The utility of point of care ultrasonography (POCUS)

Hashim, Ahmed; Tahir, Muhammad Junaid; Ullah, Irfan; Asghar, Muhammad Sohaib; Siddiqi, Haziq; Yousaf, Zohaib

doi:10.1016/j.amsu.2021.102982

Cited by 58 publications

(56 citation statements)

References 26 publications

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“…In Canadian emergency centres, ePOCUS are reportedly used on an average of 68% of shifts and 23% of patients and was used in 2.1% of patients in Australian emergency centres [ 27 , 28 ]. The low adoption rate in the survey is of concern even though the availability of mobile ultrasound machines increased substantially over the last couple of years [3] . We do acknowledge that the usage of ePOCUS in Africa is likely much higher as reported here, but there are still room for improvement.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

Hoving

Alenyo

Komagum

et al. 2022

African Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

“…Emergency point-of-care ultrasound (ePOCUS) use by doctors, nurses and pre-hospital practitioners has become mainstream worldwide to expedite patient management at the patient's bedside [1] , [2] , [3] , [4] , [5] . The numerous benefits of its use is well described internationally.…”

Section: Introductionmentioning

confidence: 99%

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

Hoving

Alenyo

Komagum

et al. 2022

African Journal of Emergency Medicine

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“…Point of Care Ultrasound (POCUS) is one of the effective bedside diagnostic tools and is currently mostly performed in the emergency department (ED). 5 As it has a range of applications, including as soft tissue, appendix, pelvic, biliary, and renal ultrasounds, POCUS has been linked to a reduced ED LOS, particularly in adults. 6–10 Significant progress in the medical technology, 11 , 12 particularly for handheld ultrasound, has been rapidly developing.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand

Ienghong¹,

Cheung²,

Tiamkao³

et al. 2023

JMDH

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Purpose Globally, emergency departments (ED) are faced with an overcrowding problem. This issue is further compounded due to the multitude of contributing factors. Point of Care ultrasound (POCUS), especially when performed in prehospital care, that is before the patient is admitted to the ED has a high potential to reduce time of diagnosis and time of investigation which leads to shorter ED length of stay (LOS). The primary focus was on variances in ED LOS between the prehospital POCUS group and the standard care group. Patients and Methods A cross-sectional study was conducted on prehospital patients who were admitted to the ED at Srinagarind Hospital, Thailand, from January to December 2021. We divided patients into two groups including patients who obtained prehospital POCUS (the prehospital POCUS group) and patients who received standard care treatment in which there was no prehospital POCUS performed (the standard care group). POCUS and ED medical records were documented and submitted for analysis. Results Of 1348 prehospital patients, 840 were enrolled in this study: 169 with prehospital POCUS and 671 with standard care. Median LOS in the prehospital POCUS group was 159 min (IQR 89,289) versus 165 (IQR 102,330) in the standard care group (p = 0.125). Further imaging diagnostic test which affected ED LOS more than four hours was lower in the prehospital POCUS group (adjusted odds ratio [OR], 0.92; 95% confidence intervals [CI], 0.729–1.666) than in the standard care group. The factor associated with increased odds of ED LOS more than four hour in the prehospital POCUS group was admission to hospital (adjusted OR 1.88; 95% CI, 1.230-2.239). Conclusion Patients evaluated with prehospital POCUS had a shorter LOS than the only standard care treatment without statistical significance.

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“…It has been used as part of patient care with wider applications from reducing diagnostic variables to guiding invasive procedures [ 3 ]. Using POCUS in primary health care settings has reduced costs and improved the quality of care provided by trained physicians who can efficiently implement it as a rapid bedside diagnostic tool [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Benefits and Barriers of Using Point-of-Care Ultrasound in Primary Healthcare in the United States

Carrera¹,

Hassen²,

Camacho-Leon³

et al. 2022

Cureus

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An effective healthcare system should embrace practices that enhance overall quality and productivity. Training primary care physicians in Point-of-Care Ultrasound (POCUS) has become part of the processes that improve the quality of patient care and serve to guide the diagnostic impression quickly and effectively. With the purpose of highlighting the applications and challenges of POCUS use in US primary health care, we conducted a narrative review based on PubMed-indexed and Cochrane Library English text publications searched in May-July 2022 using a combination of key terms including point of care ultrasound, primary care, and US healthcare. Many studies have shown that POCUS has a positive impact on fostering medical attention and reducing morbidity, mortality, and healthcare costs. Besides assisting in procedures, POCUS has a head-to-toe application in evaluating inflammatory and infectious conditions, acute abdomen, cardiopulmonary function, musculoskeletal and vascular pathologies. However, its uniform implementation is limited across the US healthcare system due to multitudes of barriers such as lack of training, resource scarcity, and low reimbursement. Training primary care physicians in general and emergency care providers, in particular, is key to scaleup POCUS use. Large size studies are paramount to further explore the effectiveness of POCUS and identify key challenges to its implementation.

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The utility of point of care ultrasonography (POCUS)

Cited by 58 publications

References 26 publications

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

Current use and perceived barriers of emergency point-of-care ultrasound by African health care practitioners

The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand

The Benefits and Barriers of Using Point-of-Care Ultrasound in Primary Healthcare in the United States

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