Diagnosis of a Preputial Cavity Abscess with Bedside Ultrasound in the Emergency Department

Mahler, Simon A.; Manthey, David

doi:10.1016/j.jemermed.2007.03.013

Cited by 5 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This includes abscess and cellulitis when compared to physical exam alone. The POCUS application for SSTI has been shown to be favorable to patient outcomes in the acute care setting as it improves diagnostic accuracy for ruling in abscess while reducing invasive intervention that might not be needed [ 3 , 13 , 14 ]. Additionally, children receiving POCUS for SSTI experienced shorter ED length of stays (LOS) when compared to children receiving radiology-performed ultrasound (RUS) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of a point-of-care ultrasound (POCUS) curriculum on emergency department soft tissue management

et al. 2022

View full text Add to dashboard Cite

Background Pediatric emergency department (ED) visits for superficial skin and soft tissue infections (SSTI) have steadily been increasing and point-of-care ultrasound (POCUS) continues to be an effective modality to improve management and shorter ED length of stays (LOS). Objective We sought to determine the impact of a soft tissue POCUS curriculum on POCUS utilization, ED LOS, and cost-effectiveness. Methods This was a retrospective pre- and post-interventional study of pediatric patients aged 0 to 17 years. Patients presenting to ED with international classification of disease 9 or 10 code for abscess or cellulitis were included. Data were collected a year before and after curriculum implementation with a 1-year washout training period. Training included continuing medical education, greater than 25 quality assured examinations, and a post-test. We compared diagnostic imaging type, ED LOS, and mean charges in patients with SSTI. Results We analyzed data on 119 total patients, 38 pre- and 81 post-intervention. We found a significant increase in the total number of POCUS examinations performed pre- to post-curriculum intervention, 26 vs. 59 (p = 0.0017). Mean total charges were significantly decreased from $3,762 (± 270) to $2,622 (± 158; p = 0.0009). There was a significant trend towards a decrease in average ED LOS 282 (standard error of mean [SEM] ± 19) vs 185 (± 13) minutes (p = 0.0001). Conclusions Implementation of a soft tissue POCUS curriculum in a pediatric ED was associated with increased POCUS use, decreased LOS, and lower cost. These findings highlight the importance of POCUS education and implementation in the management of pediatric SSTI.

show abstract