Ultrasound assisted evaluation of chest pain in the emergency department

Colony, M. Deborah; Edwards, Frank J; Kellogg, Dylan S.

doi:10.1016/j.ajem.2017.09.003

Cited by 7 publications

(6 citation statements)

References 29 publications

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“… 3 , 8 After this, we conducted a comprehensive literature review of all clinical applications of ultrasound with the assistance of a librarian to develop a final comprehensive list of applications in Fall 2020. 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 The specific search terms are presented in Figure 1 . The final list included topics such as physics and general principles as well as normal anatomy and pathology in the following categories: trauma, aorta, thoracic, cardiac, obstetrics and gynecology (OBGYN), testicular, ocular, neurology, venous, biliary, renal, soft tissue and musculoskeletal (MSK), head and neck, bowel, procedural guidance, and airway.…”

Section: Methodsmentioning

confidence: 99%

“…We developed an extensive list of relevant topics within EUS using the ACEP list of ultrasound guidelines and CORD‐AEUS consensus recommendations and input from a group of educationally focused ultrasound faculty (including one program director, EUS fellowship director, and EUS director) and EUS fellows at a large academic EM residency in the central region of the United States 3,8 . After this, we conducted a comprehensive literature review of all clinical applications of ultrasound with the assistance of a librarian to develop a final comprehensive list of applications in Fall 2020 15–55 . The specific search terms are presented in Figure 1.…”

Section: Methodsmentioning

confidence: 99%

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A consensus list of ultrasound competencies for graduating emergency medicine residents

Haidar

Peterson

Minges

et al. 2022

AEM Education and Training

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Objectives Emergency ultrasound (EUS) is a critical component of emergency medicine (EM) resident education. Currently, there is no consensus list of competencies for EUS training, and graduating residents have varying levels of skill and comfort. The objective of this study was to define a widely accepted comprehensive list of EUS competencies for graduating EM residents through a modified Delphi method. Methods We developed a list of EUS applications through a comprehensive literature search, the American College of Emergency Physicians list of core EUS benchmarks, and the Council of Emergency Medicine Residency‐Academy of Emergency Ultrasound consensus document. We assembled a multi‐institutional expert panel including 15 faculty members from diverse practice environments and geographical regions. The panel voted on the list of competencies through two rounds of a modified Delphi process using a modified Likert scale (1 = not at all important, 5 = very important) to determine levels of agreement for each application—with revisions occurring between the two rounds. High agreement for consensus was set at >80%. Results Fifteen of 15 panelists completed the first‐round survey (100%) that included 359 topics related to EUS. After the first round, 195 applications achieved high agreement, four applications achieved medium agreement, and 164 applications achieved low agreement. After the discussion, we removed three questions and added 13 questions. Fifteen of 15 panelists completed the second round of the survey (100%) with 209 of the 369 applications achieving consensus. Conclusion Our final list represents expert opinion on EUS competencies for graduating EM residents. We hope to use this consensus list to implement a more consistent EUS curriculum for graduating EM residents and to standardize EUS training across EM residency programs.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A consensus list of ultrasound competencies for graduating emergency medicine residents

Haidar

Peterson

Minges

et al. 2022

AEM Education and Training

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“…POCUS using established protocols, can provide crucial information for swift diagnosis and appropriate management in critical situations that demand immediate attention and intervention to prevent death or serious harm. Such critical situations include cardiac arrest [ 86 , 87 , 121 ], major torso trauma [ 99 , 122 ], shock [ 95 , 97 , 123 , 124 ], respiratory difficulty [ 29 , 125 , 126 ], chest pain [ 127 – 129 ], and life-threatening abdominal pain. Noncritical situations such as scrotal pain, ocular symptoms, soft tissue or musculoskeletal problems, and noncritical abdominal pain also fall within the scope of EM POCUS ( Figs.…”

Section: Pocus In Edmentioning

confidence: 99%

“…The ACEP published the first guideline for emergency ultrasound in 2001 [ 120 ], which had been subsequently updated in 2009 and 2014. On the other hand, the International Federation for Emergency Medicine (IFEM) released its POCUS guidelines in 2015 [ 129 ]. Both guidelines share similar applications and educational content, but their scope and methods differ.…”

Section: Pocus Education Curriculum (Students and Residents)mentioning

confidence: 99%

Role of point-of-care ultrasound in critical care and emergency medicine: update and future perspective

Choi,

Cho,

et al. 2023

Clin Exp Emerg Med

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Point-of-care ultrasound (POCUS) is a rapidly developing technology that has the potential to revolutionize emergency and critical care medicine. The use of POCUS can improve patient care by providing real-time clinical information. However, appropriate usage and proper training are crucial to ensure patient safety and reliability. This article discusses the various applications of POCUS in emergency and critical care medicine, the importance of training and education, and the future of POCUS in medicine.

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“…One of the possible differential diagnoses of cardiogenic chest pain is aortic dissection, for which CT angiography or trans-oesophageal echocardiography are the gold standards [ 11 ]. However, in some situations, such as severe renal insufficiency or failure to fast, these tests cannot be conducted, and a transthoracic echocardiogram (ETT) showing viewable aortic root dilation or an intimal flap can direct us towards the correct diagnosis [ 12 ]. The same signs are also present in the case of abdominal aortic dissection.…”

Section: Cardiac Causesmentioning

confidence: 99%

Use of POCUS in Chest Pain and Dyspnea in Emergency Department: What Role Could It Have?

et al. 2022

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Chest pain and dyspnea are common symptoms in patients presenting to the emergency room (ER); oftentimes it is not possible to clearly identify the underlying cause, which may cause the patient to have to return to the ER. In other cases, while it is possible to identify the underlying cause, it is necessary to perform a large number of tests before being able to make a diagnosis. Over the last twenty years, emergency medicine physicians have had the possibility of using ultrasound to help them make and rule out diagnoses. Specific ultrasound tests have been designed to evaluate patients presenting with specific symptoms to ensure a fast, yet complete, evaluation. In this paper, we examine the role of ultrasound in helping physicians understand the etiology behind chest pain and dyspnea. We analyze the different diseases and disorders which may cause chest pain and dyspnea as symptoms and discuss the corresponding ultrasound findings.

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Ultrasound assisted evaluation of chest pain in the emergency department

Cited by 7 publications

References 29 publications

A consensus list of ultrasound competencies for graduating emergency medicine residents

A consensus list of ultrasound competencies for graduating emergency medicine residents

Role of point-of-care ultrasound in critical care and emergency medicine: update and future perspective

Use of POCUS in Chest Pain and Dyspnea in Emergency Department: What Role Could It Have?

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