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ABSTRACT: As point-of-care ultrasound (POCUS) becomes standard practice in pediatric emergency medicine (PEM), it is important to have benchmarks in place for credentialing PEM faculty in POCUS. Faculty must be systematically trained and assessed for competency in order to be credentialed in POCUS and granted privileges by an individual institution. Recommendations on credentialing PEM faculty are needed to ensure appropriate, consistent, and responsible use of this diagnostic and procedural tool. It is our intention that these guidelines will serve as a framework for credentialing faculty in PEM POCUS.
Assuntos
Medicina de Emergência , Medicina de Emergência Pediátrica , Criança , Credenciamento , Docentes , Humanos , Sistemas Automatizados de Assistência Junto ao Leito , UltrassonografiaRESUMO
OBJECTIVE: Point-of-care ultrasound has become an important adjunct for diagnostic assessment in pediatric emergency medicine. In this case series, we demonstrate how ocular point-of-care ultrasound is used to correctly diagnose ocular pathologies and to expedite care. METHODS/RESULTS: We present a series of cases in which the point-of-care ultrasound ocular examination proved valuable in the timely diagnosis of pathologies involving the lens, vitreous, retina, and retrobulbar segment of the eye. CONCLUSION: Point-of-care ultrasound may facilitate diagnosis in children with ocular complaints, even in young and uncooperative patients, and should be considered in children of all ages.
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Oftalmopatias/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia/métodos , Adolescente , Criança , Pré-Escolar , Serviço Hospitalar de Emergência , Olho/diagnóstico por imagem , Olho/patologia , Feminino , Humanos , Masculino , Procedimentos Cirúrgicos Oftalmológicos/métodosRESUMO
The first presentation of congenital heart disease can be a diagnostic challenge in the emergency department. We report on 2 cases where point-of-care ultrasound identified gross cardiac abnormalities in 2 children and expedited disposition and downstream care.
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Cardiopatias Congênitas/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia/métodos , Serviço Hospitalar de Emergência , Feminino , Humanos , Lactente , Recém-Nascido , MasculinoRESUMO
The presence of a foreign body (FB), its depth and size, is often indeterminate by clinical examination. Conventional imaging such as a radiograph can fail to visualize soft tissue FBs. We present 2 cases where point-of-care ultrasound was used to detect previously unidentified FBs.
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Serviço Hospitalar de Emergência/normas , Corpos Estranhos/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito/estatística & dados numéricos , Lesões dos Tecidos Moles/diagnóstico por imagem , Ultrassonografia/métodos , Infecção dos Ferimentos/diagnóstico , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Criança , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/cirurgia , Humanos , Masculino , Radiografia , Infecção dos Ferimentos/tratamento farmacológico , Infecção dos Ferimentos/etiologiaRESUMO
Langerhans cell histiocytosis is a rare disease characterized by clonal proliferation of Langerhans-type cells, causing local or systemic effects. One of the most affected sites in children is the skull. We describe 2 cases of children presenting to the pediatric emergency department with symptoms isolated to the scalp and the point-of-care focused skull ultrasound findings, which assisted in the diagnosis of Langerhans cell histiocytosis in both cases.
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Doenças Ósseas/diagnóstico por imagem , Histiocitose de Células de Langerhans/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Crânio , Criança , Emergências , Serviço Hospitalar de Emergência , Humanos , Masculino , PediatriaRESUMO
We present a case series of 2 patients who presented to a pediatric emergency department with history and symptoms suggestive of diaphragmatic hernia. Point-of-care ultrasound was used at the bedside to demonstrate the presence of bowel in the thorax and accurately guided the care of these children.
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Hérnias Diafragmáticas Congênitas/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia/métodos , Pré-Escolar , Serviço Hospitalar de Emergência , Feminino , Hérnias Diafragmáticas Congênitas/cirurgia , Humanos , Recém-Nascido , Resultado do TratamentoRESUMO
Point-of-care ultrasound (POCUS) continues to generate new and interesting clinical findings as its use expands in the pediatric emergency department. This case report describes the novel findings identified during a POCUS focused lung examination of a pediatric patient with suspected foreign body aspiration.
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Corpos Estranhos/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Ultrassonografia/métodos , Broncoscopia , Criança , Serviço Hospitalar de Emergência , Corpos Estranhos/cirurgia , Humanos , Masculino , Aspiração RespiratóriaRESUMO
We report a case of a 16-year-old girl with acute visual complaints who was diagnosed with bilateral retinal detachment using point-of-case ultrasound and ultimately was diagnosed with Vogt-Koyanagi-Harada disease. This case illustrates the use of point-of-care ultrasound by the pediatric emergency physician to recognize the ocular abnormality associated with this rare disease.
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Sistemas Automatizados de Assistência Junto ao Leito , Descolamento Retiniano/diagnóstico por imagem , Ultrassonografia/métodos , Síndrome Uveomeningoencefálica/diagnóstico por imagem , Adolescente , Serviço Hospitalar de Emergência , Feminino , Glucocorticoides/uso terapêutico , Humanos , Descolamento Retiniano/tratamento farmacológico , Descolamento Retiniano/etiologia , Síndrome Uveomeningoencefálica/complicações , Síndrome Uveomeningoencefálica/tratamento farmacológicoRESUMO
OBJECTIVES: Ultrasound-guided forearm nerve blocks have been shown to safely reduce pain for emergency procedures in the adult emergency department (ED). Although ultrasonography is widely used for forearm nerve blocks in the adult ED and in the pediatric operating room, no study to date has examined its use in the pediatric emergency setting. METHODS: We conducted a prospective nonblinded descriptive study of ultrasound-guided ulnar, median, and radial nerve blocks in a convenience sample of pediatric patients with hand injuries requiring procedural intervention who presented to a freestanding pediatric ED. RESULTS: The mean initial pain score for the sample was 5.8, and the mean postprocedure score was 0.8, with a mean on the 10-point visual pain scale of 5 (interquartile range [IQR], 3-6; P = 0.04). Seven patients reported complete resolution of their pain that was signified by a score of 0. The mean time to completion for ulnar nerve block was 79 seconds (IQR, 67-103 seconds). The mean time to completion for median nerve block was 76 seconds (IQR, 70-112 seconds). The mean time to completion for radial nerve block was 69 seconds (IQR, 60-100 seconds). No immediate complications, including vascular puncture, carpal tunnel injury, or direct nerve injection, were noted during the study. At 1-year follow-up, no adverse effects were reported. CONCLUSIONS: Ultrasound-guided forearm nerve blocks are effective for pediatric patients in the ED. The procedure provides effective analgesia and facilitates care while minimizing iatrogenic risk.
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Serviço Hospitalar de Emergência , Traumatismos da Mão/terapia , Bloqueio Nervoso/métodos , Manejo da Dor/métodos , Ultrassonografia de Intervenção/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Nervo Mediano , Medição da Dor , Estudos Prospectivos , Nervo Radial , Resultado do Tratamento , Nervo UlnarRESUMO
The application of emergency point-of-care ultrasound has been expanding in pediatric emergency medicine for a decade. In this case series, we describe the detection of papilledema in patients presenting to the pediatric emergency department using this technology and its potential impact on their clinical care.
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Papiledema/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Adolescente , Criança , Pré-Escolar , Emergências , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , UltrassonografiaRESUMO
The use of point-of-care ultrasound in the pediatric emergency department is evolving beyond conventional applications as users become more expert with the technology. In this case series, we describe the potential utility of recognizing abnormal anatomy to impact care in the context of possible cancer in pediatric patients. We describe 4 patients with Langerhans histiocytosis, neuroblastoma, Wilms tumor, and rhabdomyosarcoma, in which point-of-care ultrasound was used to facilitate the diagnoses.
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Neoplasias/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Criança , Pré-Escolar , Serviço Hospitalar de Emergência , Feminino , Histiocitose de Células de Langerhans/diagnóstico por imagem , Humanos , Lactente , Neoplasias Renais/diagnóstico por imagem , Neoplasias Hepáticas/diagnóstico por imagem , Masculino , Neuroblastoma/diagnóstico por imagem , Neoplasias Orbitárias/diagnóstico por imagem , Pediatria , Rabdomiossarcoma/diagnóstico por imagem , Ultrassonografia , Tumor de Wilms/diagnóstico por imagemRESUMO
A 12-year-old girl presented to the pediatric emergency department with a history of difficulty voiding and was found to have a firm, tender suprapubic mass on examination. Transabdominal emergency point-of-care ultrasound was used at the bedside to diagnose hematocolpometra due to an imperforate hymen. The diagnosis was confirmed by a comprehensive abdominal ultrasound and magnetic resonance imaging in the radiology suite. The patient was discharged on oral contraceptive medication and scheduled for an outpatient surgical hymenectomy following consultation with the gynecology service.
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Hematometra/diagnóstico por imagem , Hímen/anormalidades , Distúrbios Menstruais/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Criança , Anormalidades Congênitas , Medicina de Emergência , Serviço Hospitalar de Emergência , Feminino , Humanos , Hímen/diagnóstico por imagem , Ultrassonografia , Útero/diagnóstico por imagemRESUMO
A 3-month-old infant girl was transferred to our emergency department (ED) with a subtrochanteric femoral neck fracture due to nonaccidental trauma. She received multiple doses of parenteral analgesics both before arrival and in our ED. We performed an ultrasound-guided femoral nerve block using 2.0 mL of 0.25% bupivicaine (approximately 1.25 mg/kg) before placing the patient in a Pavlik harness. Successful pain control was achieved within 15 minutes of the procedure allowing pain-free manipulation of the affected extremity. The patient required only a single dose of parenteral narcotics during the ensuing 18 hours. To our knowledge, this is the first report of an ultrasound-guided femoral nerve block used in the ED for pain control in a pediatric patient.
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Dor Aguda/terapia , Analgesia/métodos , Maus-Tratos Infantis , Fraturas do Colo Femoral/complicações , Nervo Femoral , Fraturas Fechadas/complicações , Dor Musculoesquelética/terapia , Bloqueio Nervoso/métodos , Ultrassonografia de Intervenção , Dor Aguda/tratamento farmacológico , Anestésicos Locais , Bupivacaína , Maus-Tratos Infantis/diagnóstico , Terapia Combinada , Feminino , Fraturas do Colo Femoral/diagnóstico por imagem , Fraturas do Colo Femoral/terapia , Fraturas Fechadas/diagnóstico por imagem , Fraturas Fechadas/terapia , Humanos , Lactente , Traumatismo Múltiplo/diagnóstico por imagem , Dor Musculoesquelética/tratamento farmacológico , Entorpecentes/uso terapêutico , RadiografiaAssuntos
Neoplasias da Retina/diagnóstico , Retinoblastoma/diagnóstico , Estrabismo/etiologia , Pré-Escolar , Serviço Hospitalar de Emergência , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias da Retina/complicações , Neoplasias da Retina/diagnóstico por imagem , Retinoblastoma/complicações , Retinoblastoma/diagnóstico por imagem , UltrassonografiaRESUMO
The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed "how to" and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.
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Pediatric syncope is a common presentation in the emergency department. Most causes are benign, but an evaluation must exclude rare life-threatening disorders. The lack of objective findings can pose a challenge. This case-based review emphasizes the importance of a detailed history and physical examination with electrocardiogram in determining high-risk patients.