septic-emboli-during-mitral-valve-surgery-a-case-report
#13
Melissa L Bellomy, Susan Eagle, Mias Pretorius, Ben R Barton, Yafen Liang
Acute lower extremity ischemia from septic emboli is a surgical emergency. Timely diagnosis and management are critical to improve patient outcome. However, traditional diagnostic modalities such as intraoperative angiogram are time-consuming, require special equipment and personnel, and introduce contrast exposure for critically ill patients. There are limited reports of utilization of point-of-care ultrasound to detect peripheral septic emboli. We present a case where femoral occlusive septic emboli were identified by point-of-care ultrasound after mitral valve replacement...
August 10, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28796651/ultrasound-assisted-reduction-of-displaced-and-shortened-fractures-by-pediatric-emergency-physicians
#14
Eric Scheier, Uri Balla
Pediatric emergency physicians at Kaplan Medical Center regularly reduce forearm fractures under point-of-care ultrasound guidance in the pediatric emergency department. We present 3 children who arrived at our department with shortened, angulated forearm fractures within the span of a single week. We report on the successful reduction of these fractures under point-of-care ultrasound and on the maintenance of anatomic alignment at follow-up 1 week postreduction.
September 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28780235/dilated-right-coronary-sinus-identified-on-point-of-care-ultrasound
#15
Damali Nakitende, Michael Gottlieb
Point-of-care cardiac ultrasound (POCUS) is a common application in Emergency Medicine. Here we present a case of an incidentally discovered dilated right coronary sinus on ultrasound. This case involved a 55-year-old female who presented with chest pain, shortness of breath, and lightheadedness. Her initial presentation was concerning for congestive heart failure (CHF) exacerbation. A bedside ultrasound was performed to assess cardiac function, where a dilated right coronary sinus was discovered. The right coronary sinus is the vein that serves as the venous return for the coronary system...
July 29, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28777271/point-of-care-ultrasound-in-acute-neonatal-ascites
#16
Sriram Ramgopal, Stefan Scholz, Jennifer R Marin
We present a 4-week-old neonate with acute onset of bloody stools and abdominal distention. Point-of-care ultrasound performed in the emergency department allowed for rapid diagnosis of a large amount of free intra-abdominal fluid, which together with the physical findings, prompted emergent operative exploration revealing chylous ascites. Although no areas of active volvulus were identified intraoperatively, findings in the case were suggestive of small bowel volvulus and deemed as the most likely etiology for this patient's presentation...
August 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28777270/point-of-care-ultrasound-identification-of-an-abdominal-hernia
#17
Michael Alfonzo, Anna von Reinhart, Antonio Riera
Pediatric emergency medicine physicians may be able to use point-of-care ultrasound (POCUS) as a tool to evaluate abdominal wall masses. We present a case of a 2-month-old infant with a lower abdominal mass identified as a hernia sac by POCUS. It was initially thought to represent a Spigelian-type abdominal wall hernia but subsequently determined to be an unusual presentation of an inguinal hernia with testicular entrapment. We review each of these diagnoses in addition to relevant POCUS findings.
August 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28776457/-validation-of-ultrasound-examinations-performed-by-general-practitioners
#18
Karsten Lindgaard, Lars Riisgaard
OBJECTIVE: The aim of this study was to evaluate the diagnostic agreement when a general practitioner and subsequently a specialist (radiologist/gynecologist) performed point-of-care ultrasound examinations for certain abdominal and gynecological conditions of low to moderate complexity. DESIGN: A prospective study of inter-rater reliability and agreement. SETTING: Patients were recruited and initially scanned in general practice. The validation examinations were conducted in a hospital setting...
September 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28771407/imaging-strategies-for-suspected-acute-cranial-shunt-failure-a-cost-effectiveness-analysis
#19
COMPARATIVE STUDY
Jay Pershad, Andrew Taylor, M Kennedy Hall, Paul Klimo
OBJECTIVES: We compared cost-effectiveness of cranial computed tomography (CT), fast sequence magnetic resonance imaging (fsMRI), and ultrasonography measurement of optic nerve sheath diameter (ONSD) for suspected acute shunt failure from the perspective of a health care organization. METHODS: We modeled 4 diagnostic imaging strategies: (1) CT scan, (2) fsMRI, (3) screening ONSD by using point of care ultrasound (POCUS) first, combined with CT, and (4) screening ONSD by using POCUS first, combined with fsMRI...
August 2017: Pediatrics
https://www.readbyqxmd.com/read/28763407/point-of-care-ultrasound-diagnosis-of-multiple-mandibular-fractures-in-an-adolescent-presenting-to-the-pediatric-emergency-department
#20
Nathan Zapolsky, Ivan Joseph Zapolsky, Czer Anthoney Lim
We present a case of an adolescent patient with multiple mandibular fractures diagnosed by point-of-care ultrasound in the pediatric emergency department. Sonographic findings consistent with fracture were identified in our patient, and early consultation expedited interdepartmental coordination and disposition. The role of ultrasound in identifying various traumatic orthopedic and maxillofacial injuries is discussed.
August 1, 2017: Pediatric Emergency Care
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