By Michael Prats on 10/15/19 06:00 AM
POCUS can be used to visualize small bowel obstruction (SBO) fairly easily. It has proven itself superior to xrays and has some advantages over CT, which for most people is the standard for diagnosis. Although initial work was quite promising, there were no large studies done confirming the accuracy of ultrasound for this purpose. In this podcast we examine the latest study (plus discuss a bonus similar one) that reveals maybe this is not as good as we thought! https://www.ncbi.nlm.nih.gov/pubmed/30762916
By Michael Prats, MD on 06/10/19 06:00 AM
They say seeing is believing...what about seeing a study about a machine that listens in order to see an organ that itself is used to see? Most scholars agree this too is believing. Of course, we are (in a convoluted way) referring to ocular ultrasound. Historically a great party trick, can this modality accurately diagnose visual problems in the emergency department? It's been done before, but it hasn't been done to this degree. Sit back, relax, and visualize the latest in ocular POCUS research. https://www.ncbi.nlm.nih.gov/pubmed/30977855
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.