By Michael Prats on 10/28/19 06:00 AM
Suspected acute heart failure is a great reason to use point-of-care ultrasound. It can tell you in seconds if this patient is up to their neck in pulmonary edema. Knowing that interstitial edema is more common in dependent areas of the lung, one would think that the lateral areas of the lung fields would be most sensitive for the diagnosis. Likewise, if there is enough pulmonary edema to fill up the anterior lung fields, this theoretically should be pretty specific. But is this actually true?! These authors investigate the issue. https://www.ncbi.nlm.nih.gov/pubmed/30665807
By Michael Prats, MD on 03/04/19 06:00 AM
Many ultrasound enthusiasts have been using point of care ultrasound to assist in the diagnosis of acute decompensated heart failure, but it has not been widely adopted. It has been shown by many studies that ultrasound can visualize pulmonary edema easily so that treatment can be started quickly. However, some still cling to their chest xrays and their natriuretic peptides, just hoping it won't lead them astray. Well this trial aims to prove the superior accuracy of lung ultrasound combined with clinical assessment over chest xray and pro-BNP (also combined with clinical assessment). Hold onto your hats, because there is a lot we can learn from this well done randomized controlled trial of over 500 patients! https://www.ncbi.nlm.nih.gov/pubmed/30690825
By Michael Prats, MD on 08/06/18 06:00 AM
The POCUS Atlas is a beautiful resource. You may be familiar with the Image Atlas, a crowd-sourced compendium of sonographic pathology created to help others learn point of care ultrasound. These same talented creators have recently unleashed the Evidence Atlas - another entirely free resource that summarizes much of the best evidence in POCUS. In this special edition interview, we talk with Matthew Riscinti, co-founder of the POCUS Atlas, about how this all came to be. We even do a quick review of one of the Evidence Atlas articles!