Reviewer: Dr. Cameron Shoraka
Resuscitation, shock, dyspnea
 Point-of-Care Multi-Organ Ultrasound Improves Diagnostic Accuracy in Adults Presenting to the Emergency Department with Acute Dyspnea
Summary: Small study (N=57) evaluating improvement of diagnostic accuracy with employment of the “triple scan” (TS). – composed of abbreviated cardiac, lung, and IVC POCUS assessment. Overall accuracy of physician diagnosis improved from 53% to 77% after TS. Limitations: small study, evaluation by verified sonographers separate from primary ER clinician, and final diagnosis based on retrospective chart review.
 Basic point-of-care ultrasound framework based on the airway, breathing, and circulation approach for the initial management of shock and dyspnea
Summary: Brief review of POCUS in acute care and trauma. Propose framework for POCUS utilization that follows the systematic ABC model typically used in the setting of shock/hypotension and dyspnea. The proposed framework includes POCUS in the evaluation of the airway for tube placement confirmation post-intubation, lung/thoracic evaluation to r/o ptx, pulmonary edema and pleural effusion, and vascular/circulatory evaluation of the heart (focused cardiac US) and IVC, abdomen (evaluation of the aorta, intraabdominal free fluid, hydronephrosis, and cholecystitis), and venous evaluation (DVT evaluation and line placement).
 Point of Care Ultrasound: An Overview
Summary: Expert analysis by the American college of cardiology that discussed POCUS in undifferentiated shock, cardiac arrest, trauma, as well as various common clinical presentations – including chest pain, dyspnea, and abdominal pain.