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.
By Michael Prats, MD on 06/04/18 06:00 AM
Point of care ultrasound for appendicitis has a long and checkered past. It is well-established as first line in the pediatric population, but less accepted in adults. Some studies show that is great, other studies show that it is about as useful as an air conditioner in Antarctica. This article hits on the idea that perhaps we should risk stratify our patients and focus on ruling in the disease in those that are more likely to have it. Sound intriguing? Check it out.
By Chris San Miguel, MD on 02/26/18 04:00 AM
Point of care ultrasound can be great for finding and excluding deep vein thrombosis, but this is a high-risk diagnosis, so we want to be sure. Previous evidence has shown that a cursory look at two points along the lower extremity was not sufficient to rule out a DVT. This article attempts to re-examine the accuracy of POCUS for this indication with a more thorough examination.