Point-of-care ultrasound (curriculum)
Updates to Article Attributes
The point-of-care ultrasound (PoCUS) curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core applications of ultrasonography in a point-of-care setting.
Definition
Point-of-care ultrasound refers to ultrasonography which may be simultaneously performed, interpreted and utilizedutilised by a health care provider at the time of consultation, in proximity to the patient. The goals and scope are fundamentally different from the traditional sonographer-performed ultrasound, limited to specific clinical questions that narrow a clinician's differentials, guide clinical therapy, and direct consultations and disposition.
While more detailed and complex ultrasonography applications may provide information that is more detailed than PoCUS, have greater anatomic specificity, or identify alternative diagnoses, PoCUS is noninvasive, rapidly deployed and does not entail removal of the patient from the resuscitation area.
PoCUS consensus statements emphasize engaging consultants early on in workup, ultimately improving initial diagnostic accuracy, initiation of proper management, and allowing PoCUS to play a complementary role to traditional imaging modalities.
While grouping applications of PoCUS is largely arbitrary, the indications for PoCUS tend to revolve around either the function of an anatomical structure, or a syndrome eliciting interrogation of systems pertaining to the differential diagnosis.
Anatomy
Thorax
- trachea
- ribs
- lungs
- pleura
- key findings
- a lines
- b lines
- loss of lung sliding
- air bronchograms
- spine sign
- z lines
- lung point
Gastrointestinal tract
- small bowel
- large bowel
- key findings
- bowel wall thickening
- bowel dilatation (summary)
- free intraperitoneal fluid
- free intraperitoneal air
- presence or absence of peristalsis
- mural stratification
- conditions
Cardiac
- approach
- Anatomy
- cardiac chambers
- cardiac
- key findings
Aorta
- anatomy
- abdominal Aorta
- Thoracic Aorta
- key findings
- conditions
Lower and Upper Limb
- approach
- anatomy
- key findings
- conditions
Ear, Nose and Throat
- approach
- anatomy
- key findings
- conditions
Ocular
- approach
- anatomy
- key findings
- conditions
Hepatobiliary
Gynaecological
- approach
- key findings
- conditions
Transcranial Doppler
- approach
- key findings
Radiological examinations
- bedside lung ultrasound in emergency (BLUE)
- focussed echocardiography examination in life
- rapid ultrasound in shock and hypotension
- focussed assessment with sonography for trauma (FAST) scan
- graded compression
- focussed assessment with sonography in HIV/TB (FASH)
- FATE (Focus‐Assessed Transthoracic Echocardiography)
- DEFG for Basic Echocardiography (summary)
Vascular Access
Pericardiocentesis
Paracentesis
Thoracentesis
Suprapubic aspiration and catheterisation
Peripheral nerve blocks
Pathology
Respiratory tract
- malposition of endotracheal tube
- double trachea sign
- oesophageal intubation
- mainstem bronchus intubation
Gastrointestinal tract
- bowel wall thickening
- bowel dilatation (summary)
- free intraperitoneal fluid
- free intraperitoneal air
- presence or absence of peristalsis
- mural stratification
- conditions
Hepatobiliary
Scrotum
Uterus and adnexa in pregnancy
- intrauterine pregnancy
- ectopic pregnancy
Lower extremities
- Deep venous system
- Superficial venous system
Thorax
lungs and airways
- pleura
- vessels
- cardiac
- chamber enlargement
- wall thickening
- regional wall motion abnormalities
- valvular dysfunction
Soft tissue
Role of imaging
While more detailed and complex ultrasonography applications may provide information that is more detailed than PoCUS, have greater anatomic specificity, or identify alternative diagnoses, PoCUS is noninvasive, rapidly deployed and does not entail removal of the patient from the resuscitation area.
PoCUS consensus statements emphasize engaging consultants early on in workup, ultimately improving initial diagnostic accuracy, initiation of proper management, and allowing PoCUS to play a complementary role to traditional imaging modalities.
While grouping applications of PoCUS is largely arbitrary, the indications for PoCUS tend to revolve around either the function of an anatomical structure, or a syndrome eliciting interrogation of systems pertaining to the differential diagnosis.
Physics
Vascular access
Pericardiocentesis
Paracentesis
Thoracentesis
Suprapubic aspiration and catheterisation
Peripheral nerve blocks
-<p>The <strong>p</strong><strong>oint-of-care ultrasound (PoCUS) curriculum</strong> is one of our <a href="/articles/curriculum">curriculum</a> articles and aims to be a collection of articles that represent the core applications of <a href="/articles/ultrasound-introduction">ultrasonography</a> in a point-of-care setting.</p><h4>Definition</h4><p>Point-of-care ultrasound refers to ultrasonography which may be simultaneously performed, interpreted and utilized by a health care provider at the time of consultation, in proximity to the patient. The goals and scope are fundamentally different from the traditional sonographer-performed ultrasound, limited to specific clinical questions that narrow a clinician's differentials, guide clinical therapy, and direct consultations and disposition. </p><h4>Anatomy</h4><h5>Thorax</h5><ul>- +<p>The <strong>p</strong><strong>oint-of-care ultrasound (PoCUS) curriculum</strong> is one of our <a href="/articles/curriculum">curriculum</a> articles and aims to be a collection of articles that represent the core applications of <a href="/articles/ultrasound-introduction">ultrasonography</a> in a point-of-care setting.</p><p>Point-of-care ultrasound refers to ultrasonography which may be simultaneously performed, interpreted and utilised by a health care provider at the time of consultation, in proximity to the patient. The goals and scope are fundamentally different from the traditional sonographer-performed ultrasound, limited to specific clinical questions that narrow a clinician's differentials, guide clinical therapy, and direct consultations and disposition. </p><p>While more detailed and complex ultrasonography applications may provide information that is more detailed than PoCUS, have greater anatomic specificity, or identify alternative diagnoses, PoCUS is noninvasive, rapidly deployed and does not entail removal of the patient from the resuscitation area.</p><p>PoCUS consensus statements emphasize engaging consultants early on in workup, ultimately improving initial diagnostic accuracy, initiation of proper management, and allowing PoCUS to play a complementary role to traditional imaging modalities.</p><p>While grouping applications of PoCUS is largely arbitrary, the indications for PoCUS tend to revolve around either the function of an anatomical structure, or a syndrome eliciting interrogation of systems pertaining to the differential diagnosis.</p><h4>Anatomy</h4><h5>Thorax</h5><ul>
-<li><a href="/articles/fate-focusassessed-transthoracic-echocardiography">FATE (Focus‐Assessed Transthoracic Echocardiography)</a></li>- +<li><a href="/articles/focusassessed-transthoracic-echocardiography">FATE (Focus‐Assessed Transthoracic Echocardiography)</a></li>
-<li><a title="mural stratification" href="/articles/mural-stratification">mural stratification</a></li>- +<li><a href="/articles/mural-stratification">mural stratification</a></li>
-</ul><h4>Role of imaging</h4><p>While more detailed and complex ultrasonography applications may provide information that is more detailed than PoCUS, have greater anatomic specificity, or identify alternative diagnoses, PoCUS is noninvasive, rapidly deployed and does not entail removal of the patient from the resuscitation area.</p><p>PoCUS consensus statements emphasize engaging consultants early on in workup, ultimately improving initial diagnostic accuracy, initiation of proper management, and allowing PoCUS to play a complementary role to traditional imaging modalities.</p><p>While grouping applications of PoCUS is largely arbitrary, the indications for PoCUS tend to revolve around either the function of an anatomical structure, or a syndrome eliciting interrogation of systems pertaining to the differential diagnosis.</p><h4>Physics</h4><ul><li>- +</ul><h4>Physics</h4><ul><li>
-</li></ul><h5>Vascular access</h5><h5>Pericardiocentesis</h5><ul><li><a href="/articles/cardiac-tamponade">pericardiac tamponade</a></li></ul><h5>Paracentesis</h5><ul><li><a href="/articles/ascites">ascites</a></li></ul><h5>Thoracentesis</h5><ul><li><a href="/articles/pleural-effusion">pleural effusion</a></li></ul><h5>Suprapubic aspiration and catheterisation</h5><h5>Peripheral nerve blocks</h5>- +</li></ul>
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