scholarly journals 1041: ADVANCED POINT-OF-CARE ULTRASONOGRAPHY TRAINING FOR EMERGENCY PHYSICIANS IN GHANA

2021 ◽  
Vol 50 (1) ◽  
pp. 518-518
Author(s):  
Tierra Smith ◽  
Lindsay Beamon-Scott ◽  
Maxwell Osei-Ampofo ◽  
Torben Becker
Keyword(s):  
Point Of Care ◽  
Emergency Physicians ◽  
Point Of Care Ultrasonography

scholarly journals Point-of-care ultrasonography adoption in Canada: using diffusion theory and the Evaluation Tool for Ultrasound skills Development and Education (ETUDE)

CJEM ◽  
2014 ◽  
Vol 16 (05) ◽  
pp. 345-351 ◽  
Author(s):  
Michael Y. Woo ◽  
Jason R. Frank ◽  
A. Curtis Lee
Keyword(s):  
Diffusion Of Innovations ◽  
Diffusion Theory ◽  
Point Of Care ◽  
First Trimester ◽  
Skills Development ◽  
Emergency Physicians ◽  
Evaluation Tool ◽  
Diffusion Of Innovations Theory ◽  
Early Adopters ◽  
Point Of Care Ultrasonography

ABSTRACTObjective:Point-of-care ultrasonography (PoCUS) first appeared in the 1980s in North America, but the extent of the diffusion of its adoption is unknown. We characterized early PoCUS adoption by emergency physicians in Canada and its barriers to use using Rogers' diffusion of innovations theory.Methods:We developed a questionnaire based on a pilot study and literature review to assess past, current, and potential use of PoCUS and potential barriers to adoption. A Dillman technique for electronic surveys was used for dissemination. Using Rogers' diffusion of innovations theory, we developed and validated the Evaluation Tool for Ultrasound skills Development and Education (ETUDE). ETUDE scores allowed categorization of respondents into innovators, early adopters, majority, and nonadopters. Descriptive statistics, correlations, and x2statistics were used to analyze the data.Results:The 296 respondents (36.4% of 814 surveyed) had a median age of 40 and were 72.5% male. Adoption scores using ETUDE revealed nonadopters (18.8%), majority (28.7%), early adopters (34.5%), and innovators (18.0%). Respondents endorsed “always” using PoCUS currently and in the future for focused assessment with sonography in trauma (FAST) (current 41.8%/future 88.4%), first trimester pregnancy (current 23.3%/future 73.7%), suspected abdominal aortic aneurysm (current 32.7%/future 92.6%), basic cardiac indications (current 30.7%/future 87.5%), and central venous catheterization (current 17.0%/future 80.3%). Several barriers to PoCUS were identified for part-time emergency physicians and those working in inner-city/urban/suburban settings.Conclusion:This is the first study to determine the state of adoption and barriers to the introduction of PoCUS in Canadian emergency medicine practice. The novel validated ETUDE instrument should be used to evaluate the uptake of PoCUS over time.

scholarly journals Point-of-Care Ultrasonography by Pediatric Emergency Physicians

2015 ◽  
Vol 65 (4) ◽  
pp. 472-478 ◽  
Author(s):  
Jennifer R. Marin ◽  
Alyssa M. Abo ◽  
Stephanie J. Doniger ◽  
Jason W. Fischer ◽  
David O. Kessler ◽  
...  
Keyword(s):  
Point Of Care ◽  
Pediatric Emergency ◽  
Emergency Physicians ◽  
Point Of Care Ultrasonography

Point-of-care ultrasonography at the ED maximizes patient confidence in emergency physicians

2016 ◽  
Vol 34 (3) ◽  
pp. 657-659 ◽  
Author(s):  
Pierre-Géraud Claret ◽  
Xavier Bobbia ◽  
Sébastien Le Roux ◽  
Yann Bodin ◽  
Claire Roger ◽  
...  
Keyword(s):  
Point Of Care ◽  
Emergency Physicians ◽  
Point Of Care Ultrasonography ◽  
Patient Confidence

scholarly journals Emergency physicians performed Point-of-Care-Ultrasonography for detecting distal forearm fracture

2016 ◽  
Vol 16 (3) ◽  
pp. 98-101 ◽  
Author(s):  
Semra Sivrikaya ◽  
Ersin Aksay ◽  
Basak Bayram ◽  
Nese Colak Oray ◽  
Ahmet Karakasli ◽  
...  
Keyword(s):  
Point Of Care ◽  
Forearm Fracture ◽  
Distal Forearm ◽  
Emergency Physicians ◽  
Distal Forearm Fracture ◽  
Point Of Care Ultrasonography

Use of Point-of-Care Ultrasonography in Simulation-Based Advanced Cardiac Life Support Scenarios

2018 ◽  
Vol 5 (2) ◽  
pp. 53-60 ◽  
Author(s):  
Stephanie Cha ◽  
Allan Gottschalk ◽  
Erik Su ◽  
Adam Schiavi ◽  
Adam Dodson ◽  
...  
Keyword(s):  
Life Support ◽  
Point Of Care ◽  
Advanced Cardiac Life Support ◽  
Simulation Based ◽  
Point Of Care Ultrasonography

scholarly journals Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

2021 ◽  
Vol 14 (4) ◽  
pp. e242370
Author(s):  
Jiodany Perez ◽  
Stefani Sorensen ◽  
Michael Rosselli
Keyword(s):  
Emergency Department ◽  
Septic Arthritis ◽  
Glenohumeral Joint ◽  
Imaging Modality ◽  
Point Of Care ◽  
Significant Morbidity ◽  
Anchoring Bias ◽  
Septic Bursitis ◽  
Musculoskeletal Ultrasonography ◽  
Point Of Care Ultrasonography

Prompt recognition and treatment of septic arthritis are crucial to prevent significant morbidity and mortality in affected patients. During the current COVID-19 pandemic, anchoring bias may make an already challenging diagnosis like septic arthritis more difficult to diagnose quickly and efficiently. Musculoskeletal (MSK) point of care ultrasonography (POCUS) is an imaging modality that can be used to quickly and efficiently obtain objective findings that may help a clinician establish the diagnosis of septic arthritis. We report a case where MSK POCUS was a key element in establishing the diagnosis of glenohumeral joint septic arthritis and subdeltoid septic bursitis for a patient that presented to the emergency department with a fever during the era of the COVID-19 pandemic.

scholarly journals Point of Care Ultrasonography for Objective Assessment of Heart Failure: Integration of Cardiac, Vascular, and Extravascular Determinants of Volume Status

2021 ◽  
pp. 1-13
Author(s):  
Abhilash Koratala ◽  
Amir Kazory
Keyword(s):  
Heart Failure ◽  
Point Of Care ◽  
Objective Assessment ◽  
Prognostic Significance ◽  
Volume Status ◽  
Lung Water ◽  
Ultrasound Evaluation ◽  
Reliable Assessment ◽  
Poor Outcomes ◽  
Point Of Care Ultrasonography

<b><i>Background:</i></b> Lingering congestion portends poor outcomes in patients with heart failure (HF) and is a key target in their management. Studies have shown that physical exam has low yield in this setting and conventional methods for more precise assessment and monitoring of volume status (e.g., body weight, natriuretic peptides, and chest radiography) have significant inherent shortcomings. <b><i>Summary:</i></b> Point of care ultrasonography (POCUS) is a noninvasive versatile bedside diagnostic tool that enhances the sensitivity of conventional physical examination to gauge congestion in these patients. It also aids in monitoring the efficacy of decongestive therapy and bears prognostic significance. In this narrative review, we discuss the role of focused sonographic assessment of the heart, venous system, and extravascular lung water/ascites (i.e., the pump, pipes, and the leaks) in objective assessment of fluid volume status. <b><i>Key Messages:</i></b> Since each of the discussed components of POCUS has its limitations, a combinational ultrasound evaluation guided by the main clinical features would be the key to reliable assessment and effective management of congestion in patients with HF.

Emergency Physicians Performing Point-of-Care Lung Sonography to Diagnose Pneumonia: A Prospective Multicenter Study

2021 ◽  
pp. 875647932098324
Author(s):  
Mohammad Amin Zare ◽  
Mahtab Mizani ◽  
Azadeh Sameti ◽  
Alireza Bahmani ◽  
Marzieh Fathi
Keyword(s):  
Multicenter Study ◽  
Predictive Value ◽  
Point Of Care ◽  
Signs And Symptoms ◽  
Clinical Syndrome ◽  
Emergency Physicians ◽  
Prospective Multicenter Study ◽  
Lung Sonography ◽  
Ed Visits ◽  
Limited Accuracy

Objective: There has always been some issues in the accurate diagnosis of pneumonia, a common cause of emergency department (ED) visits and revisits, which is typically made based on the patient’s clinical syndrome. This is made more difficult due to the traditional chest radiography having limited accuracy. This prospective multicenter study was conducted to determine the diagnostic accuracy of a point-of-care lung sonography performed by emergency physicians for the diagnosis of pneumonia in an acute care setting. This was compared with chest computed tomography (CT), the diagnostic gold standard. Methods: ED patients who presented with signs and symptoms of pneumonia were eligible to enroll in the study. After enrollment, point-of-care lung sonography was performed on patients by emergency physicians who had passed a focused teaching course on lung sonographic findings of pneumonia. All enrolled patients were followed up. Patients who underwent a chest CT during their hospital admission course were finally included and analyzed. Results: Emergency physicians who performed a point-of-care lung sonography had a sensitivity of 100%, specificity of 75%, positive predictive value of 88.88%, negative predictive value of 100%, and an overall accuracy of 90% in the diagnosis of pneumonia. Conclusion: These emergency physicians could accurately diagnose pneumonia, with a point-of-care lung sonography, after completing a focused sonography course.

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