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Medicina
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Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine
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Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Emergency Medicine".

Deadline for manuscript submissions: closed (1 June 2023) | Viewed by 7808

Special Issue Editor

Dr. Effie Polyzogopoulou

E-Mail Website
Guest Editor
Emergency Medicine Department, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece
Interests: point-of-care ultrasound; acute heart failure; emergency medicine

Special Issue Information

Dear Colleagues, 

Point-of-care ultrasound (POCUS) is the medical use of ultrasound technology by appropriately trained clinicians to answer specific clinical questions. Nowadays, POCUS is an additional adjunct in the emergency physician’s toolbox. When integrated into clinical examination, it has been shown to significantly improve diagnostic accuracy and therapeutic decision making. POCUS is increasingly utilized across a broad spectrum of emergency medical conditions. Within a well-defined scope of practice, POCUS indications and novel applications in the emergency setting are increasing exponentially. In this context, we are launching a Special Issue in Medicina entitled "Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine". This Special Issue aims to provide a comprehensive and updated overview of POCUS’s value in a variety of clinical scenarios in emergency physicians’ everyday practice. 

Original research articles, reviews and meta-analyses covering this topic are of particular interest and welcomed in this Special Issue.

Dr. Effie Polyzogopoulou
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • point-of-care ultrasound
  • emergency medicine
  • sepsis
  • musculoskeletal (MSK)
  • trauma
  • lung
  • Ear–Nose–Throat (ENT)
  • acute heart failure
  • novel applications
  • obstetrics
  • abdominal pain
  • shock

Published Papers (3 papers)

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Research

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11 pages, 5869 KiB  
Communication
Concise, Practical Review on Transthoracic Lung Ultrasound in Prehospital Diagnosis of Dyspnea in Adults
by Damian Kowalczyk, Wojciech J. Piotrowski, Oskar Rosiak and Adam J. Białas
Medicina 2023, 59(2), 224; https://doi.org/10.3390/medicina59020224 - 25 Jan 2023
Cited by 1 | Viewed by 2141
Abstract
Ultrasonography is a relatively young but widely recognized method of imaging parenchymal organs, including the lungs. Our concise, practical review on transthoracic lung ultrasound (LUS) in the prehospital diagnosis of dyspnea in adults attempts to summarize current knowledge in the field. Furthermore, we [...] Read more.
Ultrasonography is a relatively young but widely recognized method of imaging parenchymal organs, including the lungs. Our concise, practical review on transthoracic lung ultrasound (LUS) in the prehospital diagnosis of dyspnea in adults attempts to summarize current knowledge in the field. Furthermore, we discussed POCUS protocols in the analyzed context, discussing their usefulness. We concluded that bedside ultrasonography, or point of care (POCUS), is developing rapidly; however, the knowledge about the use of LUS in a pre-hospital setting is scarce, highlighting the need for further research in this field. Additionally, despite the possibility of using various ultrasound protocols in diagnosing a patient with dyspnea, there is no comprehensive and, at the same time, highly sensitive and specific protocol covering a satisfactory saccade of differential diagnosis of this symptom. It seems reasonable to conduct further targeted research to create such a dedicated solution. Full article
(This article belongs to the Special Issue Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine)
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Review

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16 pages, 5147 KiB  
Review
Point-of-Care Ultrasound—History, Current and Evolving Clinical Concepts in Emergency Medicine
by Joseph Osterwalder, Effie Polyzogopoulou and Beatrice Hoffmann
Medicina 2023, 59(12), 2179; https://doi.org/10.3390/medicina59122179 - 15 Dec 2023
Viewed by 1695
Abstract
Point-of-care ultrasound (PoCUS) has become an indispensable standard in emergency medicine. Emergency medicine ultrasound (EMUS) is the application of bedside PoCUS by the attending emergency physician to assist in the diagnosis and management of many time-sensitive health emergencies. In many ways, using PoCUS [...] Read more.
Point-of-care ultrasound (PoCUS) has become an indispensable standard in emergency medicine. Emergency medicine ultrasound (EMUS) is the application of bedside PoCUS by the attending emergency physician to assist in the diagnosis and management of many time-sensitive health emergencies. In many ways, using PoCUS is not only the mere application of technology, but also a fusion of already existing examiner skills and technology in the context of a patient encounter. EMUS practice can be defined using distinct anatomy-based applications. The type of applications and their complexity usually depend on local needs and resources, and practice patterns can vary significantly among regions, countries, or even continents. A different approach suggests defining EMUS in categories such as resuscitative, diagnostic, procedural guidance, symptom- or sign-based, and therapeutic. Because EMUS is practiced in a constantly evolving emergency medical setting where no two patient encounters are identical, the concept of EMUS should also be practiced in a fluid, constantly adapting manner driven by the physician treating the patient. Many recent advances in ultrasound technology have received little or no attention from the EMUS community, and several important technical advances and research findings have not been translated into routine clinical practice. The authors believe that four main areas have great potential for the future growth and development of EMUS and are worth integrating: 1. In recent years, many articles have been published on novel ultrasound applications. Only a small percentage has found its way into routine use. We will discuss two important examples: trauma ultrasound that goes beyond e-FAST and EMUS lung ultrasound for suspected pulmonary embolism. 2. The more ultrasound equipment becomes financially affordable; the more ultrasound should be incorporated into the physical examination. This merging and possibly even replacement of aspects of the classical physical exam by technology will likely outperform the isolated use of stethoscope, percussion, and auscultation. 3. The knowledge of pathophysiological processes in acute illness and ultrasound findings should be merged in clinical practice. The translation of this knowledge into practical concepts will allow us to better manage many presentations, such as hypotension or the dyspnea of unclear etiology. 4. Technical innovations such as elastography; CEUS; highly sensitive color Doppler such as M-flow, vector flow, or other novel technology; artificial intelligence; cloud-based POCUS functions; and augmented reality devices such as smart glasses should become standard in emergencies over time. Full article
(This article belongs to the Special Issue Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine)
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15 pages, 1663 KiB  
Review
Point-of-Care Ultrasound: A Multimodal Tool for the Management of Sepsis in the Emergency Department
by Effie Polyzogopoulou, Maria Velliou, Christos Verras, Ioannis Ventoulis, John Parissis, Joseph Osterwalder and Beatrice Hoffmann
Medicina 2023, 59(6), 1180; https://doi.org/10.3390/medicina59061180 - 20 Jun 2023
Cited by 3 | Viewed by 3447
Abstract
Sepsis and septic shock are life-threatening emergencies associated with increased morbidity and mortality. Hence, early diagnosis and management of both conditions is of paramount importance. Point-of-care ultrasound (POCUS) is a cost-effective and safe imaging modality performed at the bedside, which has rapidly emerged [...] Read more.
Sepsis and septic shock are life-threatening emergencies associated with increased morbidity and mortality. Hence, early diagnosis and management of both conditions is of paramount importance. Point-of-care ultrasound (POCUS) is a cost-effective and safe imaging modality performed at the bedside, which has rapidly emerged as an excellent multimodal tool and has been gradually incorporated as an adjunct to physical examination in order to facilitate evaluation, diagnosis and management. In sepsis, POCUS can assist in the evaluation of undifferentiated sepsis, while, in cases of shock, it can contribute to the differential diagnosis of other types of shock, thus facilitating the decision-making process. Other potential benefits of POCUS include prompt identification and control of the source of infection, as well as close haemodynamic and treatment monitoring. The aim of this review is to determine and highlight the role of POCUS in the evaluation, diagnosis, treatment and monitoring of the septic patient. Future research should focus on developing and implementing a well-defined algorithmic approach for the POCUS-guided management of sepsis in the emergency department setting given its unequivocal utility as a multimodal tool for the overall evaluation and management of the septic patient. Full article
(This article belongs to the Special Issue Point-of-Care Ultrasound: Current and Evolving Clinical Applications in Emergency Medicine)
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