Filtering by: Journal Club

JC: Access in EDs, Trauma Training, & Whiteout Lung
Dec
9
10:00 AM10:00

JC: Access in EDs, Trauma Training, & Whiteout Lung

This weeks readings:

AlEassa et al.  Point of care ultrasonography use and training among trauma providers across Canada. Can J Surg, 2015

  1. What surprised you about the training experience of surgeons vs. ER physicians?
  2. More ER physicians are certified however than surgeons. Why might there be a difference between training and certification?
  3. How can we reconcile training differences and certification?
  4. Do we need certification?
  5. Come up with your idea of the best and most feasible way for certification?
  6. Which is better? self tracking of accuracy or hospital wide QA?

Sanders et al. Access to and Use of Point-of-Care Ultrasound in the Emergency Department. West J Emerg Med. 2015;16(5):747-752.

  1. Small ED Directors prefer mail over email contact? what assumption would you make on their uptake of POCUS technology?
  2. Do you think the same barriers exist in Canada? in PEM?
  3. How can we overcome the biggest barriers- limited training, expense, limited need?
  4. Only 12% of EPs used PoC US ≥80% of the time to place central venous lines. What concerns you about this finding?
  5. What surprised you about the usage statistics?

Berant et al. Emergency Point-of-Care Ultrasound Assessment of Whiteout Lung in the Pediatric Emergency Department. Pediatr Emer Care 2015;31: 872–875

  1. Does this case series change how you might practice?
  2. What is the next step in research?

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JC: POCUS in Intraosseous Line Placements & Tropical Infectious Diseases
Nov
18
10:00 AM10:00

JC: POCUS in Intraosseous Line Placements & Tropical Infectious Diseases

This weeks readings:

Saul, T. et al. The accuracy of sonographic confirmation of intraosseous line placement vs physical examination and syringe aspiration. http://dx.doi.org/10.1016/j.ajem.2014.12.034 [Attached]

Belard, S. et al. Review Article: Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases—A Review of Applications and Perspectives. American Society of Tropical Medicine and Hygiene. [Attached] Please read only pages 1-12


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JC: POCUS Detecting Papilledema & Evaluating Pyogenic Flexor Tenosynovitis
Nov
11
10:00 AM10:00

JC: POCUS Detecting Papilledema & Evaluating Pyogenic Flexor Tenosynovitis

This weeks readings:

Ben-Yakov M, Desjardins M-P, Fischer JWJ. Emergency Point-of-Care Ultrasound Detection of Papilledema in the Pediatric Emergency Department. Pediatr Emerg Care. 2015;31(11):766-770. [Attached]

Questions:

  1. What does the author mean when he states, "POCUS has the potential to aid in difficult diagnostic scenarios by contributing an additional piece of the clinical puzzle at the bedside to confirm a high pretest probability diagnosis and to expedite the appropriate patient care”?
  2. Is the author being too cautious?  Should this technique be used clinically?
 

Cohen SG, Beck SC. Point-of-Care Ultrasound in the Evaluation of Pyogenic Flexor Tenosynovitis. Pediatr Emerg Care. 2015;31(11):805-807. [Attached]

Questions:

  1. How did POCUS impact the care of this child?
  2. What are the limitations of assessing tendons with POCUS?
  3. Why is POCUS for the examination of MSK complaints not readily used in PEM?

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JC: POCUS to Measure Spleen + Economic Analysis of POCUS in Internal Medicine
Nov
4
10:00 AM10:00

JC: POCUS to Measure Spleen + Economic Analysis of POCUS in Internal Medicine

This weeks readings:

Testa, A. et al. Economic analysis of bedside ultrasonography (US) implementation in an Internal Medicine department. Intern Emerg Med 2015. DOI 10.1007/s11739-015-1320-7

Arishenkoff et al. Spleen Measurement by Residents Using Hand-Carried Ultrasound. J Ultrasound Med 2015; 34:e71–e75. doi:10.7863/ultra.15.02022


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JC: Accuracy of POCUS Thrombosis & Fluid Resuscitation Using IVC and Lung US
Oct
21
10:00 AM10:00

JC: Accuracy of POCUS Thrombosis & Fluid Resuscitation Using IVC and Lung US

This weeks readings:

Lee CWC, et al, Development of a fluid resuscitation protocol using inferior vena cava and lung ultrasound, J Crit Care (2015), http://dx.doi.org/10.1016/j.jcrc.2015.09.016 

Li, S. et al. Diagnostic accuracy of point-of-care ultrasound for catheter-related thrombosis in children. Pediatr Radiol (2015) DOI 10.1007/s00247-015-3467-9


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JC: POCUS Learning Curve & Intestinal Foreign Bodies
Oct
14
10:00 AM10:00

JC: POCUS Learning Curve & Intestinal Foreign Bodies

This weeks readings:

Chenkin et al. Defining the learning curve of point‑of‑care ultrasound for confirming endotracheal tube placement by emergency physicians. Crit Ultrasound J (2015) 7:14 DOI 10.1186/s13089-015-0031-7 [Attached]

Questions

  1. Describe the process of learning that is laid out in the article. What learning theory does this fall into.
  2. Does 10 correct interpretations mean that someone is proficient in image interpretation of Intubation placement ultrasounds? 
    • How would we this apply to other applications?
    • What would be the ideal method of determining this threshold number?
  3. How would a larger sample /threshold for proficiency have yielded different results (as mentioned in the discussion?)

Leibovich, S. and Doniger, S. The Use of Point-of-Care Ultrasound to Evaluate for Intestinal Foreign Bodies in the Pediatric Emergency Department. Pediatr Emer Care 2015;31: 731–734 [Attached]

Questions

  1. How were these cases influenced by the use of POCUS?
  2. How might we use POCUS to help us in the FB ingestion?
  3. What is the value of recognizing normal bowel?

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JC: Abdomen Trauma & PEEPS
Oct
7
10:00 AM10:00

JC: Abdomen Trauma & PEEPS

This weeks readings:

O’Dochartaigh D, Douma M. Prehospital ultrasound of the abdomen and thorax changes trauma patient management: A systematic review. Injury (2015), http://dx.doi.org/10.1016/j.injury.2015.07.007  

Sundeep et al Prehospital Evaluation of Effusion, Pneumothorax, and Standstill (PEEPS): Point-of-care Ultrasound in Emergency Medical Services. West J Emerg Med. 2015;16(4):503-509


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JC: Femoral Osteomyelitis & U/S Training of Medical Students
Sep
23
10:00 AM10:00

JC: Femoral Osteomyelitis & U/S Training of Medical Students

This weeks readings:

Hayden, G. E., Upshaw, J. E., Bailey, S., & Park, D. B. (2015). Ultrasound-Guided Diagnosis of Femoral Osteomyelitis and Abscess. Pediatric Emergency Care, 31(9), 670–673.  [Attached]

Questions

  1. How does the presence or absence of an effusion affect the likely diagnosis of a septic joint?
  2. If the subperiosteal collection was absent (which can be the case in osteomyelitis), how do you think POCUS would have affected this case?

Dinh, V. A., Dukes, W. S., Prigge, J., & Avila, M. (2015). Ultrasound Integration in Undergraduate Medical Education: Comparison of Ultrasound Proficiency Between Trained and Untrained Medical Students. Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine. [Attached]

Questions

  1. The year 3 and year 4 medical students were asked to participate voluntarily. How does this impact the results of this study?
  2. What do you think of the goal of the study?
  3. Does this make for meaningful medical educationresearch?
  4. What do you think of the conclusions they make?
  5. Do they prove the “importance of implementing this skill early on during a student’s medical education”?

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JC: Renal Colic & Urolithiasis
Sep
16
10:00 AM10:00

JC: Renal Colic & Urolithiasis

This weeks readings:

Chandra A, et al, Point-of-care ultrasound in pediatric urolithiasis: an ED case series, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.05.048 

C. Ng and J. W. Tsung AVOIDING COMPUTED TOMOGRAPHY SCANS BY USING POINT-OF-CARE ULTRASOUND WHEN EVALUATING SUSPECTED PEDIATRIC RENAL COLIC The Journal of Emergency Medicine, Vol. 49, No. 2, pp. 165–171, 2015

Questions:

  1. Would you feel comfortable using POCUS as the only imaging test if it revealed hydronephrosis on the side of pain? Why or why not?
  2. Is probe orientation in the transverse view an essential component of this scan? Why or why not?
  3. Are you surprised that the 3 year old with a 1cm stone received no further imaging? Why or why not?
  4. In one of the papers, CT was avoided in all patients. In the other, it was obtained in all patients. Why the difference?
  5. Bonus question: Why are patients with IBD predisposed to urolithiasis?
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JC: VTU & RUSH + M-Mode
Sep
9
10:00 AM10:00

JC: VTU & RUSH + M-Mode

This weeks readings:

Blanco et al. Rapid Ultrasound in Shock Velocity-Time Integral. J Ultrasound Med 2015; 34:1691–1700

Questions:

  1. What clinical advantage do the authors suggest is gained by adding VTI to the RUSH protocol?  Are you convinced?
  2. What technical challenges must the operator overcome to insure accuracy of the VTI measurement?
  3. Do you believe this technique could be modified for use in pediatric patients presenting with shock?

 

Saul, T et al. M-MODE ULTRASOUND APPLICATIONS FOR THE EMERGENCY MEDICINE PHYSICIAN. J of Emerg Med 2015; 1-7

Questions:

  1. Did you know M-mode could be so “icepick” cool?
  2. Should EPSS replace our qualitative assessment of LV function as the best way to determine and report LV disfunction?
  3. Describe how M-mode is used to determine cardiac tamponade.
  4. Should M-mode be used routinely by EM providers in the assessment of pediatric patients with possible HCM?

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JC: POCUS & The Intracranial
Sep
2
10:00 AM10:00

JC: POCUS & The Intracranial

This weeks readings:

McCormick et al. Point-of-Care Ultrasound for the Detection of Traumatic Intracranial Hemorrhage in Infants A Pilot Study Pediatr Emer Care 2015;00: 00–00

Questions:

  1. What problems are posed by separating the acquisition of POCUS images from their interpretation? Does this also occur with radiology department imaging?
  2. Would you feel comfortable using this test to rule-out ICH? To rule-in ICH? How would you see yourself improving patient care with this POCUS application in practice?
  3. How would you design the next study on this topic? How would you make it both accurate and feasible?

 

Choi et al. Optic nerve sheath diameter in hydrocephalus surgery. Anaesthesia 2015. doi:10.1111/anae.13180

Questions:

  1. I’m an emergency doctor, not a neurosurgeon! How does this study affect me?
  2. What do you think of the image quality and measurements illustrated in the figures?
  3. What do you think of the decision not to analyze data from children whose operations failed?
  4. Are you satisfied with the data being presented as a mean?
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JC: Predicting Outcomes + Resuscitation
Aug
26
10:00 AM10:00

JC: Predicting Outcomes + Resuscitation

This weeks readings:

Inaba K, Chouliaras K, Zakaluzny S, et al. FAST Ultrasound Examination as a Predictor of Outcomes After Resuscitative Thoracotomy. Annals of Surgery 2015;262(3):512–8. 

Questions:

  1. "All were penetrating thoracic injuries with a pericardial effusion on FAST and all were emergently brought to the operating room for a planned sternotomy and were ,therefore, excluded from the study." How do you think this affected the primary outcome?
  2. The authors conclude that identification of pericardial fluid can prevent unnecessary thoracotomies, saving resources and potential risks to the practitioners.
  3. What is the actual resource burden and risk to the practitioner
  4. Can you think of any benefits to performing thoracotamies despite the low survival rate of the patient?
  5. How might this apply to the paediatric population?

Adedipe, A. A., Fly, D. L., Schwitz, S. D., Jorgenson, D. B., Duric, H., Sayre, M. R., & Nichol, G. (2015). Resuscitation. Resuscitation, 1–5. http://doi.org/10.1016/j.resuscitation.2015.07.024  

Questions:

  1. Why do you think they chose to record only for 5 mins?
  2. Is there value in checking carotid flow for longer? or for other parts of the CPR cycle?
  3. The authors describe some patient populations where carotid flow might not be feasible.
  4. What limitations might there be in traumatic arrests?
  5. What about the paediatric arrests?
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JC: Pediatric Shock + Detecting Cancer
Aug
19
10:00 AM10:00

JC: Pediatric Shock + Detecting Cancer

This weeks readings:

Park DB, Presley BC, Cook T, Hayden GE. Point-of-Care Ultrasound for Pediatric Shock. Pediatr Emerg Care. 2015;31(8):591-598. 

Questions:

  1. Does this article meet its CME objectives?
  2. Did this article just make POCUS a “standard of care” for PEM providers managing a patient in shock? Why or why not?    

 

Jamjoom RS, Etoom Y, Solano T, Desjardins M-P, Fischer JW. Emergency Point-of-Care Ultrasound Detection of Cancer in the Pediatric Emergency Department. Pediatr Emerg Care. 2015;31(8):602-604.  

Questions:

  1. Does more nuanced, less conventional POCUS practice make you nervous or excited?
  2. How do you respond to this critique: “These patients would have received their gold-standard tests regardless of the POCUS”?
  3. Are these authors from the future?
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JC: Pneumomediastinum + Coronal Axis Measurement of ONSD
Aug
12
10:00 AM10:00

JC: Pneumomediastinum + Coronal Axis Measurement of ONSD

This weeks readings:

Saracino, C. and Tessaro M., Pneumomediastinum as a Sonographic Mimic of Pneumothorax. J Ultrasound Med 2015; 34:1515–1522 

Questions to Consider:

  1. Would you feel comfortable discharging a stable pneumomediastinum patient home after ultrasound diagnosis? What about if the clinical exam alone suggested pneumomediastinum?
  2. What patients would this exam be difficult on?
  3. What other body parts might show sonographic evidence of pneumomediastinum?
  4. What scenarios can mimic pneumomediastinum on x-ray? It’s kind of a trick question….

Amini et al—Coronal Axis Measurement of the Optic Nerve Sheath Diameter. Ultrasound Med 2015; 34:1607–1612 

Questions to Consider:

  1. What is the "cylinder tangent effect" as it pertains to ultrasound? Discuss how the visual axis approach and the infraorbital approach differ in their ability to ensure the cylinder of the optic nerve is in plane with the ultrasound beam.
  2. In this healthy volunteer study, the infraorbital approach produced measurements in agreement with the visual axis approach. Do you think this would also be true in patients with increased ONSD?
  3. What issues could arise in EM clinical practice regarding the head and eye positioning described for the infraorbital approach?
  4. What problem could exist in using the infraorbital technique serially (eg to assess response to therapy, or worsening ICP from baseline)?
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JC: The Phantom Menace + POCUS in Rural Nicaragua
Jul
29
10:00 AM10:00

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?
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JC: Diastolic Dysfunction + POCUS Detecting Unstable Cervical Spine Fractures
Jul
22
10:00 AM10:00

JC: Diastolic Dysfunction + POCUS Detecting Unstable Cervical Spine Fractures

This weeks readings:

Sankar, J. et al. Prevalence and Outcome of Diastolic Dysfunction in Children With Fluid Refractory Septic Shock—A Prospective Observational Study. Online Clinical Investigation. November 2014 V:15, N:9 DOI: 10.1097/PCC.0000000000000249 

Questions to Consider:

  • What is diastolic dysfunction and how can we assess it on focused echo? Don’t worry, I needed to read about it too: http://www.emcurious.com/blog-1/2015/4/20/ula 
  • How did they define diastolic dysfunction?
  • Why were children on mechanical ventilation excluded? Children with meningococcemia?
  • There was no significant difference in mortality based on presence or type of echo dysfunction - how do you interpret this result in context of the study design?
  • Some patients were on inotropes at the time of echo - how does this affect your interpretation of the study results? What is an inotrope score?
  • You have a patient in fluid-refractory septic shock. POCUS shows a plethoric IVC and diastolic dysfunction. What would you do next?
 

Deepak Agrawal, T. P. S., and Bhoi, S. Assessment of ultrasound as a diagnostic modality for detecting potentially unstable cervical spine fractures in pediatric severe traumatic brain injury: A feasibility study. J Pediatr Neurosci. 2015 Apr­Jun; 10(2): 119–122. doi: 10.4103/1817­1745.159196 

Questions to Consider:

  • What is a retro-prospective study?
  • How sensitive would POCUS have to be for you to feel comfortable ruling out C-spine injury prior to CT?
  • For the emergency practitioner, what use is ruling in an unstable C-spine injury in a trauma patient?
  • How much do you trust the POCUS interpretations? How blinded was the POCUS operator to pathology? What training did the POCUS operator have?
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JC: POCUS Effects on Length of Stay + Complex Hand Infections
Jul
15
10:00 AM10:00

JC: POCUS Effects on Length of Stay + Complex Hand Infections

This weeks readings:

Marvel BA, Budhram GR. Bedside Ultrasound in the Diagnosis of Complex Hand Infections: A Case Series. Journal of Emergency Medicine 2015;48(1):63–8.

Questions to Consider:

  • What is the current method of differentiating between different hand infections (cellulitis vs tenosynotvitis, vs joint infection etc. )
  • Should we be required to US all potential hand infections that present to the ED. (red, swollen, painful)?
  • Should cats be eliminated? 

Elikashvili I, Tay ET, Tsung JW. The Effect of Point-of-care Ultrasonography on Emergency Department Length of Stay and Computed Tomography Utilization in Children With Suspected Appendicitis. Acad Emerg Med 2014;21(2):163–70.

Questions to Consider:

  • The enrolling physician determined whether or not and what type of radiology imaging was done after performing the POCUS. How does this affect the results(Internak validity)? What about external validity?
  • This study examined the effect of POCUS on the  ED LOS of patients. How do you think POCUS affected the time efficiency of the ED physician? How might this be studied?
  • Do you think they make a strong argument with regards to radiation exposure reduction?
  • Were they able to support their argument with the results in their study?
  • If we are to rely more on US, is test performance of Ultrasound adequate?
  • How do you think the “Experienced” group affects the results?
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JC: BLUE & FALLS Protocols + Metaphyseal Forearm Fractures
Jul
8
10:00 AM10:00

JC: BLUE & FALLS Protocols + Metaphyseal Forearm Fractures

This weeks readings:

Lichtenstein DA. BLUE-Protocol and FALLS-Protocol: Two Applications of Lung Ultrasound in the Critically Ill. Chest. 2015;147(6):1659–1670. doi:10.1378/chest.14-1313. 

Katzer C, Wasem J, Eckert K, Ackermann O, Buchberger B. Ultrasound in the Diagnostics of Metaphyseal Forearm Fractures in Children: A Systematic Review and Cost Calculation. Pediatr Emerg Care. 2015:1. doi:10.1097/PEC.0000000000000446. 

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JC: OSATS + Lung US & Pulmonary Consolidations
Jun
24
10:00 AM10:00

JC: OSATS + Lung US & Pulmonary Consolidations

This weeks readings:

  1. Niitsu H et al., Using the Objective Structured Assessment of Technical Skills (OSATS) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today. 2013 Mar;43(3):271-5. doi: 10.1007/s00595-012-0313-7. Epub 2012 Sep 1.
  2. Volpicelli G, Zanobetti M., Lung ultrasound and pulmonary consolidations. Am J Emerg Med. 2015 Apr 16. pii: S0735-6757(15)00265-X. doi: 10.1016/j.ajem.2015.04.020.

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JC: POCUS Education & Simulated Cardiorespiratory + IVC Measurements
Jun
17
10:00 AM10:00

JC: POCUS Education & Simulated Cardiorespiratory + IVC Measurements

This weeks readings:

  1. Parks AR, Verheul G, LeBlanc-Duchin D, Atkinson P. Effect of a point-of-care ultrasound protocol on the diagnostic performance of medical learners during simulated cardiorespiratory scenarios. CJEM 2015;:1–7. 
  2. Kathuria N, Ng L, Saul T, Lewiss RE. The Baseline Diameter of the Inferior Vena Cava Measured by Sonography Increases With Age in Normovolemic Children. J Ultrasound Med 2015;34(6):1091–6.

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JC: One Approach to POCUS Training + US in Medical Education
Jun
10
10:00 AM10:00

JC: One Approach to POCUS Training + US in Medical Education

This weeks readings:

  1. Hayward M., Chan T., Healey A., Dedicated time for deliberate practice: one emergency medicine program’s approach to point-of-care ultrasound (PoCUS) training. CJEM 2015:1-4 DOI 10.1017/cem.2015.24
  2. N. Lane, S. Lahham, L. Joseph, D. P. Bahner, J. C. Fox, Ultrasound in medical education: listening to the echoes of the past to shape a vision for the future. Eur J Trauma Emerg Surg 2015 DOI 10.1007/s00068-015-0535-7

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JC: Bleb Point + Cardiac Collapsibility of IVC
Jun
3
10:00 AM10:00

JC: Bleb Point + Cardiac Collapsibility of IVC

This weeks readings:

  1. Gelabert C., Nelson M., Bleb Point: Mimicker of Pneumothorax in Bullous Lung Disease. West J Emerg Med. 2015;16(3):447–449 
  2. Sonoo T, et al, Prospective analysis of cardiac collapsibility of inferior vena cava using ultrasonography, J Crit Care (2015), http://dx.doi.org/10.1016/j.jcrc.2015.04.124 

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JC: POCUS Assessment of Competencies + Sonography Trauma Simulator
May
25
10:00 AM10:00

JC: POCUS Assessment of Competencies + Sonography Trauma Simulator

This weeks readings:

  1. Fischer L.M., Woo M.Y., Lee A.C., Wiss R., Socransky S., Frank J.R., Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice. CJEM 2015 Jan; 17 (1) : 74-88. PMID: 25961081
  2. Chaudery M., Clark J., Dafydd D.A., Dunn J., Bew D., Wilson M.H., Darzi A., The Face, Content, and Construct Validity Assessment of a Focused Assessment in Sonography for Trauma Simulator. J Surg Educ. 2015 May 14

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JC: Intraocular Pressure + Integrating POCUS in Undergraduate Education
May
20
10:00 AM10:00

JC: Intraocular Pressure + Integrating POCUS in Undergraduate Education

This weeks readings:

  1. Berg C, Doniger S J, Zaia B, Williams S R, Change in Intraocular Pressure During Point-of-Care Ultrasound. Western Journal of Emergency Medicine 2015 Mar; 16 (2) : 263-8. PMID: 25834668
  2. Soucy Z P, Mills L D, American Academy of Emergency Medicine Position Statement: Ultrasound Should Be Integrated into Undergraduate Medical Education Curriculum. Journal of Emergency Medicine 2015 Apr 28; PMID: 25934381

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JC: WHO & POCUS + Learning Curves
May
13
10:00 AM10:00

JC: WHO & POCUS + Learning Curves

This weeks readings:

  1. Chavez MA, Naithani N, Gilman RH, et al. Agreement Between the World Health Organization Algorithm and Lung Consolidation Identified Using Point-of-Care Ultrasound for the Diagnosis of Childhood Pneumonia by General Practitioners. Lung. 2015:1–8. doi:10.1007/s00408-015-9730-x. 
  2. Blehar DJ, Barton B, Gaspari RJ. Learning Curves in Emergency Ultrasound Education. Acad Emerg Med. 2015. doi:10.1111/acem.12653
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JC: POCUS Curriculum & Accuracy of Renal POCUS to Detect Hydronephrosis in Children with UTI
May
6
10:00 AM10:00

JC: POCUS Curriculum & Accuracy of Renal POCUS to Detect Hydronephrosis in Children with UTI

This weeks readings:

  1. Turner EE, Fox JC, Rosen M, Allen A, Rosen S, Anderson C. Implementation and assessment of a curriculum for bedside ultrasound training. J Ultrasound Med. 2015;34(5):823–828. doi:10.7863/ultra.34.5.823.
     
  2. Guedj R, Escoda S, Blakime P, Patteau G, Brunelle F, Cheron G. The accuracy of renal point of care ultrasound to detect hydronephrosis in children with a urinary tract infection. Eur J Emerg Med. 2015;22(2):135–138. doi:10.1097/MEJ.0000000000000158.
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JC: Case-Based e-Learning + US Findings of PFP with RHS Patients
Apr
22
10:00 AM10:00

JC: Case-Based e-Learning + US Findings of PFP with RHS Patients

This weeks readings:

  1. Hempel D, Sinnathurai S, Haunhorst S, et al. Influence of case-based e-learning on students' performance in point-of-care ultrasound courses: a randomized trial. Eur J Emerg Med. 2015. doi:10.1097/MEJ.0000000000000270.

  2. Rabiner JE, Khine H, Avner JR, Tsung JW. Ultrasound Findings of the Elbow Posterior Fat Pad in Children With Radial Head Subluxation. Pediatr Emerg Care. 2015:1. doi:10.1097/PEC.0000000000000420.

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