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JC: The Phantom Menace + POCUS in Rural Nicaragua

This weeks readings:

Soucy ZP, Mills L, Rose JS, Kelley K, Ramirez F, Kuppermann N. Creation of a High-fidelity, Low-cost Pediatric Skull Fracture Ultrasound Phantom. J Ultrasound Med. 2015;34(8):1473-1478. doi:10.7863/ultra.34.8.1473. [Attached]

Questions to Consider:

  1. What are the essential elements of a good POCUS phantom?
  2. Are "Do-It-Yourself” phantoms really low-cost?
  3. How much impact do you think this skull fracture phantom will have on operator performance? 
  4. What other applications would benefit from a phantom to improve hands-on learning?

Kolbe N, Killu K, Coba V, et al. Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management. Journal of Ultrasound …. April 2015:1-7. doi:10.1007/s40477-014-0126-1. [Attached]

Questions to Consider:

  1. Is this a feasible model for POCUS deployment in resource-limited settings?
  2. Are there hidden costs to this model?
  3. How would you improve this model?
  4. Are you impressed with the clinical impact of POCUS in this study?