POCUS

Main Links and Resources

• Butterfly Login page

  • How to log in to Butterfly (video)

  • How to scan an image (video)

  • Butterfly iQ walkthrough (video)

• Global Ultrasound Institute Login (FM focused training videos) 

  • Training conferences also available through GUSI

  • GUSI Login Instructions 

• What must be included in documentation? Click here

• What CPT code do I use? Click here

NHC Documents

• POCUS Overview and Curriculum

• POCUS Proficiency Requirements

• POCUS Champion Roles and Responsibilities

• Standardized QA Assessment for POCUS

• POCUS Clinical Applications (reasons to refer internally - For clinicians)

• POCUS Clinical Applications (reasons to refer Internally - For staff)

• POCUS intro, referral, consent and FAQ PowerPoint

Other Resources

Sites:

• Global Ultrasound Institute (Online videos and CME courses, primary care-based)

• POCUS 101 (Online reading and CME courses)

• The POCUS Atlas (free and downloadable collection of educational ultrasound clips)

• Sound and Surf (EM focused conferences)

• CORE Ultrasound (EM focused training videos)

• AIUM (American Institute of Ultrasound In Medicine)

• RMSK (Registered In Musculoskeletal sonography)

Videos:

• Intro: Intro to POCUS at NHC

• Cardiac: Cardiac Echo

• Abdomen: How to find the appendix

• Ob/Gyn:

  • Measuring the Endometrium

  • Second/Third Trimester Ultrasound Measurements (sonosite)

• MSK:

  • Knee:

    • MCL (Medial Collateral Ligament), or this one

    • LCL (Lateral Collateral Ligament)

    • ITB (Iliotibial band)

  • Shoulder:

    • AC joint

  • Elbow:

    • Medial Elbow assessment and injection

      • MSKUS video

      • Injection

      • The Ultrasound Site video on medial elbow

    • Posterior Elbow

References/Studies:

• General POCUS

  • Practical Guide for Primary Care (AAFP)

  • POCUS In FM (AAFP)

  • AAFP suggested curriculum

• Aorta

  • USPSTF screening guidelines

  • Journal of American College of Cardiology guidelines for surveillance

  • Journal of Vascular Surgery guidelines for surveillance

  • Iliac Artery Surveillance guidelines

• Skin and Soft Tissue

• • Diagnosis of Skin and Soft Tissue Abscesses- A Systematic Review and Meta-analysis

• OB/Gyn

  • Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester

  • Guidelines for Redating Based on Ultrasonography

  • Understanding pelvic ultrasound reports

  • Ultrasound Evaluation of the Uterus: Ultrasoundpaedia and Radiology Key

  • Review on the normal menstrual flow and the control of ovulation

  • Endometrial Thickness

  • Decidual reaction on ultrasound

  • Diagnostic accuracy and clinical utility of emergency department targeted ultrasonography in the evaluation of first-trimester, pelvic pain and blading: a systematic review

  • Miscarriage Risk for Asymptomatic Women After a Normal First-Trimester Prenatal Visit

  • Emergency Physician Ultrasonography for Evaluating Patienbts at Risk for Ectopic Pregnancy: A Meta-Analysis

  • Sonography Evaluation of Amniotic Fluid

• Biliary

  • CORE EM article

  • Emergency Physician-performed Ultrasound to Diagnose Cholelithiasis: A Systematic Review

  • The Accuracy of Point-of-Care Ultrasound In the Detection of Gallbladder Disease: A Meta-analysis

  • History, Physical Examination, Laboratory Testing, and Emergency Depertment Ultrasonography for the Diagnosis of Acute Cholecystitis

  • A Prospective Evaluation of Emergency Department Bedside Ultrasonography for the Detection of Acute Cholecystitis

• Lung

  • Landmark lung POCUS article by D. Lichtenstein

  • BLUE Protocol

  • Diagnostic accuracy of the Bedside Lung Ultrasound In Emergency protocol for the diagnosis of acute respiratory failure In spontaneously breathing patients

  • Lung ultrasound for the diagnosis of pneumonia In adults: a systematic review and meta-analysis

  • Lung Ultrasound for the Diagnosis of Pneumonia In Children: A Meta-analysis

  • Accuracy of Lung Ultrasonography versus Chest Radiography for the Diagnosis of Adult Community-Acquired Pneumonia: Review of the Literature and Meta-Analysis

  • NephroPOCUS explanation of the mirror artifact

• Renal/Bladder

  • Ultrasonography versus computed tomography for suspected nephrolithiasis

  • Radiological imaging of patients with suspected urinary tract stones: national trans, diagnoses, and predictors

  • STONE PLUS: evaluation of emergency department patients with suspected renal colic, using a clinical prediction tool combined with point-of-care, limited ultrasonography

  • The accuracy and prognostic value of point-of-care ultrasound for nephrolithiasis in the emergency department: a systematic review and meta-analysis

• FAST/eFAST

  • Emergency ultrasound based algorithms for diagnosing, blunt, abdominal trauma

  • Randomized control clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonographic outcomes assessment program trial

• Ocular

  • Ultrasonographic optic nerve sheath diameter to detect increased Intracranial pressure In adults: a meta-analysis

  • Application of Orbital Sonography In Neurology

  • PulmCrit: Algorithm for diagnosing ICP elevation with ocular sonography

  • Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis

• MSK

  • Does ultrasound guidance improve the outcomes of arthrocentesis and corticosteroid injection of the knee?

  • Rotator Cuff Evaluation via POCUS

  • Anterior Shoulder Dislocation

  • MSK Ultrasound Correlates well with WOMAC Index

• Vascular

  • DVT practice guidelines from the American College of Chest Physicians

  • 2 Point compression testing (groin and knee) is not sufficient