By Michael Prats, MD on 10/29/18 06:00 AM
Are you sick of hearing about ultrasound and cardiac arrest? Do you think to yourself - "Why can't everyone just do it my way?." Well - for better or for worse (we think for the better), there are going to be more and more ultrasound and cardiac arrest articles. The reason is that point of care ultrasound can help so much in this situation, yet - it has also been shown to put people at risk for longer times without CPR. So what do we do? This article presents the CASA exam, a cardiac arrest ultrasound protocol, as a way to standardize the exam and (hopefully) minimize pauses in CPR.
By Delia Gold, MD on 10/15/18 06:00 AM
The pediatric literature for point of care ultrasound seems to lag behind that of adults. However, it has made some incredible strides to show that this is a tool that is not be neglected in our younger patients. Although point of care ultrasound is used routinely in adults, it may not be as frequently employed in the pediatric emergency department. Clearly, there are differences in cardiac pathology encountered in pediatrics, but the ultrasound can still have great utility. The authors of this paper seek to increase the use of cardiac POCUS by collaborating with cardiologists to create a focused cardiac ultrasound protocol. They collect data to see what happened to POCUS use after they institute this protocol and to see how accurate these scans hold up in kids!
By Michael Prats, MD on 10/01/18 06:00 AM
We know that ultrasound can be used to diagnose a superficial cutaneous abscess. That is NOT what this study is about. Forget diagnosing! What about actually helping your patients stay out of the emergency department? These authors performed this study with the hypothesis that using POCUS during the treatment of a superficial abscess might decrease the failure rate of the incision and drainage. That means ultrasound could help prevent patients from requiring additional treatment! They aren't messing around with retrospective chart reviews either - this is a real live randomized controlled trial.