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  1. Article ; Online: Cardiac point-of-care ultrasound reveals unexpected, life-threatening findings in two children

    Stephanie J. Doniger / Nicholas Ng

    The Ultrasound Journal, Vol 12, Iss 1, Pp 1-

    2020  Volume 4

    Abstract: Abstract Background The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the ... ...

    Abstract Abstract Background The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the presence of a pericardial effusion, tamponade, and can occasionally yield unexpected results. Case presentation Two cases where POCUS unexpectedly identified pericardial effusions, with one patient who also had an anterior mediastinal mass. Conclusions Though underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient’s bedside.
    Keywords Focused cardiac ultrasound ; Point-of-care ultrasound ; Pediatric emergency medicine ; Pericardial effusion ; Tamponade ; Anterior mediastinal mass ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2020-02-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Icterus and abdominal pain

    Stephanie J. Doniger / Alexander Wang

    Critical Ultrasound Journal, Vol 10, Iss 1, Pp 1-

    an unexpected, rare sonographic finding in a Peruvian Emergency Department

    2018  Volume 3

    Abstract: Abstract Background The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, ...

    Abstract Abstract Background The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS can have a significant impact on management strategies and patient care. Ultrasonography has been the gold standard for the diagnosis and staging of Echinococcus disease. However, even in the “classic” clinical scenario and setting, the clinician must maintain a broad differential diagnosis. Point-of-care ultrasound can be helpful in performing the rapid diagnosis and therefore direct appropriate treatment strategies based on the results. Case presentation We present a case of a 27-year-old woman presenting to an emergency department in Peru with jaundice and abdominal pain. Initially given the region of her origin, the working diagnosis was an Echinococcus cyst. However, when POCUS was performed, the findings were not consistent with hydatid disease. Ultimately, surgical pathology revealed a choledochal cyst, a rare finding in adulthood. Conclusions This case initially appears as a “classic” finding of Echinococcus disease. It is important for the clinician sonographer to appreciate the features consistent with Echinococcus cysts and distinguish from those features that are more consistent with other pathology.
    Keywords Jaundice ; Point-of-care ultrasound ; Choledochal cyst ; Echinococcosis ; Hydatid disease ; Tropical medicine ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2018-07-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Sonographic Identification of Tube Thoracostomy Study (SITTS)

    Jamie A. Jenkins / Laleh Gharahbaghian / Stephanie J. Doniger / Scott Bradley / Steve Crandall / David A. Spain / Sarah R. Williams

    Western Journal of Emergency Medicine, Vol 13, Iss 4, Pp 305-

    Confirmation of Intrathoracic Placement

    2012  Volume 311

    Abstract: Introduction: Thoracostomy tubes (TT) are commonly placed in the management of surgical, emergency, and trauma patients and chest radiographs (CXR) and computed tomography (CT) are performed to confirm placement. Ultrasound (US) has not previously been ... ...

    Abstract Introduction: Thoracostomy tubes (TT) are commonly placed in the management of surgical, emergency, and trauma patients and chest radiographs (CXR) and computed tomography (CT) are performed to confirm placement. Ultrasound (US) has not previously been used as a means to confirm intrathoracic placement of chest tubes. This study involves a novel application of US to demonstrate chest tubes passing through the pleural line, thus confirming intrathoracic placement.Methods: This was an observational proof-of-concept study using a convenience sample of patients with TTs at a tertiary-care university hospital. Bedside US was performed by the primary investigatorusing first the low-frequency (5–1 MHz) followed by the high-frequency (10–5 MHz) transducers, in both 2-dimensional gray-scale and M-modes in a uniform manner. The TTs were identified in transverse and longitudinal views by starting at the skin entry point and scanning to where the TT passed the pleural line, entering the intrathoracic region. All US images were reviewed by US fellowship-trained emergency physicians. CXRs and CTs were used as the standard for confirmation ofTT placement.Results: Seventeen patients with a total of 21 TTs were enrolled. TTs were visualized entering the intrathoracic space in 100% of cases. They were subjectively best visualized with the high-frequency (10–5 MHz) linear transducer. Sixteen TTs were evaluated using M-mode. TTs produced a distinct pattern on M-mode.Conclusion: Bedside US can visualize the TT and its entrance into the thoracic cavity and it can distinguish it from the pleural line by a characteristic M-mode pattern. This is best visualized with the high-frequency (10–5 MHz) linear transducer. [West J Emerg Med. 2012;13(4):305–311.]
    Keywords bedside ultrasound ; chest tube placement ; procedure ; Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Subject code 621
    Language English
    Publishing date 2012-09-01T00:00:00Z
    Publisher eScholarship Publishing, University of California
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Erratum to

    Jennifer R. Marin / Alyssa M. Abo / Alexander C. Arroyo / Stephanie J. Doniger / Jason W. Fischer / Rachel Rempell / Brandi Gary / James F. Holmes / David O. Kessler / Samuel H. F. Lam / Marla C. Levine / Jason A. Levy / Alice Murray / Lorraine Ng / Vicki E. Noble / Daniela Ramirez-Schrempp / David C. Riley / Turandot Saul / Vaishali Shah /
    Adam B. Sivitz / Ee Tein Tay / David Teng / Lindsey Chaudoin / James W. Tsung / Rebecca L. Vieira / Yaffa M. Vitberg / Resa E. Lewiss

    Critical Ultrasound Journal, Vol 9, Iss 1, Pp 1-

    Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

    2017  Volume 1

    Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2017-02-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Pediatric emergency medicine point-of-care ultrasound

    Jennifer R. Marin / Alyssa M. Abo / Alexander C. Arroyo / Stephanie J. Doniger / Jason W. Fischer / Rachel Rempell / Brandi Gary / James F. Holmes / David O. Kessler / Samuel H. F. Lam / Marla C. Levine / Jason A. Levy / Alice Murray / Lorraine Ng / Vicki E. Noble / Daniela Ramirez-Schrempp / David C. Riley / Turandot Saul / Vaishali Shah /
    Adam B. Sivitz / Ee Tein Tay / David Teng / Lindsey Chaudoin / James W. Tsung / Rebecca L. Vieira / Yaffa M. Vitberg / Resa E. Lewiss

    Critical Ultrasound Journal, Vol 8, Iss 1, Pp 1-

    summary of the evidence

    2016  Volume 83

    Abstract: Abstract The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published ... ...

    Abstract Abstract The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.
    Keywords Pediatric emergency medicine ; Point-of-care ultrasound ; Diagnostic ; Procedures ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2016-11-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Abstracts from the 13th WINFOCUS World Congress on Ultrasound in Emergency & Critical Care

    Stephen Alerhand / Adam Nevel / Bret Nelson / Michael Halperin / Felipe Serrano / Gregor Prosen / Tjaša Banović / Stephanie J. Doniger / Mirjana Brvar / Barbara Furman / P. Gallego Rodríguez / Tomas Villén Villegas / A. Trueba Vicente / L. W. Alba Muñoz / C. Guillén Astete / N. Díaz García / N. García Montes / Jimena Areco / Daniel Terra /
    Fiorella Cavalleri / Siul Salisbury / Ana Rodríguez / Mohd Hashairi Fauzi / Zulaili Asri / Norainal Atiqah Mohamed / Mohmad Aswad Mohmad Amin / Adeline Marie Gnanasegaran Xavier / Mohd Anas Mohd Nor / Khairul Izwan Hashim / Shaik Farid Abdull Wahab / Mohd Boniami Yazid / Mohammad Zikri Ahmad / Ahmad Rasdan Ismail / Rohayu Othman / Mauro Constantini / Julio Pontet / Igor Sviridenko / Pablo Rodriguez / Christian Yic / Diego Méndez / Sylvia Noveri / Ana Soca / Mario Cancela / Pablo Rodriguez Luna / Rodrigo Martella / Silvina Fabretto / Erich Lidstone / Jacob Shapiro / Kristine Robinson / Cecilia Gómez Ravetti

    Critical Ultrasound Journal, Vol 9, Iss S1, Pp 1-

    2017  Volume 8

    Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2017-12-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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