Search Results for : POCUS

Handheld Ultrasound Education.

Embrace Handheld Ultrasound Training to Expand Patient Engagement

Handheld ultrasound may present the opportunity to help physicians further engage their patients, which is why some are evaluating adding it to their practices. After all, having another diagnostic tool is appealing to providers looking to improve patient care. However, bringing in this new technology requires training to get the most out of it. 

Many technologies have been presented as solutions, but few offer the accessibility, results and efficiency of hand-held ultrasound. For example, a study in Clinical Cardiology demonstrated "that the pocket-sized [portable transthoracic echocardiography (pTTE)] provides accurate detection of cardiac structural and functional abnormalities beyond the [electrocardiogram]." It also found that "the use of pTTE as an initial screening tool prior to [standard TTE] is cost-effective." And yet, the benefits don't stop there.

An Exceptional Patient Experience
The majority of patients most likely appreciate fewer tests, more convenience and reduced complications in their billing and financial experiences. Reducing unnecessary tests is important, and point of care ultrasound may be a practical step toward achieving that goal. According to Heart, "[Hand-held cardiac ultrasound] performed at the point of care by [family doctors] with remote expert support interpretation using a web-based system is feasible, rapid and useful for detecting significant echocardiographic abnormalities and reducing the number of unnecessary echocardiographic studies."

Increased Physician Engagement
Put simply, becoming a more confident user of handheld ultrasound gives physicians another way to engage their patients. According to the Journal of Ultrasound in Medicine, "By implementing pocket-size ultrasound examinations that took less than 11 minutes to the usual care, we corrected, verified or added important diagnoses in more than 1 of 3 emergency medical admissions. Point-of-care examinations with a pocket-size imaging device increased medical residents' diagnostic accuracy and capability."

Empowerment Through Ultrasound Training
Giving physicians access to the benefits of these new approaches to ultrasound and the physical examination requires training that is adaptable and that empowers physicians to optimize their results and maintain their skills over time.

On-Demand Training
The benefits of portable ultrasound training shouldn't be limited just to residents. Physicians who are advanced in their careers need flexible training methods to maintain and refresh their ultrasound skills over time.
Comprehensive, on-demand options facilitate continuous education and are accessible to physicians ranging from novice users who are just learning the technology to experienced practitioners who want to keep their skills sharp. These options include the following:
  • Focused courses.
  • Online videos and tutorials.
  • Point-of-care technology courses.
  • Point-of-care preceptorship courses.
  • Third-party training options.
  • Coaches.
  • Webcasts and webinars.
Learning Online
Online training now offers flexibility and continuous education that wasn't possible in the past. GE's POCUS FocusClass by 123 Sonography may help doctors gain confidence in performing basic ultrasound studies and interpretation. Physicians have access to modular options that can be tailored to training budgets, schedules and learning styles. These include common applications involving the following:
  • Heart.
  • Lung.
  • Obstetrics.
  • Kidney.
  • Vascular (abdominal aorta and deep vein thrombosis).
  • Biliary tract.
This type of training is designed specifically for primary care physicians and their busy schedules so that proficiency can be developed with maximum efficiency.

Today's ultrasound training options offer a wide range of benefits, including providing opportunities for physician champion projects, patient interaction initiatives and overall engagement goals. Clinical leaders invested in keeping their teams up to date in a fast-changing clinical technology landscape should keep ultrasound training on their shortlist of priorities.
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Handheld Ultrasound Trends.

Prehospital Ultrasound in Emergency Medicine: Think Outside the 4 Walls

In cardiac care, mere minutes matter. That's why some medical specialists today may be turning to prehospital ultrasound to accelerate treatment, ensuring patients receive life-saving therapies faster.

In the hands of paramedics and other emergency services providers, handheld ultrasound devices, such as GE's Vscan Extend™, may obtain cardiac images sufficient enough for interpretation even before patients arrive in the emergency department. With proper training, prehospital clinicians can not only use ultrasound to identify a problem, but also to help triage patients.

Benefits of Prehospital Use
Point-of-care ultrasound (PoCUS) has already been shown to potentially help diagnose a plethora of life-threatening conditions, such as hemoperitoneum, pericardial effusion, cardiac tamponade, pneumothorax and abdominal aortic aneurysm. Prehospital ultrasound can also identify situations where resuscitative efforts could be beneficial and should be continued. Putting those diagnostic capabilities to use en route to a hospital may save more lives.

For example, according to investigators in a World Journal of Emergency Medicine study, PoCUS education for paramedics can be helpful to patients: "Our pilot study suggests that with minimal training, paramedics can use [ultrasound] to obtain cardiac images that are adequate for interpretation and diagnose cardiac standstill."

An American Journal of Emergency Medicine editorial also discussed the importance of using prehospital ultrasound in situations with critical patients.

"Streamlined [focused assessment with sonography for trauma] may increase triage accuracy of blunt torso trauma patients in mass casualty incidents with limited medical resources," the authors noted. "We recommend the use of [streamlined focused assessment with sonography for trauma] to decrease patient triage to treatment time in any unfortunate future disasters."

In many instances, prehospital clinicians are the first to interact with critically ill patients. Consequently, having PoCUS available to provide real-time internal images may provide significant benefits to both cardiac life support and advance trauma support. Not only may it assist with any prehospital decision-making, but it may also help inform how physicians proceed once patients arrive in the emergency department.

Real-World Implementation
Prehospital ultrasound offers a real-world option in helping to provide immediate care to patients in acute situations. Using GE Vscan Extend™, a helicopter paramedic unit in New Zealand screened airlifted patients for potential cardiac problems prior to landing at Dunedin Hospital, which is located in an area where road travel can be precarious.

In these and other frenetic conditions, PoCUS is helpful because paramedics may clearly see heart function. With ultrasound, New Zealand's paramedics assessed cardiac activity and checked for internal bleeding, thoracic injuries and pulmonary embolisms. They also used handheld ultrasound to side-step unnecessary procedures. For example, PoCUS use determined a suspected pneumothorax in one patient did not exist, so paramedics opted not to decompress the chest.

Prehospital ultrasound may also be used to triage patients who should be taken immediately to the operating room. Doing so saves valuable time otherwise spent running further diagnostic tests in the emergency department.

PoCUS Training
Handheld ultrasound can be a valuable tool for nearly any healthcare provider who receives proper training. Paramedics and other prehospital clinicians may achieve the same level of skill as physician sonographers if they undergo comparable instruction.

This level of accuracy may alter and positively impact the care a patient receives upon arriving at the hospital by giving physicians insight into a patient's condition.

While research into the use of prehospital ultrasound is in the early phases, study results and real-world implementation have already shown it may play a vital role in time-sensitive, critical conditions. All in all, proper use may decrease both mortality and morbidity, improving overall patient outcomes.
 

The device has been verified for limited use outside of professional healthcare facilities including during transport. Use is restricted to environmental properties described in the user manual , please contact your GE Healthcare sales representative for detailed information

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Handheld Ultrasound Practice Areas.

How a Handheld Ultrasound Exam Could Help in Three Scenarios

The handheld ultrasound exam offers incredible potential for today's primary care physicians (PCPs) — it can, and should, be used as a key diagnostic tool. According to a study in The World Book of Family Medicine, "Ultrasonography should be a diagnosis tool beside the stethoscope in the general practitioner office ... the two instruments should be considered as complementary."

Further, a study in PLoS One identified that "after a simple and short training course, a pocket-sized ultrasound device examination can be used in addition to a physical examination to improve the answer to ... common clinical questions concerning in- and outpatients and can reduce the need for further testing."

Specifically, a focused ultrasound exam may be used to complement the PCP's physical examination in three common diagnostic areas: right upper quadrant pain; flank pain; and deep vein thrombosis (DVT).

Right Upper Quadrant Pain
Right upper quadrant pain is a common presentation in primary care. The handheld ultrasound exam of the right upper quadrant of the abdomen can look for signs of gross abnormalities of the liver and gallbladder.

Point of care ultrasound may be used to identify the presence of gallstones and to assess for acute cholecystitis by detecting Murphy sign, anterior gallbladder wall thickening and pericholecystic fluid. The handheld ultrasound may also be used to assess potential bile obstruction by measuring the common bile duct diameter. This may help the physician pursue non-gallbladder sources of epigastric discomfort.

Flank Pain
When it comes to flank pain, a handheld ultrasound device may be used to assess the kidneys and, specifically, to look for hydronephrosis, identify renal or ureteral stones and to check the post-void residual bladder volume. This may provide a physician with more context in relation to the physical exam.

A study in Urology noted that a urologist "using handheld-pocket-size device is equivalent to a sonographist-performed ultrasound study using a standard device in most parameters examined. The handheld device can be used in evaluating the upper and lower urinary tract with the exception of renal masses and therefore can be of great assistance in a wide variety of the daily urological practice scenarios."

Deep Vein Thrombosis
There is a potential benefit in using handheld ultrasound devices when dealing with DVT. According to the Journal of the American College of Cardiology: Cardiovascular Imaging, "The accurate and immediate decision-making allowed by the pocket-size ultrasound examination (PUE) has the potential to exert a significant impact on the current diagnostic strategies for DVT. Positive PUE can make other diagnostic or therapeutic procedures available earlier for the patient without standard ultrasound examination."

Handheld ultrasound devices can potentially allow physicians to scan anyone suspected of having DVT without them having to wait for blood test results. A paper in Thrombus stated that "reducing the time to diagnose DVT could potentially avoid the use of self-injected low molecular weight heparin by patients."

Training for Success
As with any technology, getting the proper training is a key component for reaching positive results. An article in the Annals of Internal Medicine encourages "residency training programs to teach PoCUS, practicing hospitalists to incorporate it into daily practice, and hospitals and hospital medicine programs to provide easy access to the necessary technology."

A study in BMC Medical Education concluded that "medical students with minimal training were able to use (a pocket-size imaging device) as a supplement to standard physical examination and successfully acquire acceptable relevant organ images for presentation and correctly interpret these with great accuracy." And, according to the Annals of Internal Medicine study, the "use of ultrasound by hospitalists will continue to modernize the bedside evaluation and streamline the diagnostic process."

By adding handheld ultrasound to the routine examination, PCPs may have the potential to reduce waiting times and ultimately deliver better care to those who need it.
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Handheld Ultrasound Education. Improving Patient Care.

Handheld Point-of-Care Ultrasound: Why Having it is Important

When it comes to the best quality patient care, the physical exam is a fundamental factor. Providers glean a great deal of information this way, but using handheld ultrasound to visualize non-visible parts of the body might be a powerful clinical complement.

In many cases, having handheld ultrasound available might also be the key to accelerated patient care and accurate diagnoses. And, when time is of the essence, point-of-care ultrasound (PoCUS) may be the tool that speeds up your diagnostic capabilities.

Ultimately, using PoCUS, such as GE's Vscan Extend™, increases not only your confidence with your diagnosis, but your patient's comfort with the care you provide.

Inspiring Confidence
When a patient presents with a suspected problem, such as right upper quadrant or flank pain, making a timely diagnosis may be critical. Alongside a physical exam, PoCUS lets you focus immediately on the problem area and see what's invisible to the naked eye, giving you greater confidence in identifying the cause of the symptoms.

In fact, point-of-care ultrasound could increase how detailed your exam can be, adding valuable information to the patient's electronic health record. In a short amount of time, PoCUS may capture multiple clear images to give you a more robust picture. According to the concluding findings of a 2016 report from The World Book of Family Medicine, "because of a significant number of advantages, ultrasonography should be a diagnosis tool" used with a stethoscope in medical offices.

If needed, this level of detail lets you refer your patients for the right test or diagnostic treatment, reducing the likelihood they will go through unnecessary doctor visits or unneeded additional imaging.

Saving Time
PoCUS images may also help you save time whether you're an emergency department (ED) physician or a general practitioner.

In the ED, having access to a handheld ultrasound device may determine if and how you triage your patients. For example, if an individual has symptoms of cardiac distress, PoCUS may reveal information at the bedside in real time.

A PoCUS exam may also pave the way for rapid diagnosis during a regular doctor's visit. During an appointment, you may make an immediate decision whether your patient needs to see a specialist or be hospitalized. Not having to wait for another provider's analysis may fast-track needed therapy and reduce any stress patients might have about their symptoms.

Shortening Diagnosis Time
As you use PoCUS more often and fine-tune your skills, you're likely to become more confident in your findings. Over time, it's possible that you'll be able to render your bedside diagnoses and offer guidance more quickly.

A 2011 European Journal of Echocardiography study tested the diagnostic efficiency of PoCUS and high-end echocardiography and concluded that "pocket-sized echocardiographic examinations of approximately four-minute length, performed at the bedside by experts, offers reliable assessment of cardiac structures, the pleural space and the large abdominal vessels."

Improving Relationships
As a hand-held device, PoCUS gives you the opportunity to have more face time with your patients. In many cases, they watch as you conduct the exams and can ask questions. Getting real-time information from ultrasound images may increase the patient's confidence in your diagnosis and the treatment you'll prescribe. For example, PoCUS at the bedside may provide a pregnant woman with the immediate visual confirmation that her unborn baby is healthy.

Additionally, according to a 2018 Annals of Internal Medicine study, PoCUS may also offer high ultrasound imaging quality, and the authors concluded that they "believe that use of ultrasound by hospitalists will continue to modernize the bedside evaluation and streamline the diagnostic process." Bedside testing may lead to decreased lengths of stay, a reduction in resource utilization and lower costs.

PoCUS vs. Other Modalities
In many instances, PoCUS may provide better ultrasound image quality than the other modalities you employ with your patients. For example, according to the conclusions of a 2013 Clinical Cardiology study, "the pocket-sized (portable transthoracic echocardiography) provides accurate detection of cardiac structural and functional abnormalities beyond the ECG." These findings may boost your confidence that you'll catch a problem earlier.

In addition, research has also shown PoCUS is a strong alternative to chest X-ray when diagnosing pericardial (PE) and pleural effusions (PLE). A 2015 Scandanavian Cardiovascular Journal article that observed nurses using ultrasound concluded that "Cardiac nurses were able to obtain reliable measurements and quantification of both PE and PLE bedside by focused ultrasound."

Overall, in today's healthcare environment, PoCUS may play a significant role in providing additional clues during physical exams to make a diagnosis. By employing PoCUS, you may be able to gather these images much faster than you possibly could with other options. And, as you become more proficient with the hand-held technology, you may become more confident with your real-time diagnosis, potentially improving patient care.

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Handheld Ultrasound Trends. Technology and Innovation.

Move over Batman, Bat-students are coming: Using ultrasound to “see with sound”

When Dr. Phelan stood in front of the freshman class at a high school in Little Rock, Arkansas and asked how many students had seen an ultrasound system, many hands shot up. However, when he asked if they knew how an ultrasound worked, the room went silent.

Dr. Kevin Phelan, a professor in the Division of Clinical Anatomy at the University of Arkansas for Medical Sciences (UAMS), has a passion for STEM in local schools – and that means getting students excited about imaging technologies, specifically ultrasound. With the help of a five-year grant called the Science Education Partnership Award (SEPA) from the National Institute of General Medical Sciences, Dr. Phelan and his colleagues created the ArkanSONO program in collaboration with the Little Rock School District in central Arkansas to do just that.

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Improving Patient Care. Handheld Ultrasound Trends. Technology and Innovation.

Inside Africa’s Floating Hospital

Dr. Leo Cheng, a maxillofacial reconstructive surgeon with the UK National Health Service, spends two to three weeks of his leave each year volunteering on board the Africa Mercy, the world’s largest charitable floating hospital run by international charity Mercy Ships. His patients suffer from large benign tumours on the face and neck. Many of them have never received any kind of healthcare before they meet him.

Earlier this year, Dr. Cheng joined the Africa Mercy to travel to Tamatave in Madagascar, where more than 90% of the population live on less than a dollar a day. For every 10,000 residents, there are only two physicians and three hospital beds available.

The Africa Mercy has five state-of-the-art operating rooms and advanced equipment to help make fast and accurate diagnoses. Dr. Cheng and the ship’s team are always on the lookout for new methods and technologies that can improve the work they do while aboard.

 
“Ahead of this latest journey, I initially inquired about a laptop-style ultrasound machine. Once I found out about the Vscan with Dual Probe, I immediately felt that I must introduce this to the ship clinicians,” Dr. Cheng said.

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Improving Patient Care. Handheld Ultrasound Trends. Technology and Innovation.

Massive Storm, Small Technology

On September 9, Jeff Hersh, a doctor, watched the northbound lanes of Interstate 75 in Florida fill with carloads of people fleeing the path of Hurricane Irma.

Jeff was on the other side of the highway, driving south and intentionally heading into the oncoming storm.

Irma struck northern Caribbean islands as well as the U.S. mainland and is blamed for dozens of deaths as well as power outages to millions of homes and businesses.

Jeff is among the 36 members of the Boston Strong MA1 Disaster Medical Assist Team (DMAT), which was activated as part of the United States Health and Human Service’s National Disaster Medical System (NDMS) response to Hurricane Irma.

In its 30-year history, NDMS has participated in more than 300 deployments to disasters domestically. It’s is made up of civilian, disaster-response trained people who become intermittent federal employees, serving as boots on the ground when and where they’re needed.

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