Surgeon as Educator: Bedside Ultrasound in Hypertrophic Pyloric Stenosis

Wyrick, Deidre L.; Smith, Samuel D.; Dassinger, Melvin S.

doi:10.1016/j.jsurg.2014.05.001

Cited by 13 publications

(19 citation statements)

References 8 publications

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“…The other two studies demonstrated that non-radiologist point-of-care US is capable of accurately diagnosing pyloric hypertrophy when using radiology US as reference standard (sensitivity when identifying pylorus: 100% [95% CI: 66–100]; specificity, 100% [95% CI: 92–100]) [ 29 ]. There was no difference between measurements obtained by the non-radiologists compared to the radiologists ( P >0.2) [ 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…No previous experience with bowel US - 1 h focused training session: didactic component and hands-on scanning with child as a model Scaife [ 39 ] 2013 USA Emergency Prospective training study (FAST) - Technical instruction, viewing an instructional video, didactic session including hands-on training - At least 30 exams, of which 5 were proctored by certified paediatric sonographer or certified adult emergency medicine physician and of which at least 5 were positive for abdominal free fluid - Final competence exam (patients with ascites or ventriculoperitoneal shunt). Topics for exam: detection of intra-abdominal fluid, orientation and accuracy of probe placement, adequate scanning through fields, acceptable efficiency/time frame and ability to obtain key structures Shefrin [ 104 ] 2019 USA Emergency Delphi procedure Not applicable Wyrick [ 30 ] 2014 USA Surgery Prospective training study (single-organ POCUS) Five hands-on exams CME continuing medical education, FAST focused abdominal sonography for trauma, NICU neonatal intensive care unit, NPM neonatal perinatal medicine, PCCM pediatric critical care medicine, PICU paediatric intensive care unit, POCUS point-of-care ultrasound, UTI urinary tract infection …”

Section: Resultsmentioning

confidence: 99%

“…Of the 39 studies on abdominal non-radiologist point-of-care US, we found 9 studies on the bladder (Table 1; [8][9][10][11][12][13][14][15][16]), 10 on the bowel (Table 2; [17][18][19][20][21][22][23][24][25][26]), 4 on the stomach (Table 3; [27][28][29][30]), 1 on the kidney (Table 4; [31]), 4 on fluid status (Table 5; [4,[32][33][34]), 9 on non-radiologist point-of-care US for trauma screening (Table 6; [35][36][37][38][39][40][41][42][43]) and 1 "other" on umbilical artery line placement (Table 7; [44]). Next we present these studies per organ.…”

Section: Overview Of Uses Of Non-radiologist Point-of-care Ultrasoundmentioning

confidence: 99%

“…[6,7,23,30, 31, 38, 39,[96][97][98][99][100][101][102][103][104]). We subdivided these publications into three categories: (1) studies reporting efforts and outcomes of general training strategies for non-radiologist point-of-care US, (2) studies reporting training strategies for a dedicated application of nonradiologist point-of-care US and (3) surveys that reported the state of non-radiologist point-of-care US use and training in paediatric medicine.…”

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confidence: 99%

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Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

et al. 2021

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Background Historically, US in the paediatric setting has mostly been the domain of radiologists. However, in the last decade, there has been an uptake of non-radiologist point-of-care US. Objective To gain an overview of abdominal non-radiologist point-of-care US in paediatrics. Materials and methods We conducted a scoping review regarding the uses of abdominal non-radiologist point-of-care US, quality of examinations and training, patient perspective, financial costs and legal consequences following the use of non-radiologist point-of-care US. We conducted an advanced search of the following databases: Medline, Embase and Web of Science Conference Proceedings. We included published original research studies describing abdominal non-radiologist point-of-care US in children. We limited studies to English-language articles from Western countries. Results We found a total of 5,092 publications and selected 106 publications for inclusion: 39 studies and 51 case reports or case series on the state-of-art of abdominal non-radiologist point-of-care US, 14 on training of non-radiologists, and 1 each on possible harms following non-radiologist point-of-care US and patient satisfaction. According to included studies, non-radiologist point-of-care US is increasingly used, but no standardised training guidelines exist. We found no studies regarding the financial consequences of non-radiologist point-of-care US. Conclusion This scoping review supports the further development of non-radiologist point-of-care US and underlines the need for consensus on who can do which examination after which level of training among US performers. More research is needed on training non-radiologists and on the costs-to-benefits of non-radiologist point-of-care US.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Overview Of Uses Of Non-radiologist Point-of-care Ultrasoundmentioning

confidence: 99%

mentioning

confidence: 99%

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Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

et al. 2021

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“…Several studies have suggested that a paracrine mechanism contributes significantly to myocardial repair triggered by cell-based therapies [158][159][160]. While all major types of stem/progenitor cells have demonstrated potentials to prevent myocardial injury and improve myocardial remodeling, cardiac stem/progenitor cells have shown superior capacity to enhance cardiomyocyte proliferation as well as myocyte replenishment [161][162][163][164][165]. While exosomes derived from bone marrow stem/ progenitor cells have been recognized in myocardial protection, stimulation of angiogenesis and modulation of inflammation [118,166,167], a recent study by the Marban group showed that exosomes secreted by CDCs, a type of cardiac stem/progenitor cells, play critical roles in cardiac regeneration triggered by cell therapy.…”

Section: Exosomes In Cardiac Regenerationmentioning

confidence: 99%

Exosome and its roles in cardiovascular diseases

2014

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Exosomes are nanosized vesicles secreted by cells, which are capable of carrying signaling molecules in the forms of protein, mRNA and miRNA to serve as the platforms for complex intercellular communications. During the past few years, increasing efforts have been devoted to exosome research, and tremendous progress has been made in terms of identifying the molecular composition, elucidating the mechanisms and regulations of biogenesis and characterizing the functions in a variety of physiological and pathological settings including cardiovascular diseases, a leading cause of morbidity and mortality in modern society. This review provides an update on exosome research and summarizes the roles of exosomes in cardiovascular diseases.

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A consensus list of ultrasound competencies for graduating emergency medicine residents

Haidar

Peterson

Minges

et al. 2022

AEM Education and Training

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Objectives Emergency ultrasound (EUS) is a critical component of emergency medicine (EM) resident education. Currently, there is no consensus list of competencies for EUS training, and graduating residents have varying levels of skill and comfort. The objective of this study was to define a widely accepted comprehensive list of EUS competencies for graduating EM residents through a modified Delphi method. Methods We developed a list of EUS applications through a comprehensive literature search, the American College of Emergency Physicians list of core EUS benchmarks, and the Council of Emergency Medicine Residency‐Academy of Emergency Ultrasound consensus document. We assembled a multi‐institutional expert panel including 15 faculty members from diverse practice environments and geographical regions. The panel voted on the list of competencies through two rounds of a modified Delphi process using a modified Likert scale (1 = not at all important, 5 = very important) to determine levels of agreement for each application—with revisions occurring between the two rounds. High agreement for consensus was set at >80%. Results Fifteen of 15 panelists completed the first‐round survey (100%) that included 359 topics related to EUS. After the first round, 195 applications achieved high agreement, four applications achieved medium agreement, and 164 applications achieved low agreement. After the discussion, we removed three questions and added 13 questions. Fifteen of 15 panelists completed the second round of the survey (100%) with 209 of the 369 applications achieving consensus. Conclusion Our final list represents expert opinion on EUS competencies for graduating EM residents. We hope to use this consensus list to implement a more consistent EUS curriculum for graduating EM residents and to standardize EUS training across EM residency programs.

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Surgeon as Educator: Bedside Ultrasound in Hypertrophic Pyloric Stenosis

Cited by 13 publications

References 8 publications

Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics — a scoping review

Exosome and its roles in cardiovascular diseases

A consensus list of ultrasound competencies for graduating emergency medicine residents

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