scholarly journals Patient Care in Emergency and Critical Care Medicine: An Interview with Dr. Robert Arntfield

2021 ◽  
Author(s):  
Brintha Sivajohan ◽  
Himani Dhar
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Health Sciences ◽  
Medical Director ◽  
Critical Care Medicine ◽  
Point Of Care Ultrasound ◽  
Trauma Unit ◽  
London Health ◽  
Critical Care Ultrasonography ◽  
Canadian Healthcare

Dr. Robert Arntfield is a critical care intensivist and traumatologist at London Health Sciences Center where he also acts as the medical director of the Critical Care Trauma Unit. Originally interested in emergency medicine, he then carved his pathway to enter the realm of critical care. Dr. Arntfield is a world-renowned expert in critical care ultrasonography and lectures globally on the topic. He is currently working in collaboration with multiple artificial intelligence and technology companies to advance the applications of Point-of-Care Ultrasound (POCUS). We had the opportunity to talk to Dr. Arntfield about the field of critical care medicine at LHSC, in Canadian healthcare, and the significance of the POCUS within the field.

scholarly journals Development and Validation of an Assessment Tool for Competency in Critical Care Ultrasound

2015 ◽  
Vol 7 (4) ◽  
pp. 567-573 ◽  
Author(s):  
Paru Patrawalla ◽  
Lewis Ari Eisen ◽  
Ariel Shiloh ◽  
Brijen J. Shah ◽  
Oleksandr Savenkov ◽  
...  
Keyword(s):  
Critical Care ◽  
Delphi Method ◽  
Assessment Tool ◽  
Point Of Care ◽  
Critical Care Medicine ◽  
Competency Assessment ◽  
Point Of Care Ultrasound ◽  
Modified Delphi Method ◽  
Modified Delphi ◽  
Critical Care Ultrasound

ABSTRACT Background Point-of-care ultrasound is an emerging technology in critical care medicine. Despite requirements for critical care medicine fellowship programs to demonstrate knowledge and competency in point-of-care ultrasound, tools to guide competency-based training are lacking. Objective We describe the development and validity arguments of a competency assessment tool for critical care ultrasound. Methods A modified Delphi method was used to develop behaviorally anchored checklists for 2 ultrasound applications: “Perform deep venous thrombosis study (DVT)” and “Qualify left ventricular function using parasternal long axis and parasternal short axis views (Echo).” One live rater and 1 video rater evaluated performance of 28 fellows. A second video rater evaluated a subset of 10 fellows. Validity evidence for content, response process, and internal consistency was assessed. Results An expert panel finalized checklists after 2 rounds of a modified Delphi method. The DVT checklist consisted of 13 items, including 1.00 global rating step (GRS). The Echo checklist consisted of 14 items, and included 1.00 GRS for each of 2 views. Interrater reliability evaluated with a Cohen kappa between the live and video rater was 1.00 for the DVT GRS, 0.44 for the PSLA GRS, and 0.58 for the PSSA GRS. Cronbach α was 0.85 for DVT and 0.92 for Echo. Conclusions The findings offer preliminary evidence for the validity of competency assessment tools for 2 applications of critical care ultrasound and data on live versus video raters.

Introduction and clinical scenarios

2019 ◽  
pp. 1-32
Author(s):  
Paul Atkinson ◽  
Bob Jarman ◽  
Tim Harris ◽  
Rip Gangahar ◽  
David Lewis ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Clinical Skills ◽  
Point Of Care ◽  
Clinical Care ◽  
Critical Care Medicine ◽  
Everyday Practice ◽  
Point Of Care Ultrasound ◽  
Clinical Scenarios ◽  
Clinical Questions

Point-of-Care Ultrasound in Emergency Medicine and Resuscitation provides a curriculum-based guide to the integration of ultrasound into everyday practice for clinicians in emergency medicine and critical care medicine and for resuscitation. In addition to describing commonly used protocols, we focus on how ultrasound can be used to help to answer specific clinical questions and provide guidance for procedures at the point of care, augmenting traditional clinical skills. This chapter introduces the general concepts of using ultrasound at the bedside, describes how to use point-of-care ultrasound (PoCUS), and provides clinical scenarios as examples of where PoCUS can improve clinical care.

scholarly journals A focus on POCUS

2017 ◽  
Vol 86 (1) ◽  
pp. 40-41
Author(s):  
Alice Yi ◽  
Dino D'Andrea
Keyword(s):  
New York ◽  
Emergency Medicine ◽  
New York City ◽  
Critical Care ◽  
Intensive Care ◽  
Emergency Physician ◽  
Point Of Care ◽  
Health Sciences ◽  
Trauma Medicine ◽  
London Health

Dr Rob Arntfield is a trained emergency physician, intensivist, and traumatologist here at London Health Sciences Centre (LHSC). Passionate about the use of ultrasonography and teaching, Dr Arntfield co-authored Point of Care Ultrasound1 (POCUS), which was published in 2014. A self-described London “townie”, he attended Western for medical school and continued in his hometown for a double emergency medicine and intensive care residency before pursuing a fellowship in New York City. We sat down with Dr Arntfield to discuss his work in critical care, trauma, and the rise of POCUS in trauma medicine.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

Paediatric ultrasound

2019 ◽  
pp. 217-224
Author(s):  
Jason Fischer ◽  
Lianne McLean
Keyword(s):  
Critical Care ◽  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Imaging Modality ◽  
Point Of Care ◽  
Adult Patients ◽  
Point Of Care Ultrasound ◽  
Lung Pathology ◽  
Skull Fractures ◽  
Body Habitus

This chapter highlights the increasing use of point-of-care ultrasound (PoCUS) in children. The size and body habitus of infants and children are often ideal for sonographic visualization and make PoCUS an ideal imaging modality for paediatric patients. PoCUS applications that have been traditionally used for adult patients are increasingly being adopted for the care of children. Paediatric-specific applications are also being developed for problems common and unique to paediatrics. Focused abdominal scans for appendicitis, intussusception, and pyloric stenosis are now frequently used in patients presenting with abdominal pain or vomiting. PoCUS can differentiate lung pathology and is helpful in the assessment of suspected skull fractures in non-verbal infants. Ongoing integration of PoCUS into shock, trauma, and triage algorithms support its increasing role in paediatric emergency and critical care.

Impact of Critical Care Point-of-Care Ultrasound Short-Courses on Trainee Competence

2019 ◽  
Vol 47 (9) ◽  
pp. e782-e784 ◽  
Author(s):  
Arvind Rajamani ◽  
Michelle Miu ◽  
Stephen Huang ◽  
Henry Elbourne-Binns ◽  
Florian Pracher ◽  
...  
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Short Courses ◽  
Trainee Competence
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