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Search Results for Ultrasound
Abstract Number: 67
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point of care ultrasound (POCUS) significantly augments physical exam and improves medical management, and many medical schools across the United States are implementing undergraduate POCUS curricula. As a result, internal medicine (IM) residency programs have incoming interns with varying levels of POCUS knowledge and skill. We administered a needs assessment questionnaire to incoming interns […]
Abstract Number: 79
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lumbar puncture and paracentesis are core competencies in internal medicine, but residents frequently report discomfort performing these procedures unsupervised. Simulation-based training (SBT) has previously been shown to improve resident performance of lumbar punctures on patients, but outcomes after paracentesis SBT have only been assessed on simulators. We hypothesized that SBT would improve internal medicine […]
Abstract Number: 81
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Few studies have compared the effectiveness of brief training courses on point-of-care ultrasound (POCUS) skill acquisition of novice faculty vs. trainees. The purpose of this study was to evaluate the change in POCUS image interpretation skills and confidence of novice faculty vs. trainees after a 1-day POCUS training course. Methods: A 1-day POCUS training […]
Abstract Number: 103
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Tissue pathology plays an integral role in the diagnosis of various conditions, especially malignancy. Traditionally biopsy procedures, including core needle biopsy (CNB), have been performed by specialists under imaging guidance. They are traditionally done in special procedure rooms/suites–which come with an added cost of nursing staff, transportation and equipment. Meanwhile hospitalists are increasingly becoming […]
Abstract Number: 113
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Ultrasound-guidance has become the standard for bedside procedures in the emergency and inpatient settings due to its perceived impact on first attempt success and complications. Prior literature on paracentesis notes a 10% rate of overall complications, 5% rate of technical problems, and a 1% rate of bleeding. However, existing cohorts often include outpatients or […]
Abstract Number: 171
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous access is commonly required in hospitalized patients for the administration of intravenous fluids and medications and blood products. Peripherally inserted central catheters (PICCs) and central venous catheters (CVCs) are required for the administration of vasopressors, chemotherapy, or total parenteral nutrition but often they are placed due to difficulty obtaining a peripheral venous catheter […]
Abstract Number: 221
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The venous thromboembolism (VTE) rate in patients with current or recent hospitalization is 330/100,000 person-year vs. 8/100,000 in outpatients. Hence, hospitalists often assess risk and pursue a diagnosis of VTE in their patients. Lower extremity (LE) DVT risk prediction tools such as the Wells score perform poorly on inpatients and hospitalist specific guidelines for […]
Abstract Number: 251
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Ultrasonography has been used for the last decades as a diagnostic tool. In recent years has been used in internal medicine at the bedside as a safe method that can easily detect abnormalities and provides immediate feedback. Purpose: Describe the Point of Care Ultrasound (POCUS) that has been made in an Internal Medicine Department […]
Abstract Number: 292
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider and patient. Previous studies have shown the value of shared decision-making between patients and providers requiring a mutual understanding of […]
Abstract Number: 293
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence is conflicting. CXR currently receives a Class I recommendation by the AHA in the evaluation of decompensated heart failure. Given […]