Acute Chest Syndrome in Pediatric Patients

Do we still need the chest xray?

By Michael Prats, MD on 04/10/17 02:00 AM

Acute chest syndrome (ACS) is a feared complication of patients with sickle cell disease. Usually, whenever there is clinical concern for ACS, the first step is obtaining a chest xray. In an effort to reduce radiation to our vulnerable youth, this study examines the accuracy of point of care lung ultrasound in making the diagnosis compared to the chest xray.

The Most Sensitive View of the FAST

Winner: Caudal Edge of Liver

By Michael Prats, MD on 03/27/17 02:00 AM

The FAST exam (focused assessment with sonography in trauma) looks for two things - intraperitoneal free fluid in the abdomen and fluid around the heart. With regard to the abdomen, there are a lot of places the fluid can go. It would be helpful to know in which areas the fluid most commonly collects so you can make sure not to miss any. These authors break down each of the three abdominal FAST views (right upper quadrant, left upper quadrant, and suprapubic/pelvic) into three "sub-quadrants." Then they take a look at all the FAST exams done at their institution over a year and a half and determine how often the fluid goes to each of those places when there is a positive exam.

STONE PLUS - a Tool for Renal Colic

but is it a useful tool?

By Michael Prats, MD on 03/13/17 02:00 AM

Kidney stones can be tricky - who needs a CT? Who can go home? (Don't get us started about who needs tamsulosin.) POCUS now plays a key role in the diagnosis and management of these patients. This study takes a look at how well a clinical prediction tool that incorporates a bedside ultrasound can predict the diagnosis of renal colic and the need for intervention.

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