By Michael Prats on 08/05/19 06:00 AM
Theoretically, regional wall motion abnormalities (RWMA) would be really useful in the acute care setting. In the patient with concern for cardiac ischemia, this finding might help push to definitive management. The problem is that this is a nuanced exam - it takes some experience and practice. It hasn't been studied much in the point-of-care world. So can emergency physicians with relatively little training do this accurately? Find out in this next adventure into the world of point-of-care echocardiography! https://www.ncbi.nlm.nih.gov/pubmed/30987914
By Michael Prats, MD on 11/26/18 06:00 AM
Speckle tracking? Is that the technology that the government uses to mine data from your phone?! No - totally different! This is an ultrasound technology that recognizes tiny specks in the myocardium, allowing for a measurement of the movement of the heart wall. This has the potential to quantify the contractility of different parts of the heart, and therefore can be used to help diagnose numerous cardiac pathologies. At this time, not many people are using this in the emergency department. This is the first study to take a look to see if this is feasible and if it is accurate in diagnosing patients with acute coronary syndrome.
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!