Point-of-Care Ultrasound and the Rapid Response System

Lakoff, Daniel; Barghash, Maya; Lorin, Scott; Ungaro, Ryan C.; Nguyen, Vinh‐Tung; Baumgardner, Jeffrey M.; Nelson, Bret P.; Narula, Jagat

doi:10.1016/j.gheart.2013.11.006

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…However, the use of bedside ultrasound outside critical care areas, such as in the hospital wards, is lagging behind [9]. There is little literature on the value of POCUS in evaluating patients in the wards, specifically in ward emergencies [10][11][12]. POCUS can have a high impact on rapid response systems (RRS), also known interchangeably as rapid response teams or medical emergency team, which is a dedicated multidisciplinary team of nurses, physicians, technicians, pharmacists, and respiratory therapists deployed to ward emergencies [10,13].…”

Section: Introductionmentioning

confidence: 99%

“…There is little literature on the value of POCUS in evaluating patients in the wards, specifically in ward emergencies [10][11][12]. POCUS can have a high impact on rapid response systems (RRS), also known interchangeably as rapid response teams or medical emergency team, which is a dedicated multidisciplinary team of nurses, physicians, technicians, pharmacists, and respiratory therapists deployed to ward emergencies [10,13]. In this study, we sought to investigate the use and impact of POCUS by ICU triage teams in hospitals outside of the ICU.…”

Section: Introductionmentioning

confidence: 99%

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Use of Point-of-Care Ultrasound by Intensive Care Unit Triage Teams in Evaluating Unstable Patients Outside Intensive Care Units

Gupta,

Lighthall,

Htet

2023

Cureus

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Introduction Point-of-care ultrasound (POCUS) has become an integral asset in intensive care units (ICUs). However, there is limited literature on the value of POCUS in evaluating deteriorating patients outside the ICU. In this study, we sought to investigate the use and impact of POCUS by ICU triage teams in hospitals outside of the ICU setting. Methods ICU triage fellows were provided a portable ultrasound to use as part of their evaluations during consultations and hospital code activations. Fellows were asked to fill out a survey on how ultrasound was used and its impact on patient management. Free-text data such as reason for ultrasound use, views obtained, clinical impressions before and after ultrasound, and clinical actions were recorded. These data were transcribed and categorized electronically. Results A total of 51 total resuscitations were documented. The most common reason for ICU triage team evaluation was hypotension (53%, N=27). The most common clinical focus for ultrasound use was cardiac assessment (53%, N=27), followed by volume status assessment (35%, N=18). The most common ultrasound views per encounter obtained were parasternal long (82%, N=42), followed by apical four-chamber view (76%, N=39) and subcostal view (75%, N=38). Out of 38 encounters with clinical impressions documented, 79% (N=30) of pre-ultrasound clinical impressions were confirmed by ultrasound use. Of total encounters, 35% (N=18) had a significant clinical action taken based on ultrasound findings (fluid resuscitation, vasopressor initiation, etc.). Conclusions Ultrasound is a valuable tool for patient evaluation in non-ICU wards, especially in confirming clinical impressions and guiding therapeutic actions. Some limitations of this study include reporting bias and incomplete capture of ultrasound use in non-ICU wards.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of Point-of-Care Ultrasound by Intensive Care Unit Triage Teams in Evaluating Unstable Patients Outside Intensive Care Units

Gupta,

Lighthall,

Htet

2023

Cureus

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Advances in point-of-care diagnostic devices in cancers

Gaikwad

2018

Analyst

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The early diagnosis and monitoring of the progress of cancers are limited due to the lack of adequate screening tools. Ultrasensitive and precise point-of-care cancer diagnostic tools are required for the early detection and screening of cancer biomarkers at the bedside with accuracy and specificity of diagnosis. Recent advances in nano- and microfabrication based technologies integrated with different sensing platforms are accelerating the development of rapid, low-cost and reliable point-of-care cancer diagnostic devices. These technologies allow low volumes of reagents and samples, reduced analysis time, are disposable and portable, and provide ultrasensitive multiplexed analysis to improve diagnostic and prognostic evaluations. Networking for communicating and transferring the results through wireless networks provides additional opportunities for remote telemedicine-based diagnosis and planning of treatment regimens, even in semi-urban and rural areas. This review focuses on recent advances in point-of-care cancer diagnostics for efficient treatment along with the key challenges, opportunities and future scope of these technologies for clinical translation.

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Point-of-Care Ultrasound and the Rapid Response System

Cited by 2 publications

References 5 publications

Use of Point-of-Care Ultrasound by Intensive Care Unit Triage Teams in Evaluating Unstable Patients Outside Intensive Care Units

Use of Point-of-Care Ultrasound by Intensive Care Unit Triage Teams in Evaluating Unstable Patients Outside Intensive Care Units

Advances in point-of-care diagnostic devices in cancers

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