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Asteroid Hyalosis: A Mimicker of Vitreous Hemorrhage on Point of Care Ultrasound: A Case Report. 小行星水肿症：护理点超声波检查中玻璃体出血的假象：病例报告。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16391
Eniola C Gros, Lauren R Mccafferty
{"title":"Asteroid Hyalosis: A Mimicker of Vitreous Hemorrhage on Point of Care Ultrasound: A Case Report.","authors":"Eniola C Gros, Lauren R Mccafferty","doi":"10.24908/pocus.v8i2.16391","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16391","url":null,"abstract":"<p><p>Ocular point of care ultrasound (POCUS) can help make timely recognition of multiple emergent ocular conditions and differentiate these from more benign conditions. While asteroid hyalosis (AH) is benign, it can easily mimic the more potentially serious vitreous hemorrhage on ocular POCUS, as both consist of numerous echogenic opacities within the vitreous with a classic \"washing machine\" appearance with eye movement. However, asteroid hyalosis particles tend to be more discrete, hyperechoic, scintillating, and seen throughout the vitreous. Knowledge of this mimic and ability to recognize the subtle sonographic differences can help differentiate these disease processes, which can influence management and potentially disposition.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dissemination of a Pediatric Musculoskeletal POCUS Scoring System via Virtual Education: A Proof-of-Concept Study. 通过虚拟教育传播儿科肌肉骨骼 POCUS 评分系统：概念验证研究
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16229
Ysabella Esteban, Jackeline Rodriguez-Smith, Marie Tominna, Amy Cassedy, Arthur B Meyers, Michael Henrickson, Tracy V Ting, Patricia Vega-Fernandez
{"title":"Dissemination of a Pediatric Musculoskeletal POCUS Scoring System via Virtual Education: A Proof-of-Concept Study.","authors":"Ysabella Esteban, Jackeline Rodriguez-Smith, Marie Tominna, Amy Cassedy, Arthur B Meyers, Michael Henrickson, Tracy V Ting, Patricia Vega-Fernandez","doi":"10.24908/pocus.v8i2.16229","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16229","url":null,"abstract":"<p><p>Point of care pediatric musculoskeletal POCUS scanning and scoring protocols for childhood arthritis have emerged in recent years. However, pediatric musculoskeletal POCUS curricula in rheumatology fellowship programs are limited due to availability of trained faculty and resources. This proof-of-concept study investigated the effectiveness of educational methods for a pediatric musculoskeletal POCUS scoring protocol among fellows and physicians of differing subspecialties. Educational methods assessed included recorded videos and virtual review sessions. Effectiveness was assessed by calculating interrater reliability for the musculoskeletal POCUS scoring systems using the intra-class correlation coefficient (ICC). Following training sessions, participants then underwent scoring exercise(s) until the goal of an excellent ICC ≥ 0.75 was reached. Four participants completed two rounds of virtual education, review, and scoring sessions. Excellent interrater reliability was achieved for most views. This proof-of-concept study demonstrated virtual education covering advanced concepts of pediatric musculoskeletal POCUS provides a knowledge base for physicians from different subspecialties and various experience.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"146-152"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rekindling the Relevance of Obstetrical Transvaginal POCUS: Overcoming Barriers to Ensure Patient-Centered Care. 重新激发产科经阴道 POCUS 的相关性：克服障碍，确保以患者为中心的护理。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16855
Alexis Salerno, Resa E Lewiss
{"title":"Rekindling the Relevance of Obstetrical Transvaginal POCUS: Overcoming Barriers to Ensure Patient-Centered Care.","authors":"Alexis Salerno, Resa E Lewiss","doi":"10.24908/pocus.v8i2.16855","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16855","url":null,"abstract":"","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"106-108"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Twinkle Artifact Observed During POCUS of a Human Myiasis Caused by the Dermatobia hominisBotfly. 在 POCUS 观察到的由 Dermatobia hominisBotfly 引起的人类 Myiasis 闪烁假象。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16712
David Jerome, Matthew Stacey, Joseph Newbigging
{"title":"Twinkle Artifact Observed During POCUS of a Human Myiasis Caused by the <i>Dermatobia hominis</i>Botfly.","authors":"David Jerome, Matthew Stacey, Joseph Newbigging","doi":"10.24908/pocus.v8i2.16712","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16712","url":null,"abstract":"<p><p>An 81-year-old man presented to urgent care for assessment of an area of erythema and tenderness on his right thigh after recent travel to Belize. Point of care ultrasound (POCUS) revealed a hyperechoic structure with acoustic shadowing in the subcutaneous tissue. Colour Doppler assessment of the structure produced a twinkle artifact. The structure was removed and pathology identified the object as a <i>Dermatobia hominis</i> larva (human botfly). The use of POCUS helped identify and localize the subcutaneous foreign body. The use of colour Doppler produced the twinkle artifact, which has not been previously reported as a finding produced during ultrasonographic assessment of botfly larvae.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"142-145"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Type A Aortic Dissection Diagnosed by POCUS in a 29-year-old Man. 一名 29 岁男子通过 POCUS 诊断出急性 A 型主动脉夹层。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16533
Vladimir Cárdenas López, Pablo Blanco
{"title":"Acute Type A Aortic Dissection Diagnosed by POCUS in a 29-year-old Man.","authors":"Vladimir Cárdenas López, Pablo Blanco","doi":"10.24908/pocus.v8i2.16533","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16533","url":null,"abstract":"<p><p>Aortic dissection (AD) is a medical emergency with a poor prognosis if not recognized early and treated promptly. In this setting, clinical data may be equivocal, while electrocardiogram, laboratory tests, and chest radiography often show nonspecific findings. In contrast, cardiac point of care ultrasound (POCUS) has proven useful in the diagnosis and detection of complications of AD. We present the case of a 29-year-old man with marfanoid habitus presenting with chest pain and acute heart failure, in whom cardiac POCUS aided in the rapid diagnosis of type A AD and pulmonary edema. POCUS contributed to optimizing the medical treatment and allowed for early activation of the surgical team.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"118-120"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10700150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Phantom Scanning in Cardiac Arrest and Trauma Resuscitations: The Scary Truth. 心脏骤停和外伤复苏中幻影扫描的普遍性：可怕的真相
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16690
Zachary Boivin, Curtis Xu, Donias Doko, Meghan Kelly Herbst, Trent She
{"title":"Prevalence of Phantom Scanning in Cardiac Arrest and Trauma Resuscitations: The Scary Truth.","authors":"Zachary Boivin, Curtis Xu, Donias Doko, Meghan Kelly Herbst, Trent She","doi":"10.24908/pocus.v8i2.16690","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16690","url":null,"abstract":"<p><p><b>Background:</b> The prevalence of phantom scanning, or point of care ultrasound (POCUS) performed without saving images, has not been well studied. Phantom scanning can negatively affect patient care, reduce billed revenue, and can increase medicolegal liability. We sought to quantify and compare the prevalence of phantom scanning among emergency department (ED) cardiac arrests and trauma resuscitations. <b>Methods:</b> This was a single center, retrospective cohort study from July 1, 2019, to July 1, 2021, of all occurrences of POCUS examination documented on the resuscitation run sheet during cardiac arrest and trauma resuscitations. Two investigators reviewed the run sheets to screen for POCUS documentation. Instances where documentation was present were matched with saved images in the picture archiving and communication system. Instances where documentation was present but no images could be located were considered phantom scans. A two-tailed student's t test was utilized to compare the phantom scanning rate between cardiac arrest and trauma resuscitations. <b>Results:</b> A total of 1,862 patients were included in the study period, with 329 cardiac arrests and 401 trauma resuscitations having run sheet documentation of POCUS performance. The phantom scanning rate in cardiac arrests and trauma resuscitations was 70.5% (232/329) and 86.5% (347/401), respectively (p < 0.001). <b>Conclusion:</b> Phantom scanning is common in both cardiac arrests and trauma resuscitations in the ED at our institution, but is significantly higher in trauma resuscitations. Further research is needed to assess causes and develop potential solutions to reduce the high prevalence of phantom scanning.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"217-222"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of POCUS in Assessing an Acute Aortic Thrombus. POCUS 在评估急性主动脉血栓中的作用。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16480
Zachary Boivin, Emily Mensel, Trent She
{"title":"Role of POCUS in Assessing an Acute Aortic Thrombus.","authors":"Zachary Boivin, Emily Mensel, Trent She","doi":"10.24908/pocus.v8i2.16480","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16480","url":null,"abstract":"<p><p>A 67-year-old female patient presented with abdominal pain with a recent diagnosis of paroxysmal atrial fibrillation. Computed tomography (CT) of the abdomen demonstrated a filling defect concerning for an aortic thrombus. Point of care ultrasound (POCUS) confirmed a mobile thrombus in the proximal abdominal aorta in close proximity to several major arterial branches, leading to urgent surgical consultation due to a concern for mesenteric and end-organ ischemia. POCUS played a role in determining patient management in this novel case, and the patient was anticoagulated and ultimately discharged from the hospital.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"129-131"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Importance of Serial POCUS Exams - Dual Pathologies in Play. 系列 POCUS 检查的重要性--双重病理在起作用。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16595
Rahul Nair, Jonathan Zuo, Ariel L Shiloh
{"title":"The Importance of Serial POCUS Exams - Dual Pathologies in Play.","authors":"Rahul Nair, Jonathan Zuo, Ariel L Shiloh","doi":"10.24908/pocus.v8i2.16595","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16595","url":null,"abstract":"<p><p>Serial point of care ultrasound (POCUS) exams are essential to assess acute pericardial effusions which can rapidly evolve into cardiac tamponade. A typical presentation includes dyspnea, tachycardia, and chest pain. Importantly, serial cardiac exams in such high-risk patients can detect other concurrent pathologies. We present an unusual case of a patient who initially presented with an acute circumferential pericardial effusion and upon serial POCUS exams developed an unexpected Takotsubo cardiomyopathy in the setting of cardiac tamponade.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"124-125"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Troubleshooting Paracentesis Using POCUS. 使用 POCUS 解决胎盘穿刺术的故障。
POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16265
Angelina Voronina, Nachelle Aurelien, Edward Bergin, Paula Roy-Burman
{"title":"Troubleshooting Paracentesis Using POCUS.","authors":"Angelina Voronina, Nachelle Aurelien, Edward Bergin, Paula Roy-Burman","doi":"10.24908/pocus.v8i2.16265","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16265","url":null,"abstract":"<p><p>Paracentesis is a procedure routinely performed at the bedside in the evaluation and management of ascites. While point of care ultrasound (POCUS) assistance during paracentesis is known to reduce the risk of procedure-related complications, intraprocedural POCUS to overcome commonly occurring issues, such as obstructed flow through the centesis catheter, remain poorly described. In this report, we present two cases in which bowel adhered to the catheter during paracentesis. POCUS was used in an attempt to restore flow. Based on our literature review and procedural experience, we propose an algorithm to surmount this routinely encountered problem.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 2","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recommendations for POCUS Curriculum in Canadian Undergraduate Medical Education: Consensus from the Inaugural Seguin Canadian POCUS Education Conference. 加拿大本科医学教育中的 POCUS 课程建议：首届 Seguin 加拿大 POCUS 教育会议达成的共识。
POCUS journal Pub Date : 2023-04-26 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i1.16153
Sacha Weill, Daniel Armand Picard, Daniel J Kim, Michael Y Woo
{"title":"Recommendations for POCUS Curriculum in Canadian Undergraduate Medical Education: Consensus from the Inaugural Seguin Canadian POCUS Education Conference.","authors":"Sacha Weill, Daniel Armand Picard, Daniel J Kim, Michael Y Woo","doi":"10.24908/pocus.v8i1.16153","DOIUrl":"10.24908/pocus.v8i1.16153","url":null,"abstract":"<p><p>Point of care ultrasound (POCUS) in Canadian undergraduate medical education (UGME) is limited. To address this paucity, the inaugural Seguin Canadian POCUS Education Conference hosted 14 of the 17 Canadian medical schools to develop a list of recommendations for POCUS education in Canadian UGME. Attending schools were divided into delegations consisting of a pre-clerkship student, a clerkship student and a staff physician. Recommendations were developed via a modified consensus development panel. Delegations submitted school-specific POCUS education summary documents for roundtable discussions, which yielded an initial set of recommendations. These were then summarized in a large group setting and voted upon for adoption with an a priori agreement threshold of 80%. Conference attendees developed 14 recommendations which 87% of participants agreed to adopt. Conference recommendations reflect the opinions of Canadian trainees and POCUS education experts thus serving as a framework for UGME POCUS education in Canada.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"8 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9798988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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