Emergency Point-of-Care Ultrasound Diagnosis of Diaphragmatic Hernia in the Pediatric Emergency Department

2016 ◽  
Vol 32 (10) ◽  
pp. 685-687 ◽  
Author(s):  
Marie Pier Desjardins ◽  
Kirstin D. Weerdenburg ◽  
Jason W. Fischer
Keyword(s):  
Emergency Department ◽  
Diaphragmatic Hernia ◽  
Point Of Care ◽  
Pediatric Emergency ◽  
Ultrasound Diagnosis ◽  
Point Of Care Ultrasound ◽  
Pediatric Emergency Department

Emergency Point-of-Care Ultrasound Detection of Cancer in the Pediatric Emergency Department

2015 ◽  
Vol 31 (8) ◽  
pp. 602-604 ◽  
Author(s):  
Roaa S. Jamjoom ◽  
Yousef Etoom ◽  
Tanya Solano ◽  
Marie-Pier Desjardins ◽  
Jason W. Fischer
Keyword(s):  
Emergency Department ◽  
Point Of Care ◽  
Pediatric Emergency ◽  
Point Of Care Ultrasound ◽  
Pediatric Emergency Department

scholarly journals Outcome of Pediatric Emergency Point-of-Care Ultrasound (POCUS) for Management of Skin and Soft Tissue Infection Prior to Ultrasound Program Implementation

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Whitney Phillips, BS ◽  
Benjamin Nti, MD, MSc
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Program Implementation ◽  
Point Of Care ◽  
International Classification Of Diseases ◽  
Pediatric Emergency ◽  
Point Of Care Ultrasound ◽  
Pediatric Emergency Department ◽  
Implementation Period ◽  
Classification Of Diseases

Background and Hypothesis: Point-of-care ultrasound (POCUS) is underutilized for evaluation of skin and soft tissue infections (SSTI) in the pediatric emergency department (ED). This study seeks to determine the utilization of POCUS compared to formal radiology ultrasound for SSTI in the pediatric ED prior to an ultrasound program implementation. We hypothesize that POCUS utilization will be low but can lead to a decreased length of stay (LOS) and cost for patients with SSTI.  Experimental Design or Project Methods: This is a retrospective EMR chart review covering pre-implementation (July 2016-June 2017) and post-implementation (July 2018-June 2019) of a POCUS program curriculum. Patients (<18 years old) were included based on screening for diagnoses via the international classification of diseases 9th and 10th revision codes for abscesses and cellulitis. We excluded patients who required admission and subspecialty consult or had other non-SSTI evaluation.   Results: Pre-Implementation period included 160 patients who met inclusion and exclusion criteria. Of these, 16 (10%) received POCUS evaluation and 8 (5%) received a radiology image evaluation. The majority of patients had cellulitis (80%) when compared to abscess (20%). The average LOS for POCUS ultrasound was 173 minutes compared to 304 minutes for radiology evaluation. The total cost for visit was $3,503 for patients evaluated by POCUS compared to $8,875.56 for patients who received radiology imaging.  Conclusion and Potential Impact: Taken together, the pre-implementation assessment of POCUS utilization in the pediatric emergency department was low but associated with decreased LOS and lower total ED cost when applied to SSTI management.

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