POCUS - Point-of-Care Ultrasound: Advanced Physical Examination

Use of point-of-care ultrasound (POCUS) by emergency physicians for general surgical patients in resuscitation room

Patients and methods Patients having general surgical presentation (i.e. excluding patients with neurosurgical, urological or cardiothoracic chief complaints) who attended Emergency Department of Prince of Wales Hospital, and triaged as category I or II (emergency or urgent) were included. The inclusion period was from Sep 2012 to Mar 2013. Patients’ clinical records were retrieved. Documented ...

Intraoperative use of point of care ultrasonography (POCUS) for stat cesarean delivery with refractory hypoxemia

A 30-year-old female at 24 weeks gestation presented with headache, hypertension and blurry vision. She was diagnosed with pre-eclampsia on chronic hypertension. An obstetrical emergency was called due to fetal heart rate decreasing to a nadir of 40bpm and the patient was taken for an emergent cesarean delivery. Prior to induction of anesthesia, the SpO2 was 92%. A rapid sequence induction was ...

Emergency Ultrasound: Point-of-care Ultrasound in Emergency Medicine.

medical students deserve training in active listening and counseling before they encounter patients in distress. At the Alpert medical school of Brown university we created and evaluated a workshop that trains first-year medical students to assess patients’ emotional states and express empathy in an efficient and effective manner. using second-year students as near-peer facilitators, we integra...

Point of care or clinical ultrasound?

Point-of-care ultrasonography improves the diagnosis of splenomegaly in hospitalized patients

BACKGROUND It is important to detect splenomegaly as it can have important diagnostic implications. Previous studies, however, have shown that the traditional physical examination is limited in its ability to rule in or rule out splenomegaly. OBJECTIVE To determine if performing point-of-care ultrasonography (POCUS) in addition to the traditional physical examination improves the sensitivity ...