14,436 results match your criteria: "PJ; and Northwestern University Feinberg School of Medicine[Affiliation]"

Point of Care Ultrasound (POCUS) is used to evaluate many clinical scenarios. Chest POCUS has been integrated as a part of a clinical protocol to assess patients with lung pathology 1. The ability to detect pneumothorax using chest POCUS has been shown to be superior to chest radiography, with specificity reported to be as high as 100% when a lung point sign is identified.

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  • There is growing interest in using point of care ultrasound (POCUS) as a teaching tool in medical courses, particularly for cardiac anatomy and physiology; however, few studies have explored team-based learning (TBL) approaches for this topic.
  • This study introduced a novel TBL exercise called Team-Based Learning - Ultrasound (TBL-US) for first-year medical students, comprising phases such as preparation, team readiness, image acquisition, and knowledge assessment, facilitated by trained second-year students.
  • Results showed significant improvements in students’ knowledge of cardiac POCUS and cardiovascular content, with enhanced final exam scores for TBL-US participants compared to non-participants, indicating that this method effectively supports learning in preclinical medical education.
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Gait parameters and sarcopenia both predict falls risk among older adults. Our objective was to evaluate whether fast, easy-to-obtain measures of anterior thigh muscle by point of care ultrasound (POCUS) are significantly associated with standard gait measures. All subjects were referred from ambulatory geriatric medicine clinics at an academic center.

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Lung Point of Care Ultrasound (POCUS) strongly influences physiotherapy and respiratory therapy clinical decision-making in the intensive care unit (ICU). The uptake of Lung POCUS training by physiotherapists and respiratory therapists is low in some countries, often due to many barriers to its implementation. The safe and appropriate integration of Lung POCUS into physiotherapy and respiratory therapy clinical practice may be achieved by various means.

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Dengue fever is an arthropod-borne viral disease that is widespread throughout the world. We report a case of dengue cardiomyopathy that was detected and treated to best effect using point of care ultrasound (POCUS) and the VExUS score. A 75-year-old lady with no known comorbidities presented with a ten-day history of fever, vomiting, loose stool, and poor appetite.

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Earlier studies have proved deteriorating Glasgow Coma Scale (GCS) as a marker of raised intracranial pressure (ICP). Low GCS is associated with abnormal pupillary parameters. Currently, many studies have proved that ultrasound provides a feasible and objective assessment of pupillary light reflex.

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: Cardiac point of care ultrasound (POCUS) has been used with increasing frequency. As a result of this trend, this study sought to characterize cardiologists' perspectives on cardiac POCUS. An 18-question survey on demographics, cardiac POCUS clinical practice, education, and infrastructure was distributed by 16 academic medical centers.

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  • Point of care ultrasound (POCUS) is an essential skill for medical residents, but effectively teaching it requires structured support and understanding of how spaced learning impacts skill acquisition.
  • A study implemented just-in-time POCUS curricula during resident rotations and found significant improvements in personal and team POCUS usage and documentation habits among residents.
  • The findings highlight that personal use of POCUS is connected to team use, and co-learning among residents plays an important role in enhancing POCUS skills and teamwork.
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  • The study highlights a shortage of skilled faculty in point of care ultrasound (POCUS) within internal medicine, prompting an investigation into the long-term proficiency of graduates from an annual POCUS program.
  • Out of the 89 program graduates, 46 responded to a test and survey, with an average test score of 72%, revealing they felt most confident in lung imaging and often used POCUS for conditions like ascites and dyspnea.
  • Those who completed an image portfolio demonstrated significantly higher test scores (92% vs. 68%), greater confidence in their imaging skills, and were more actively engaged in teaching POCUS, suggesting educational programs should emphasize continuous practice and portfolio completion.
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An 11-year-old postmenarchal female presented to the pediatric emergency department (ED) with 2 days of periumbilical and right lower abdominal pain. Radiology-performed ultrasound (RADUS) did not visualize the appendix, and there was a plan for surgical consultation to decide between serial abdominal exams versus computed tomography (CT) scan. While awaiting consultation and to help further narrow the differential diagnosis, the emergency provider performed a point of care ultrasound (POCUS) of the urinary tract.

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Heart failure (HF) is a complex entity that increases the risk of adverse outcomes. Point of care ultrasound (POCUS) allows easy lung and systemic venous congestion identification. Using ultrasound to detect sub-clinical congestion at discharge may help predict readmissions and mortality.

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Renal ultrasound is a non-invasive method to assess for obstructive acute kidney injury (AKI). Point of care ultrasound (POCUS) has been shown to be a good screening tool for obstructive AKI, and with formal training, has high sensitivity and specificity. We aimed to evaluate the effectiveness and feasibility of integrating a novel renal POCUS curriculum into an existing two-week nephrology rotation for internal medicine residents.

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POCUS is a useful tool for correctly identifying pulled elbow. We believe that clinicians working in Pediatric Emergency Departments should be encouraged to embrace using it in cases which are less straightforward - either due to an atypical history or based on examination findings. This will serve to not only increase safety and improve the patient journey, but also to improve the clinician's confidence in their practice.

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Ultrasound-Guided Nerve Blocks for Flexor Tenosynovitis.

POCUS J

November 2024

Department of Emergency Medicine, Cleveland Akron General Akron, OH USA.

Performing an ultrasound-guided nerve block (UGNB) is now common practice in many emergency departments (EDs) and is considered a core skill according to the American College of Emergency Physicians (ACEP). Nerve blocks are mostly utilized for fractures and laceration repairs, however, these blocks have many other applications. We present a case of utilizing an ulnar UGNB in a patient with flexor tenosynovitis and a history of intravenous drug use (IVDU) when parental opiates proved to be ineffective.

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Application of ultrasound to evaluate pediatric respiratory disease in the emergency department setting is rapidly growing, particularly as we often weigh the risks of exposure to radiation with other readily available imaging modalities in the acute care setting. In this case report, we describe how point of care ultrasound (POCUS) was utilized by emergency providers to characterize a lung abscess diagnosed in a pediatric patient. We also compare the ultrasound findings to other imaging studies.

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To analyze the association between pleural effusion detected by chest point of care ultrasound (POCUS) and clinical outcomes in patients with septic shock admitted to an intensive care unit (ICU). A prospective evaluation of ICU patients with septic shock in whom chest POCUS was performed during the first 24 hours of diagnosis to identify the presence and characteristics of pleural effusion. Of 45 patients with septic shock, 17 (38%) had pleural effusion.

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Morel-Lavallee Lesion (MLL) is a rare diagnosis of a closed internal degloving injury that can occur with high energy trauma. The pain, soft tissue swelling, and ecchymosis that patients describe mimic many other emergent diagnoses to include compartment syndrome and fractures. The following case highlights the importance of the role of Emergency Medicine physicians using point-of-care ultrasound (POCUS) to recognize and treat a potentially life-threatening injury.

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Visualization of the guidewire during internal jugular (IJ) vein catheterization by point of care ultrasound (POCUS) has been recommended for avoiding inadvertent carotid artery dilation. The purpose of this study was to determine the accuracy of POCUS for identifying guidewires inappropriately placed in the carotid artery. This prospective, observational study involved emergency medicine (EM) residents with varying experience in guidewire visualization.

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  • Foot and ankle injuries commonly show up in Emergency Departments, especially in rural areas where patients may need to be transferred for imaging diagnostics like X-rays.
  • The study aimed to evaluate the effectiveness of the Ottawa Foot and Ankle Rules (OFAR) combined with Point of Care Ultrasound (POCUS) to assess foot and ankle pain in rural settings.
  • Conducted from June to August 2022, the study revealed that novice POCUS users could accurately interpret ultrasound results, achieving high sensitivity (100%) and specificity (94%) when identifying fractures compared to subsequent radiographic evaluations.
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  • Malignant cardiac tumors are rare and usually have a poor prognosis; early identification and classification are crucial, especially with metastases.
  • Echocardiography is the main tool for detection, but in places without this technology, cardiac tumors might go undiagnosed.
  • A case in Malawi demonstrated how point of care ultrasound (POCUS) can quickly identify cardiac masses and liver lesions, acting as a valuable resource for diagnosis in low-resource settings.
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Emergency Medicine Point of Care Ultrasound (EM-POCUS) is a diagnostic bedside tool for quick and accurate clinical decision-making. Comprehensive training in POCUS is a mandatory part of EM training in developed countries. In Nepal, we need to build an educational curriculum based on the local medical system, available resources, and educational environment.

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A Young Man with Chest Pain.

POCUS J

November 2024

Department of Emergency Medicine, Medical University of South Carolina Charleston, SC USA.

Acalculous cholecystitis is a life-threatening diagnosis that is more commonly associated with ill patients in the ICU. We present a case of acute acalculous cholecystitis (ACC) in an otherwise healthy 18-year-old man who presented to the Emergency Department (ED) with right-sided chest pain that was ultimately diagnosed with point of care ultrasound (POCUS). This case demonstrates the importance of conducting a thorough history and physical as well as the importance of POCUS to aid in clinical decision making and its value in diagnosing acute biliary pathology in the ED.

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Herein, we report a label-free cancer biosensor designed for carcinoembryonic antigen (CEA) detection using a nanohybrid comprising CeO nanoparticles, carbon nanoparticles (CNPs), and chitosan (Ch). CeO nanoparticles were prepared using a simple green synthesis process. A thin film of the CeO-CNPs-Ch nanohybrid was formed on indium tin oxide (ITO)-coated glass plates that endowed a high surface area, excellent stability, and good adsorption for the efficient loading of CEA antibodies.

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  • A nationwide study in Denmark from 2010 to 2020 analyzed the relationship between socioeconomic status (SES) and poststroke dementia (PSD) among stroke patients, focusing on income, education, and employment.
  • The study included 98,489 patients and found that those with low SES had significantly higher rates of PSD, with low income linked to a 1.24 times increase, low education to a 1.11 times increase, and unemployment to a 1.57 times increase in dementia rates.
  • Disparities were more pronounced in certain groups, notably women, immigrants, and patients younger than 70, indicating that socioeconomic factors play a crucial role in long-term stroke outcomes beyond typical risk factors.
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