Abdominal pain is a frequent presenting complaint in the pediatric emergency department (PED). Point-of-care ultrasound (POCUS) can expedite diagnosis and management of patients PED with abdominal pain. We present series 6 patient cases which “POCUS pelvis” approach expedited undifferentiated PED, thus facilitated definitive management.

Abstract E-point septal separation (EPSS) and tricuspid annular plane systolic excursion (TAPSE) are M-mode measures of left right ventricular function, with limited pediatric point-of-care ultrasound (POCUS) research. We conducted a cross-sectional study in emergency department, enrolling 12–17-year-olds without cardiopulmonary complaints. Exclusion criteria included abnormal vital signs, fever, altered mental status, or psychiatric illness. POCUS faculty performed the measurements, while...

Abstract Objectives The objective was to use gastric point‐of‐care ultrasound ( POCUS ) assess contents and volume, summarize the prevalence of “full stomach,” explore relationship between fasting time at procedural sedation. Methods This a prospective study patients aged 2 17 years prior A single sonographer scanned each patient's antrum in two positions: supine with upper body elevated right lateral decubitus RLD ). Gastric content (empty, liquid, or solid) noted, volume mL /kg) estimated...

Correct child car restraint use significantly reduces risk of death and serious injury in motor vehicle crashes, but millions US children ride with improper restraints. We created a tablet-based educational intervention using Computer Intervention Authoring Software (CIAS) examined its impact on knowledge behaviours among parents the paediatric emergency department (PED). This was non-blinded, randomised controlled trial PED patients ages 0-12 years. Participants were evaluated for baseline...

Abstract Pediatric cardiac arrest is a rare but time-critical event that poses significant challenges to health care providers. Initiation of point-of-care ultrasound (POCUS) early in resuscitation can help optimize the location chest compressions, identify inadequate evaluate for sonographic pulse, and direct management. Although several algorithms currently exist incorporate POCUS into adult arrest, none, our knowledge, pediatric population. We propose novel protocol use as an adjunct...

Resuscitation guidelines emphasize minimal interruption of compressions during cardiopulmonary resuscitation. Point-of-care ultrasound (POCUS) enables the clinician to visualize cardiac contractility and central artery pulsatility. The apical 4-chamber (A4), subxiphoid (SX), femoral views may be used when defibrillator pads or active preclude parasternal views. We hypothesized that clinicians can rapidly obtain interpretable POCUS in healthy children from A4, SX, positions.A prospective...

Cardiac arrest is an infrequent but high-stakes scenario in pediatrics. Manual central pulse checks are unreliable. Point-of-care ultrasound a noninvasive technique to visualize the heart and vessels during resuscitation. We describe 2 cases which point-of-care helped aid management decisions pediatric cardiac arrest.

To compare the efficacy of a three-dimensional (3D) haptic interface to two-dimensional (2D) mouse for screen-based simulation (SBS) neonatal intubation (NI) training intervention. Primary hypothesis: is more effective than SBS intervention NI. Secondary training, regardless interface, will result in improved NI performance on airway simulator.45 participants were randomised either haptics or complete an identical over five-month period. Participants completed pre- and post-training surveys...

Abdominal pain is a common presentation in the pediatric emergency department and may pose diagnostic challenge to physician. Although most abdominal benign, presence of represent surgical emergency. We present an atypical perforated appendicitis child with 2 weeks pain, whom point-of-care ultrasound expedited diagnosis patient disposition. then recommend approach for using undifferentiated pain.

Lumbar punctures (LPs) are performed frequently on children with leukemia and lymphoma as part of the standard care. They typically by pediatric oncology providers for both diagnostic therapeutic interventions aid moderate or deep sedation. Point-of-Care Ultrasound (POCUS) has emerged a promising strategy to in LP procedures been found be associated lower number attempts, higher success rates. We describe our experience using POCUS assist LPs subgroup patients identified procedurally...

Manipulation of vagal nerve rootlets, whether surgical or through mass effect a neoplasm, can result in asystole and hypotension, accompanied by ST depression right bundle branch block. There are few case reports neoplasm causing these effects, this describes patient with such presenting syncopal episodes. A 43-year-old man past medical history HIV, bipolar disorder, epilepsy was admitted to the neurology service for video electroencephalogram (vEEG) characterize episodes that were felt be...

Introduction Thyroid storm is a rare but life-threatening disease process that may be difficult to recognize and mimics other processes. It critical for the emergency medicine clinician ...

Abstract Inferior vena cava assessment is a standard component of focused cardiac ultrasound, traditionally used to qualify intravascular volume status. In this case series, we demonstrate that pediatric ultrasound can also diagnose inferior thrombi and masses, while distinguishing them from potentially benign smoke-like artifact.

Lumbar punctures (LPs) are performed frequently on children with leukemia and lymphoma as part of the standard care. They typically by pediatric oncology providers for both diagnostic therapeutic interventions aid moderate or deep sedation. Point-of-Care Ultrasound (POCUS) has emerged a promising strategy to in lumbar puncture procedures been found be associated lower number attempts, higher success rates. We describe our experience using POCUS assist LPs subgroup patients identified...

The ease of instruction for point-of-care ultrasound (POCUS) to detect suprapatellar bursa (SPB) effusions in pediatric patients is unknown. Considering person limitations because the coronavirus pandemic, strategies POCUS education by remote learning are necessary.We crafted a 90-minute didactic training that was presented via format. main outcome interest interobserver reliability SPB effusion assessment novice sonologists compared with faculty. Novice were emergency medicine (PEM)...

Background: Motor vehicle crashes (MVCs) are the leading cause of unintentional death and injury among children in United States (US). Correct child car restraint use has been shown to significantly reduce risk serious MVCs. However, millions US ride with improper restraints, which may be due lack parental knowledge laws recommendations. Computer-based health interventions increasingly being used EDs for patient education. Computer Intervention Authoring Software (CIAS), a tablet-based...

Background: Motor vehicle crashes (MVCs) are the leading cause of death and injury among adolescents in United States. Proper seatbelt use is single most effective means reducing deaths serious injuries MVCs. However, continue to be high risk due poor compliance with laws. Computer-based health interventions increasingly being used Emergency Department (ED) for educational have shown feasibility effectiveness promoting behavioral changes adolescents. Computer Intervention Authoring Software...