Ultrasound performs better than radiographs

Agricola, Eustachio; Arbelot, Charlotte; Blaivas, Michael; Bouhemad, Bélaïd; Copetti, Roberto; Dean, Anthony J.; Dulchavsky, Scott A.; Elbarbary, Mahmoud; Gargani, Luna; Hoppmann, Richard; Kirkpatrick, Andrew W.; Lichtenstein, Daniel A.; Liteplo, Andrew S.; Mathis, Gebhard; Melniker, Lawrence; Neri, Luca; Noble, Vicki E.; Pétrovic, Tomislav; Reißig, Angelika; Rouby, Jean‐Jacques; Seibel, Armin; Soldati, Gino; Storti, Enrico; Tsung, James W.; Via, Gabriele; Volpicelli, Giovanni

doi:10.1136/thx.2010.153239

Cited by 39 publications

(27 citation statements)

References 5 publications

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“…For example, recent research has found that EM-PoCUS is superior to x-ray for the diagnosis of pneumothorax and pleural effusions, [38][39][40] yet this competency was categorized as being essential for advanced practitioners only. Similarly, the assessment of lower extremity deep vein thrombosis with PoCUS was categorized as being essential to fellowship-trained practitioners only; however, recent publications have shown this to be a quick, reliable, time-and costeffective technique that can be easily performed by general emergency physicians.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice

Fischer

Woo

Lee

et al. 2015

CJEM

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Introduction: Emergency medicine point-of-care ultrasonography (EM-PoCUS) is a core competency for residents in the Royal College of Physicians and Surgeons of Canada and College of Family Physicians of Canada emergency medicine (EM) training programs. Although EM-PoCUS fellowships are currently offered in Canada, there is little consensus regarding what training should be included in a Canadian EM-PoCUS fellowship curriculum or how this contrasts with the training received in an EM residency. Objectives: To conduct a systematic needs assessment of major stakeholders to define the essential elements necessary for a Canadian EM-PoCUS fellowship training curriculum. Methods: We carried out a national survey of experts in EMPoCUS, EM residency program directors, and EM residents. Respondents were asked to identify competencies deemed either nonessential to EM practice, essential for general EM practice, essential for advanced EM practice, or essential for EM-PoCUS fellowship trained (''expert'') practice. Results: The response rate was 81% (351 of 435). PoCUS was deemed essential to general EM practice for basic cardiac, aortic, trauma, and procedural imaging. PoCUS was deemed essential to advanced EM practice in undifferentiated symptomatology, advanced chest pathologies, and advanced procedural applications. Expert-level PoCUS competencies were identified for administrative, pediatric, and advanced gynecologic applications. Eighty-seven percent of respondents indicated that there was a need for EM-PoCUS fellowships, with an ideal length of 6 months. Conclusion: This is the first needs assessment of major stakeholders in Canada to identify competencies for expert training in EM-PoCUS. The competencies should form the basis for EM-PoCUS fellowship programs in Canada.

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Section: Discussionmentioning

confidence: 99%

Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice

Fischer

Woo

Lee

et al. 2015

CJEM

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“…4). By use of the above definitions and techniques, bedside ultrasonography has been found to be equally or more sensitive than CXR in detecting pneumothorax (Agricola et al 2011;Cunningham et al 2002;Ding et al 2011;Dulchavsky et al 2001;Lichtenstein et al 2000Lichtenstein et al , 2005Reissig and Kroegel 2005;Rowan et al 2002;Volpicelli 2011). It is highly accurate (particularly in ruling out pneumothorax) and quickly done at the bedside.…”

Section: Pneumothoraxmentioning

confidence: 96%

Ultrasound of the Pleurae and Lungs

Dietrich

Mathis²,

Cui

et al. 2015

Ultrasound in Medicine & Biology

126

111

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The value of ultrasound techniques in examination of the pleurae and lungs has been underestimated over recent decades. One explanation for this is the assumption that the ventilated lungs and the bones of the rib cage constitute impermeable obstacles to ultrasound. However, a variety of pathologies of the chest wall, pleurae and lungs result in altered tissue composition, providing substantially increased access and visibility for ultrasound examination. It is a great benefit that the pleurae and lungs can be non-invasively imaged repeatedly without discomfort or radiation exposure for the patient. Ultrasound is thus particularly valuable in follow-up of disease, differential diagnosis and detection of complications. Diagnostic and therapeutic interventions in patients with pathologic pleural and pulmonary findings can tolerably be performed under real-time ultrasound guidance. In this article, an updated overview is given presenting not only the benefits and indications, but also the limitations of pleural and pulmonary ultrasound.

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“…During 2013, the number was also 9 (PubMed search performed on 8/12/2014, too): milligrams per deciliter [5], milligrams per liter [6], micrograms per milliliter [7], micrograms per deciliter [8], micrograms per liter [3], nanograms per milliliter [9], nanograms per deciliter [10], nanograms per liter [11], and picograms per milliliter [12]. Moreover, 1 additional numerical unit appeared in 2014: milligrams per milliliter [13].…”

Section: Questioning the Ultrasound Diagnosis Of Pneumothoraxmentioning

confidence: 99%