Oct 08 2020
Echo SVI for Intermediate-Risk PE
Spoon Feed
Low stroke volume index (SVI) in intermediate-risk pulmonary embolism (PE) was associated with increased morbidity and mortality as an inpatient but may be limited to those with advanced echo skills.
Oct 02 2020
MSK Ultrasound for Shoulder Dislocation
Spoon Feed
This posterior ultrasound (US) approach to identify shoulder dislocation had 100% sensitivity and specificity for shoulder dislocation and was faster than x-ray by 43 minutes. However, the 92% sensitivity (with a lower 95% CI of 60%) for identifying non-Hill-Sachs/Bankart fracture makes me cautious about completely adopting POCUS until larger studies are done.
Sep 25 2020
The Increasingly Important Role of FoCUS at the Bedside
Spoon Feed
FoCUS (Focused Cardiac Ultrasound) enhanced diagnostic ability for multiple cardiac parameters when performed at the bedside.
Jul 31 2020
POCUS for Abscess – A Large Meta-Analysis
Spoon Feed
Point-of-care ultrasound (POCUS) was accurate in distinguishing cellulitis from abscess.
Apr 17 2020
Pericarditis | Spoon-Feed Review
Spoon Feed
If you primarily rely on the ECG to rule in/out pericarditis, then you need to read this JACC summary to learn how to diagnose and manage pericarditis like an expert.
Apr 09 2020
Point | Counterpoint – POCUS Does Not Need Credentialing
Spoon Feed
These authors think point-of-care ultrasound should not require special institutional credentialing or privileging, as it is non-invasive, easy to learn, and nearly ubiquitous in residency and critical care medicine training.
Apr 08 2020
Point | Counterpoint – POCUS Needs Credentialing
Spoon Feed
Since critical care medicine programs do not have explicit training requirements or standards for point-of-care ultrasound, these authors think that an institution should prove competence through credentialing and privileging.
Mar 09 2020
Ultrasound for Central Line Placement
Spoon Feed
Ultrasound was not sensitive for detecting IJ or subclavian central venous catheter malposition but was comparable to CXR for detecting pneumothorax.
Feb 10 2020
Midlines – A Central Line Alternative?
Spoon Feed
style="white-space:pre-wrap;">Midline catheters had a low complication rate and high rate of successful placement in critically ill ED patients, presenting a safe alternative to a central line.
Dec 04 2019
POCUS for Abscess – How Accurate Is It?
Spoon Feed
Point of care ultrasound was accurate for diagnosis of skin abscess, but the results of this review may have been inflated. It is likely most helpful in uncertain cases.