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Search Results for Ultrasound
Abstract Number: 73
SHM Converge 2024
Background: The lack of competent teaching faculty is a major limitation to the expansion of point-of-care ultrasound (POCUS) in the field of inpatient and outpatient medicine despite the availability of approved training programs. Programmatic research demonstrates that participants have increased knowledge, skill and confidence immediately after a course. Currently there is insufficient data on long […]
Abstract Number: 74
SHM Converge 2024
Background: Point-of-care ultrasound (POCUS) has become increasingly popular in medicine due to its ease of access, reduction in need for consultative ultrasonography, and usefulness in diagnosing common conditions [3,4,5]. The use of POCUS in the inpatient settings of emergency rooms, ICU, Surgical and Medical Wards has been established [3,4,5] The availability of ultrasound machines and […]
Abstract Number: 113
SHM Converge 2024
Background: The integration of Point of Care Ultrasound (POCUS) in hospital medicine, particularly for inferior vena cava (IVC) assessment, promises significant advancements in patient care. This study investigates the efficacy of POCUS with IVC evaluation in guiding fluid management decisions upon admission, a crucial aspect of hospitalist care. Methods: Conducted from January 1, 2021, to […]
Abstract Number: 127
SHM Converge 2024
Background: Venous excess ultrasound score (VExUS) is an emerging point-of-care volume assessment tool that utilizes inferior vena cava diameter and doppler waveforms within the hepatic, portal, and renal veins to predict venous congestion. High VExUS grades have previously been validated against elevated filling pressures during right heart catheterization in patients with steady-state fluid balance; however, […]
Abstract Number: 141
SHM Converge 2024
Background: The integration of Point of Care Ultrasound (POCUS) in clinical settings has been progressively recognized for its potential in improving patient outcomes. Our study introduces the Admission POCUS Examination (Apex) protocol, a comprehensive POCUS-based approach designed to optimize patient care at the point of admission in hospital medicine wards. Methods: This retrospective study involved […]
Abstract Number: 149
SHM Converge 2024
Background: Central venous lines (CVL), including temporary dialysis catheters, are often required in the inpatient setting. While CVLs are frequently placed in radiology suites or intensive care units (ICU), many institutions allow placement on medical-surgical wards by Hospitalist Bedside Procedure Services (BPS). The BPS at our institution began to perform CVL placement at the patient […]
Abstract Number: 252
SHM Converge 2024
Background: The physical exam for heart failure can be limited by poor reproducibility, lack of specificity, provider inexperience, or patient habitus. To estimate the JVP or HJR requires identifying the internal jugular vein (IJV). Finding the IJV can be limited by those factors but the addition of ultrasound can improve its identification. Ultrasound can therefore […]
Abstract Number: 274
SHM Converge 2024
Background: The Lumbar puncture (LP) success rate for graduating pediatric residents is around 54%, and residents often feel uncomfortable performing Lumbar punctures(LPs). An UALP(ultrasound-assisted lumbar Puncture) uses POCUS (point of care ultrasound) to visualize key anatomical landmarks for optimal and safe cerebral spinal fluid (CSF) collection. Evidence has shown improved LP success rates in pediatric […]
Abstract Number: 322
SHM Converge 2024
Background: The COVID-19 omicron variant pandemic has created a community outbreak and the need for tele-consultation with hospital-at-home care has surged, especially in the rural area, like Taitung. There were some innovated telemedicine pilot programs developed in Taitung over the past 4 years in Taiwan. Purpose: This study examines the key success factors driving teleconsultation […]
Abstract Number: 347
SHM Converge 2024
Background: Point-of-care ultrasound (POCUS) is a valuable tool in the assessment of acutely ill hospitalized patients. Although hospitalists frequently wish to use POCUS in their clinical practice, many have never received formal training. The Society of Hospital Medicine (SHM) offers a robust certificate of completion (COC) program in POCUS incorporating online learning modules, in-person courses, […]