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Scripta Scientifica Vox Studentium

Focus pocus

Dilyara Marinova, Yassen Mutafov

Abstract

Introduction: “Point-of-care ultrasound” is a term that encapsulates the many scenarios in which portable ultrasound can be used. For instance, a patient may be scanned using portable ultrasound while in an ambulance on the way to an emergency room. Or a patient may be scanned in the trau­ma bay after being delivered to the hospital emergency room or wherever the patient is being located.

Materials and methods: The materials used for this body of work are gathered from research papers as well as our own materials and patient observations from “Lozenets” Hospital. Here are some of the resources: “Point of care ultrasound: For all clinicians - Vicki E Noble, MD RDMS; Point-of-care ul­trasound (book) by Nilam J. Soni, MD et al.; USABCD courses ; SPOCUS training materials data­base; Critical Care Ultrasound Course (manual) by Dr Justin Bowra., and many more.

Results: The main uses and advantages of POCUS are: Fast diagnosis in an emergency or in any sit­uation, where there is a US machine. Doesn’t require specific measurements. Can be done by any cli­nician without extensive specializations. Can monitor a patient during their hospitalization. Can be done with any kind of US machine and transducer. Expediting triage and time to diagnosis are cru­cial for decreasing morbidity and mortality in critically ill patients. Point-of-care testing has been shown to achieve these goals, leading to improved operational efficiency and, ultimately, better pa­tient outcomes. PoCUS can access thoracic, heart and abdominal pathology as well as vascular occlu­sions and brain edema to some extent. Moreover an increasing number of studies show that PoCUS saves time and resources which ultimately reduces hospital costs.

Conclusions: PoCUS has been rapidly integrated into clinical practice recently and its role will con­tinue to expand. It has been shown to make procedures safer, expedite diagnoses and raise confidence in clinical decision making. It is also one of few technologies that brings providers closer to the pa­tient, putting them right at the bedside, raising the satisfaction of providers and patients alike.





DOI: http://dx.doi.org/10.14748/ssvs.v2i0.4610

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