Point of Care Ultrasound is now an essential skill of Fellowship trained Emergency Physicians. It is widely supported in national and international guidelines for a host of clinical settings, most notably expediting the appropriate care of both traumatically injured and critically unwell patients as well as in the performance of needle-guided techniques such as central line insertion.
A 35 female was brought to ED by ambulance following a sudden collapse at home. At the scene – skin cold, Blood Pressure un-recordable, semi-conscious.
Resuscitative thoracotomy performed in the Emergency Department is often utilised as a final salvage manoeuvre, however the procedure does yield survivors. In one of the largest series to date a survival rate of 7.4% occurred with normal neurologic function in 92.4% of survivors whilst London HEMS boasts a 17.8% long-term survival rate for their pre-hospital thoracotomies. There is however no universally accepted criteria for who should and should not undergo this emergent procedure.
EMUGs has a number of ongoing projects including liaison with and support of ultrasound educators in other developing world countries.
Point of care diagnostic and procedural ultrasound has massive potential benefits in these countries with poor access to other radiological modalities in many areas.
As part of the EMUGs Second Sessions on the 10th Sept we organised fundraising for one of Nepal’s leading Ultrasound educators, Dr Gentle Sunder Shrestha, Critical Care Physician, Tribhuvan University Teaching Hospital, Kathmandu.
Our aim is to bring Dr Shrestha to Australia to attend an Advanced course in PoCUS so that he can bring that extra skill-set and knowledge back to those who he teaches in Kathmandu and in rural areas.
The Certificate in Clinician Performed Ultrasound
It takes some time and effort… but it will make you better at ultrasound AND you will become credentialed and can teach/supervise other ultrasound users.
This post is likely to get a few people talking. Some valid points made in the comment section also.
So it looks like you are more likely to get sued in the States if you DON’T do a critical PoCUS (if you’re appropriately trained)…and there were no lawsuits for misinterpretation or misdiagnosis, in this article anyway.
You are asked by a colleague to assist in performing a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion….
Blogs are written by our EMUGs Team from across Australasia.