Small parts ultrasound

2019 ◽  
pp. 157-168
Author(s):  
Michael Rubin ◽  
Brandon Ritcey ◽  
Michael Y Woo
Keyword(s):  
Emergency Medicine ◽  
Retinal Detachment ◽  
Thyroid Gland ◽  
Testicular Torsion ◽  
Wide Spectrum ◽  
Timely Fashion ◽  
Small Parts

Small parts ultrasound is the use of PoCUS to evaluate many of the superficial organs such as the eyes, testes, and thyroid gland, among others. Patients presenting with eye complaints display a wide spectrum of pathology, from benign conditions to serious pathology that, if not recognized and treated in a timely fashion, can result in severe sequelae. In emergency medicine, scanning the orbital contents for ophthalmic emergencies, such as retinal detachment, as well as the scrotum and testes for conditions such as testicular torsion are commonly used small parts PoCUS indications.

scholarly journals A New Tool for Testing and Training Ophthalmoscopic Skills

2012 ◽  
Vol 4 (1) ◽  
pp. 92-96 ◽  
Author(s):  
Danielle M. McCarthy ◽  
Heather R. Leonard ◽  
John A. Vozenilek
Keyword(s):  
Emergency Medicine ◽  
Simulation Model ◽  
User Satisfaction ◽  
Clinical Skill ◽  
Ease Of Use ◽  
Timely Fashion ◽  
Proficiency Assessment ◽  
Mean Time ◽  
And Training ◽  
Fundoscopic Examination

Abstract Introduction The direct fundoscopic examination is an important clinical skill, yet the examination is difficult to teach and competency is difficult to assess. Currently there is no defined proficiency assessment for this physical examination, and the objective of this study was to assess the feasibility of a simulation model for evaluating the fundoscopic skills of residents. Methods Emergency medicine and ophthalmology residents participated in simulation sessions using a commercially available eye simulator that was modified with customized slides. The slides were designed with the goal of having a quantifiable measure of visualization in addition to a more traditional descriptive outcome. To assess feasibility, participants' ease of use, time to perform the examination, and user satisfaction were assessed. Results The simulation could be completed in a timely fashion (mean time per slide, 61–95 seconds), and there were no significant differences in performance between emergency medicine and ophthalmology residents in completion of this task. Residents expressed an interest in fundoscopy through simulation but found this model technically challenging. Conclusions This simulation model has potential as a means of training and testing fundoscopy. A concern was low user satisfaction, and further refinement of the model is needed.

scholarly journals Study of drug utilization pattern in emergency medicine ward at a tertiary care teaching hospital

2017 ◽  
Vol 6 (4) ◽  
pp. 868 ◽  
Author(s):  
Mamatha V. ◽  
Parashivamurthy B. M. ◽  
Suneetha D. K.
Keyword(s):  
Emergency Medicine ◽  
Drug Utilization ◽  
Wide Spectrum ◽  
Tertiary Care ◽  
Utilization Pattern ◽  
Essential Drug ◽  
Essential Drug List ◽  
Drug List ◽  
Drug Utilization Studies ◽  
Emergency Medicine Ward

Background: The emergency department represents an important platform for conducting drug utilization studies as patients present with a wide spectrum of diseases in acute form. An irrational prescription adversely affects the prognosis and recovery of patients. Hence, the objective of our study was to evaluate the drug utilization pattern and to determine the rationality of prescription using WHO prescribing indicators in emergency medicine ward.Methods: After obtaining Institutional Ethical Committee approval, a prospective observational study was conducted over 2 months. The case records of 150 patients admitted to the emergency medicine ward, with a hospital stay of more than 24hrs were reviewed to analyze the prescription pattern during the initial 48hrs of admission. Case records of patients irrespective of age, sex and diagnosis were included in the study. Descriptive statistics were used to analyze the results (SPSS version 20).Results: A total of 1014 drugs were prescribed from 150 case records with a mean age of 47±18 years. An average of 6.76 drugs was prescribed per prescription; percentage of encounters with at least an antimicrobial was 115 (76.66%). Injections were prescribed in all patients (100%) and only 416 (41.02%) drugs were prescribed by generic name and 657 (64.79%) drugs abided to the WHO essential drug list. Majority of patients received anti-ulcerogenic drugs followed by antimicrobials.Conclusions: There was a tendency of polypharmacy with overuse of PPIs and antimicrobials. There is need to rationalize the drug therapy in terms of increasing prescription of drugs from essential drug list by generic name.

scholarly journals Point-of-care ultrasonography for the diagnosis of testicular torsion: a practical resident curriculum

2021 ◽  
Vol 64 (2) ◽  
Author(s):  
Leandra Stringer ◽  
Sarah Cocco ◽  
Alex Jiang ◽  
Ernest Pang Chan ◽  
Frank Myslik ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Testicular Torsion ◽  
Point Of Care ◽  
Modified Delphi ◽  
Likert Score ◽  
Hands On ◽  
Before And After ◽  
Point Of Care Ultrasonography ◽  
Teaching Modules ◽  
Didactic Curriculum

Background: Prompt Doppler ultrasonography to aid in diagnosis is often key to managing testicular torsion, but there may be delays in access; a faster, more widely available alternative is point-of-care ultrasonography (POCUS). The purpose of this study was to develop and evaluate a scrotal POCUS curriculum for urology and emergency medicine residents. Methods: Content experts in urology, emergency medicine and diagnostic imaging collaborated in a modified Delphi method to design a practical didactic curriculum for scrotal POCUS for the identification of testicular torsion. Training included 3 online video teaching modules and a 1-hour hands-on teaching session with standardized adult patients. We evaluated participants’ competency in scrotal POCUS using a validated scale. We assessed participants’ knowledge, comfort and confidence in performing scrotal POCUS before and after the intervention and at 3 months. Results: Twenty-four urology (n = 12) and emergency medicine (n = 12) residents participated in the curriculum. After hands-on practice, 23 participants (96%) were deemed competent at scrotal POCUS. Pre–post testing showed significant improvement in knowledge (mean score 63% v. 80%, p < 0.001), comfort (mean Likert score 0.6 v. 3.6, p < 0.001) and confidence (mean Likert score 1.0 v. 2.1, p < 0.001) after the intervention. These effects were maintained at the 3-month assessment. Conclusion: The scrotal POCUS curriculum was effective and acceptable to both urology and emergency medicine residents. The findings suggest that scrotal POCUS can be learned effectively through a short hands-on session and didactic instruction.

Amputee rehabilitation

2019 ◽  
pp. 615-642
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Elderly Patient ◽  
Vascular Disease ◽  
Multidisciplinary Team ◽  
Lower Limb ◽  
Wide Spectrum ◽  
Limb Deformity ◽  
Medical Comorbidities ◽  
Multidisciplinary Assessment ◽  
Timely Fashion ◽  
Amputee Rehabilitation

Amputee rehabilitation involves the multidisciplinary assessment of all amputees and the resultant advice and therapy delivered. It is essential that treatment is delivered in a patient-centred manner and timely fashion. Amputee rehabilitation includes patients over a wide spectrum of ages—from a baby born with an upper or lower limb deformity or deficiency to an elderly patient with vascular disease and multiple medical comorbidities. Amputee rehabilitation is no longer concerned with only patients who are suitable for limb fitting. It is inclusive of all amputees and the specialist amputee multidisciplinary team should be able to provide valuable advice and therapy to all amputees

scholarly journals Computer-Based Simulation by Emergency Medicine Resident-Educator for Medical Students during the COVID-19 Pandemic

2021 ◽  
Vol 13 (2) ◽  
pp. 41-53
Author(s):  
Shu Fang Ho ◽  
Ming Jing Elizabeth Tan ◽  
Fatimah Lateef
Keyword(s):  
Emergency Medicine ◽  
Medical Students ◽  
Medical School ◽  
Wide Spectrum ◽  
Academic Medical Center ◽  
Role Playing ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Simulation Based ◽  
Computer Based

Today, residents in all disciplines are expected to be involved in not just educating themselves but in the education of others and peers as well. They are involved in a wide spectrum of teaching and instruction techniques such as case presentations, lectures, practical hands-on teaching, bedside clinical tutorials, informal discussions and simulation-based training. Simulation-based teaching has been playing an increasingly important role in both residency training as well as medical school curricula. In particular, it appeals to adult learners as it very task-driven and task-oriented, it allows for constant active engagement during role-playing in simulated scenarios and enables repetitive practice until a certain level of mastery or competency is achieved. The SingHealth residents training in emergency medicine have been collaborating with and engaging medical students from the Duke-NUS Graduate Medical School, as the two entities for a common Academic Medical Center. They share many collaborative projects and activities, research as well as educational training programmes. However, with the recent COVID-19 pandemic, both face-to-face medical teaching as well as simulation-based teaching proved to be challenging. One alternative is to move these teaching collaborations and programmes onto the online platform. This study describes the experience of emergency medicine resident-educators who conducted emergency medicine computer-based simulations (CBS) in collaboration with a group of medical students from the Duke-NUS Emergency Medicine Student Interest Group during the COVID-19 pandemic.

Testicular Torsion More Common at Puberty

2006 ◽  
Vol 40 (10) ◽  
pp. 42 ◽  
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Testicular Torsion
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