12th WINFOCUS world congress on ultrasound in emergency and critical care

Abstract

Purpose: Cervical traumas are frequent in emergency department and X-ray, CT, and MRI are the essential imaging modalities in the diagnosis. However, especially for pregnant and morbid obese patients and children, these techniques can be challenging. We tested the success of point-of-care ultrasound in the evaluation of cervical traumas. Methods: This is a case series of cervical vertebra imaging with ultrasound in emergency department. We used linear probe and placed it anterolaterally to the neck, parallel to cervical spine. Images were obtained by an ultrasound-certified emergency physician. The height of the anterior wall of vertebral body, irregularity in vertebral body, and intervertebral space were assessed. Results: We presented a case series of six patients. Ultrasound images of cervical vertebral bodies and intervertebral spaces were able to obtain for all the patients. Any pathology was not observed in ultrasound imaging. This finding was compatible with cervical X-ray and CT scans and all the patients were discharged. Conclusions: However, this is a case series report of minor cervical trauma, and we were able to obtain ultrasound images of cervical vertebra bodies with point-of-care ultrasound examination by an emergency physician. This technique can be important for the patients contraindicated to CT or MRI. Also, it can give additional information to X-ray and CT scans especially for soft tissues. A2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasound

Collaborative model for training and credentialing point‐of‐care ultrasound: 6‐year experience and quality outcomes

“…The use of PoCUS is growing rapidly and being performed by physicians in various specialties for a wide range of applications . PoCUS is defined as a limited scan performed to answer a specific clinical question, enabling fast‐tracked patient management .…”

“…The use of PoCUS is growing rapidly and being performed by physicians in various specialties for a wide range of applications. [1][2][3][4][5] PoCUS is defined as a limited scan performed to answer a specific clinical question, enabling fast-tracked patient management. 2 Ultrasound has been hailed as the new 'visual stethoscope' of the twenty-first century, providing a valuable clinical tool for more accurate patient assessment.…”

Point of care ultrasonography in the pediatric emergency department

“…One of the most common type of fractures in children are those of the forearm, followed by the humerus and phalanges. Ultrasound guided manipulation and reduction of these fractures is recommended in literature [ 50 ] as it has been shown to reduce the need for repeated radiographs, sedation, and as it is associated with lower levels of pain and higher caregiver satisfaction [ 51 , 52 ]. The ability of ultrasound to identify subperiosteal hematoma makes this procedure particularly valuable in the early recognition of possible abusive skeletal injury [ 53 ].…”

Point‐of‐care ultrasound in obstetrics

“…Many studies have shown that clinicians are uncomfortable with their level of skill using PoCUS and would be interested in improving their skills . Moreover, confidence in the use of ultrasound appears to wane over time, possibly from lack of use or ongoing training . The efficacy of training programmes for students, residents and non‐clinicians such as nurses and midwives in the use of PoCUS has been explored extensively in the literature.…”