Abstract
Point-of-care ultrasonography (POCUS) is a useful imaging technique for the emergency medicine (EM) physician. Because of its growing use in EM, this article will summarize the historical development, the scope of practice, and some evidence supporting the current applications of POCUS in the adult emergency department. Bedside ultrasonography in the emergency department shares clinical applications with critical care ultrasonography, including goal-directed echocardiography, echocardiography during cardiac arrest, thoracic ultrasonography, evaluation for deep vein thrombosis and pulmonary embolism, screening abdominal ultrasonography, ultrasonography in trauma, and guidance of procedures with ultrasonography. Some applications of POCUS unique to the emergency department include abdominal ultrasonography of the right upper quadrant and appendix, obstetric, testicular, soft tissue/musculoskeletal, and ocular ultrasonography. Ultrasonography has become an integral part of EM over the past two decades, and it is an important skill which positively influences patient outcomes.
Highlights
Point-of-care ultrasonography (POCUS) is a useful imaging technique for the emergency medicine (EM) physician
Because of its growing use in EM, this article will summarize the applications of POCUS in the emergency department
Ultrasonography increases the success rate and reduces the complication rate of a wide variety of procedures that are performed by EM physicians and intensivists, such as thoracentesis, paracentesis, regional anesthesia, lumbar puncture [51], Use of EM POCUS for noncritical care applications The intensivist and the EM physician share common ground when using critical care ultrasonography (CCUS)
Summary
A literature search and review was performed on PubMed and via the Hoftra Northwell School of Medicine medical library
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