Diagnostic Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine

Lin‐Martore, Margaret; Kornblith, Aaron E.

doi:10.1016/j.emc.2021.04.005

Cited by 8 publications

(6 citation statements)

References 84 publications

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“…Instead, FAST is used to detect intraperitoneal free fluid, which is assumed to be hemoperitoneum in the setting of trauma. This distinction is important because the FAST or E-FAST is not a replacement for CT scans but instead may be a tool within a diagnostic strategy for identifying the need for advanced imaging, resource utilization, or acute interventions . This distinction is important for future clinical and research purposes.…”

Section: Discussionmentioning

confidence: 99%

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children

et al. 2022

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IMPORTANCEThe wide variation in the accuracy and reliability of the Focused Assessment With Sonography for Trauma (FAST) and the extended FAST (E-FAST) for children after blunt abdominal trauma reflects user expertise. FAST and E-FAST that are performed by experts tend to be more complete, better quality, and more often clinically valuable. OBJECTIVETo develop definitions of a complete, high-quality, and accurate interpretation for the FAST and E-FAST in children with injury using an expert, consensus-based modified Delphi technique. DESIGN, SETTING, AND PARTICIPANTS This consensus-based qualitative study was conducted between May 1 to June 30, 2021. It used a scoping review and iterative Delphi technique and involved 2 rounds of online surveys and a live webinar to achieve consensus among a 26-member panel. This panel consisted of international experts in pediatric emergency point-of-care ultrasonography. MAIN OUTCOMES AND MEASURES Definitions of complete, high-quality, and accurate FAST and E-FAST studies for children after injury. RESULTSOf the 29 invited pediatric FAST experts, 26 (15 men [58%]) agreed to participate in the panel. All 26 panelists completed the 2 rounds of surveys, and 24 (92%) participated in the live and asynchronous online discussions. Consensus was reached on FAST and E-FAST study definitions, and the panelists rated these 5 anatomic views as important and appropriate for a complete FAST: right upper-quadrant abdominal view, left upper-quadrant abdominal view, suprapubic views (transverse and sagittal), and subxiphoid cardiac view. For E-FAST, the same FAST anatomic views with the addition of the lung or pneumothorax view were deemed appropriate and important. In addition, the panelists rated a total of 32 landmarks as important for assessing completeness. Similarly, the panelists rated 14 statements on quality and 20 statements on accurate interpretation as appropriate.CONCLUSIONS AND RELEVANCE This qualitative study generated definitions for complete FAST and E-FAST studies with high image quality and accurate interpretation in children with injury. These definitions are similar to those in adults with injury and may be used for future education, quality assurance, and research. Future research may focus on interpretation of trace volumes of abdominal free fluid and the use of serial FAST.

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Section: Discussionmentioning

confidence: 99%

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children

et al. 2022

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“…Scanning is performed in three separate regions: the right upper quadrant, left upper quadrant, and pelvis (longitudinal and transverse views) [17]. Hemorrhage in the abdominal cavity can be determined by inspecting the hepatorenal and splenorenal space, inferior liver edge, inferior diaphragmatic recess, and retrovesical space [18].…”

Section: Focused Assessment With Sonography For Trauma and Extended A...mentioning

confidence: 99%

“…In traumatic pneumothorax, signs of pulmonary contusion may appear adjacent to the pneumothorax laterally or dorsally as asymmetric or focal B-lines, sometimes in combination with consolidation [18]. Lung ultrasound is highly accurate, particularly in infants [21].…”

Section: Pericardial Tamponadementioning

confidence: 99%

An [illustrative] update on pediatric emergency medicine ultrasound: part 1 – trauma and thoracic applications

Dong,

Schwarz,

Hoffmann

et al. 2024

Med Ultrason

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Point-of-care ultrasound (POCUS) plays an essential role in emergency medicine, providing a range of diagnostic and procedural modalities. It does not involve any ionizing radiation and can improve procedural accuracy and safety. The role of POCUS in the care of pediatric patients differs somewhat from that of adult patients, as there are a range of conditions specific to infants and children. The technical background of pediatric POCUS and its current applications for trauma and thoracic scanning are reviewed and illustrated in this first article of this series.

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“…Point-of-care ultrasound, available at the patient's bedside, and which involves no radiation exposure, is being used enthusiastically by physicians for whole-body clinical evaluation as well as for assessment and guidance of invasive procedures. 1 Airway stenosis or obstruction is a serious condition and urgent evaluation and intervention are required. Thus, point-of-care ultrasound is a useful imaging modality for evaluating cervical lesions that compress the airway.…”

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confidence: 99%

Point‐of‐care ultrasound for airway lesions

Hosokawa

Tanami

Sato

et al. 2023

Pediatrics International

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Diagnostic Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine

Cited by 8 publications

References 84 publications

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children

An [illustrative] update on pediatric emergency medicine ultrasound: part 1 – trauma and thoracic applications

Point‐of‐care ultrasound for airway lesions

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