Point-of-care cardiac ultrasound in acute internal medicine: how can it be delivered?

Chambers, John; Rajani, Ronak; Short, Nadia; Victor, Kelly; O'Kane, Kevin

doi:10.7861/clinmedicine.15-4-403

Cited by 3 publications

(2 citation statements)

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“…Yet less highly trained non-experts should be capable of performing short screening studies ( 13 , 18 ), answering clinical questions in a binary fashion to pre-specified clinical questions ( 45 ). As more HHE studies emerge using short training programmes and are tested and validated, those aspects of specific point of care echocardiography training programmes that are effective in teaching, learning, assessment and retention of skills may become more apparent ( 46 , 47 ). As HHE becomes more commonly practised in acute and general medical specialties, the skill may become accepted as one of the clinical skills taught in medical school.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of pocket-sized imaging devices: small and mighty?

Galusko

Ionescu²

2018

Echo Res Pract

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IntroductionHand-held imaging devices are widely used in clinical practice and are a useful tool. There is no published review examining the diagnostic parameters achieved with these devices in clinical practice.MethodsWe searched three online medical literature databases (PubMed, EMBASE and MEDLINE) for all literature published up until January 2018. We selected studies that (1) were conducted in the adult population; (2) used a truly hand-held device; (3) featured sensitivities and/or specificities on the use of the hand-held scanner. We extracted and summarised the diagnostic metrics from the literature.ResultsTwenty-seven articles were excluded from the initial 56 relevant articles, as the device featured was not truly hand-held. Ultimately a total of 25 studies were analysed. Sixteen studies were carried out by experienced users, seven by users with little previous experience and two studies by nurses. High diagnostic parameters were achieved by all three groups when scanning cardiac pathology and intra-abdominal structures. Training of non-expert users varied, taking a mean of 21.6 h. These hand-held devices can change diagnoses at the bedside and be used as gate-keepers to formal echocardiography. Individual studies show them to be cost-effective.ConclusionHand-held echocardiography is a useful tool in the hands of experts and novices alike. Studies conducted are highly heterogeneous making it difficult to pool data for the diagnostic metrics. Further studies with rigorous methodology are needed to evaluate the true diagnostic potential in the hands of non-experts and in the community as well as to validate training protocols.

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Section: Discussionmentioning

confidence: 99%

A systematic review of pocket-sized imaging devices: small and mighty?

Galusko

Ionescu²

2018

Echo Res Pract

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“…Criteria and pathways for accreditation need to be developed and monitored to ensure appropriate clinical governance. Formal accreditation early in the career, with the provision of evidence of continuing use 29) may be effective in maintaining competence in the longer term.…”

Section: Discussionmentioning

confidence: 99%

Hand-held Ultrasound Scanners in Medical Education: A Systematic Review

Galusko

Khanji

Bodger

et al. 2017

J Cardiovasc Ultrasound

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BackgroundUltrasound imaging devices are becoming popular in clinical and teaching settings, but there is no systematic information on their use in medical education. We conducted a systematic review of hand-held ultrasound (HHU) devices in undergraduate medical education to delineate their role, significance, and limitations.MethodsWe searched Cochrane, PubMed, Embase, and Medline using the strategy: [(Hand-held OR Portable OR Pocket OR “Point of Care Systems”) AND Ultrasound] AND (Education OR Training OR Undergraduate OR “Medical Students” OR “Medical School”). We retained 12 articles focusing on undergraduate medical education. We summarised the patterns of HHU use, pooled and estimated sensitivity, and specificity of HHU for detection of left ventricular dysfunction.ResultsFeatures reported were heterogeneous: training time (1–25 hours), number of students involved (1-an entire cohort), number of subjects scanned (27–211), and type of learning (self-directed vs. traditional lectures + hands-on sessions). Most studies reported cardiac HHU examinations, but other anatomical areas were examined, e.g. abdomen and thyroid. Pooled sensitivity 0.88 [95% confidence interval (CI) 0.83–0.92] and specificity 0.86 (95% CI 0.81–0.90) were high for the detection of left ventricular systolic dysfunction by students.ConclusionData on HHU devices in medical education are scarce and incomplete, but following training students can achieve high diagnostic accuracy, albeit in a limited number of (mainly cardiac) pathologies. There is no consensus on protocols best-suited to the educational needs of medical students, nor data on long-term impact, decay in proficiency or on the financial implications of deploying HHU in this setting.

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The Point-of-Care Ultrasound (POCUS) by the Handheld Ultrasound Devices (HUDs) in the COVID-19 Scenario: a Review of the Literature

Martocchia

Bentivegna

Sergi

et al. 2022

SN Compr. Clin. Med.

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The use of portable ultrasound (US) devices is increasing, due to its accessibility, versatility, non-invasiveness, and its significant support in the patient management, extending the traditional physical examination through the POCUS (point-of-care ultrasound). The pocket-size or handheld ultrasound devices (HUDs) can easily perform focused exams, not aiming to substitute for the high-end US systems (gold standard), since the HUDs usually have more limited functions. The HUDs are promising tools for the diagnosis, prognosis, and monitoring of the COVID-19 infection and its related disorders. In conclusion, the routine use of HUDs may ameliorate the management of COVID-19 pandemic, according to the guidelines for the POCUS approach and the procedures for the protection of the patients and the professionals.

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Point-of-care cardiac ultrasound in acute internal medicine: how can it be delivered?

Cited by 3 publications

References 5 publications

A systematic review of pocket-sized imaging devices: small and mighty?

A systematic review of pocket-sized imaging devices: small and mighty?

Hand-held Ultrasound Scanners in Medical Education: A Systematic Review

The Point-of-Care Ultrasound (POCUS) by the Handheld Ultrasound Devices (HUDs) in the COVID-19 Scenario: a Review of the Literature

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