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Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review

Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with re...

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Autor principal: Scheier, Eric
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488602/
https://www.ncbi.nlm.nih.gov/pubmed/37685733
http://dx.doi.org/10.3390/jcm12175666
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author Scheier, Eric
author_facet Scheier, Eric
author_sort Scheier, Eric
collection PubMed
description Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with relevance to pediatric emergency, and other pediatric cardiac studies outside pediatric emergency with relevance to PED detection of potentially emergent pediatric cardiac pathology. Recent findings: Pediatric emergency physicians can reliably detect decreased left-sided systolic function and pericardial effusion using POCUS. Case reports show that pediatric emergency physicians have detected right-sided outflow tract obstruction, aortic root dilatation, and congenital cardiac disease using POCUS. Training for pediatric cardiac POCUS competency is feasible, and cardiac POCUS does not increase the burden on cardiology resources to the PED. Summary: While cardiac pathology in children is relatively rare, pediatric cardiac POCUS can incorporate a broad curriculum beyond systolic function and the presence of pericardial fluid. Further research should assess pediatric emergency physician performance in the identification of a broader range of cardiac pathology.
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spelling pubmed-104886022023-09-09 Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review Scheier, Eric J Clin Med Review Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with relevance to pediatric emergency, and other pediatric cardiac studies outside pediatric emergency with relevance to PED detection of potentially emergent pediatric cardiac pathology. Recent findings: Pediatric emergency physicians can reliably detect decreased left-sided systolic function and pericardial effusion using POCUS. Case reports show that pediatric emergency physicians have detected right-sided outflow tract obstruction, aortic root dilatation, and congenital cardiac disease using POCUS. Training for pediatric cardiac POCUS competency is feasible, and cardiac POCUS does not increase the burden on cardiology resources to the PED. Summary: While cardiac pathology in children is relatively rare, pediatric cardiac POCUS can incorporate a broad curriculum beyond systolic function and the presence of pericardial fluid. Further research should assess pediatric emergency physician performance in the identification of a broader range of cardiac pathology. MDPI 2023-08-31 /pmc/articles/PMC10488602/ /pubmed/37685733 http://dx.doi.org/10.3390/jcm12175666 Text en © 2023 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Scheier, Eric
Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title_full Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title_fullStr Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title_full_unstemmed Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title_short Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
title_sort cardiac pocus in pediatric emergency medicine: a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488602/
https://www.ncbi.nlm.nih.gov/pubmed/37685733
http://dx.doi.org/10.3390/jcm12175666
work_keys_str_mv AT scheiereric cardiacpocusinpediatricemergencymedicineanarrativereview