Publications by authors named "Charles Rappaport"
Background: Point-of-care ultrasound (POCUS) has become a mainstay in the evaluation of critically ill patients in the intensive care unit (ICU). ECMO patients are susceptible to complications during prolonged ICU stay, including cannula malposition, which has deleterious consequences. Although the literature surrounding utility of ultrasound on ECMO patients is expansive, direct comparison between radiographic imaging versus ultrasound for identification of cannula malposition is lacking.
View Article and Find Full Text PDFPurpose: Point-of-care ultrasound (POCUS) is highly utilized in the critical care setting. There is also growing evidence supporting use of POCUS by internal medicine (IM) physicians as an extension of traditional physical diagnostic skills. As part of the newly formed curriculum at our residency program, we performed pre and post curriculum assessment of the residents' ability to acquire focused cardiac, lung, pleural, abdominal and vascular images.
View Article and Find Full Text PDFObjectives: To identify the time at which point of care ultrasound static image recognition and image acquisition skills decay in novice learners.
Setting: The University of Iowa Hospitals and Clinics.
Subjects: Twenty-four subjects (23 first-year medical students and one first-year physician assistant student).
Objective: Critically ill patients exhibit profound disturbances of circadian rhythmicity, most commonly in the form of a phase delay. We investigated the specific zeitgeber properties of a medical intensive care unit to develop a model that explained these abnormalities.
Research Methodology: Prospective, observational study conducted during 2013-2014.