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In Internal Medicine, POCUS is gaining significant favorability. An increasing number of clinicians are interested in being trained for POCUS. The newer portable ultrasounds are small and can be transported easily during rounds. Their design is now for a more intuitive use. Training of Internists now involves assessing patients utilizing POCUS technology in residency. Here at Danbury Hospital, we have formal POCUS training. Attending internists are now attempting to incorporate POCUS training as a part of continuing medical education. POCUS in the hospitalist or general practitioner world has not been completely defined. Generally, the patient seen in the medical ward is not ill as the patients seen in intensive care units (ICU), Emergency Department (ED), and other high acute-care settings. However, from time to time, internists need to treat high acuity patients on the medical floors before transferring them to a higher level of care or when they are required to cover an open ICU or Progressive Care Unit (step-down unit). The role of POCUS while managing stable patients may differ significantly compared to the role in more acute patients. A well-defined spectrum for the use of POCUS does not currently exist. However, there are efforts in this regard.
POCUS is an emerging and exciting diagnostic modality in the medical ward. We believe that the pandemic has given it a new meaning for the hospitalist and general practitioner, and we expect that its use and significance will only grow in the few years ahead.
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2. Black, H., et al., Expert Facilitated Development of an Objective Assessment Tool for Point-of-Care Ultrasound Performance in Undergraduate Medical Education. Cureus, 2016. 8(6): p. e636.
3. Chen, Z., et al., Incorporation of point-of-care ultrasound into morning round is associated with improvement in clinical outcomes in critically ill patients with sepsis. J Clin Anesth, 2018. 48: p. 62-66.
4. Gandhi, D., et al., Current role of imaging in COVID-19 infection with recent recommendations of point of care ultrasound in the contagion: a narrative review. Ann Transl Med, 2020. 8(17): p. 1094.
5. Howard, Z.D., et al., Bedside ultrasound maximizes patient satisfaction. J Emerg Med, 2014. 46(1): p. 46-53.
6. Kobal, S.L., et al., Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol, 2005. 96(7): p. 1002-6.
7. Koratala, A., C. Ronco, and A. Kazory, Need for Objective Assessment of Volume Status in Critically Ill Patients with COVID-19: The Tri-POCUS Approach. Cardiorenal Med, 2020. 10(4): p. 209-216.
8. Ma, I.W.Y., et al., Canadian Internal Medicine Ultrasound (CIMUS) Expert Consensus Statement on the Use of Lung Ultrasound for the Assessment of Medical Inpatients With Known or Suspected Coronavirus Disease 2019. J Ultrasound Med, 2020.
9. Mohamed, M.F.H., et al., Frequency of Abnormalities Detected by Point-of-Care Lung Ultrasound in Symptomatic COVID-19 Patients: Systematic Review and Meta-Analysis. Am J Trop Med Hyg, 2020. 103(2): p. 815-821.
10. Mumoli, N., et al., Accuracy of Nurse-Performed Lung Ultrasound in Patients With Acute Dyspnea: A Prospective Observational Study. Medicine (Baltimore), 2016. 95(9): p. e2925.
11. Schnittke, N. and S. Damewood, Identifying and Overcoming Barriers to Resident Use of Point-of-Care Ultrasound. West J Emerg Med, 2019. 20(6): p. 918-925.
12. Simon, R., et al., A.B.C. approach proposal for POCUS in COVID-19 critically ill patients. Med Ultrason, 2020.
13. Smallwood, N. and M. Dachsel, Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond), 2018. 18(3): p. 219-224.
14. Torres-Macho, J., et al., Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine. Eur J Intern Med, 2020. 73: p. 67-71.
15. Volpicelli, G., et al., International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med, 2012. 38(4): p. 577-91.
16. Wong, J., et al., Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions. Ultrasound J, 2020. 12(1): p. 19.