ABSTRACT
Point-of-care ultrasound can improve efficacy and safety of pediatric procedures performed in the emergency department. This article reviews ultrasound guidance for the following pediatric emergency medicine procedures: soft tissue (abscess incision and drainage, foreign body identification and removal, and peritonsillar abscess drainage), musculoskeletal and neurologic (hip arthrocentesis, peripheral nerve blocks, and lumbar puncture), vascular access (peripheral intravenous access and central line placement), and critical care (endotracheal tube placement, pericardiocentesis, thoracentesis, and paracentesis). By incorporating ultrasound, emergency physicians caring for pediatric patients have the potential to enhance their procedural scope, confidence, safety, and success.
Subject(s)
Pediatric Emergency Medicine , Point-of-Care Systems , Ultrasonography, Interventional , Abscess/diagnostic imaging , Abscess/surgery , Arthrocentesis/methods , Catheterization, Central Venous/methods , Catheterization, Peripheral/methods , Child , Drainage/methods , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Hip Joint/diagnostic imaging , Humans , Intubation, Intratracheal/methods , Nerve Block/methods , Paracentesis/methods , Peripheral Nerves/diagnostic imaging , Peritonsillar Abscess/diagnostic imaging , Peritonsillar Abscess/therapy , Spinal Puncture/methodsABSTRACT
Anomalous left coronary artery from the pulmonary artery is a rare cause of dilated cardiomyopathy. We present the first reported case of anomalous left coronary artery from the pulmonary artery diagnosed by point-of-care ultrasound, leading to expedited management, stabilization, and eventual treatment.
