Clinician’s Corner: An introduction to point-of-care ultrasound

Authors

  • Allan Lai
  • Monique Mclaughlin
  • J. Graham McLean

DOI:

https://doi.org/10.29173/cjen210

Abstract

A 67-year-old is brought to your resuscitation room in your emergency department. She is in acute distress and has a blood pressure of 211/120, a heart rate of 130 per minute, a respiratory rate of 31 breaths per minute, and an oxygen saturation of 88% on room air. You are about to call for a portable chest radiograph, but the emergency nurse practitioner reaches for the point-of-care ultrasound machine, puts the probe on the patient’s chest, and in under a minute, states: “I see B-lines and weak cardiac contractility; there is normal lung sliding.”

Author Biographies

Allan Lai

MSN, NP(F), Adjunct Faculty Thompson Rivers University, Kamloops, BC. He co-hosts the Resus Tonight podcast, co-founder of the EPICC-COVID19 Project, and can be found on Twitter at @RespRate16. He is a self-identified perpetual student of point-of-care ultrasonography.

Monique Mclaughlin

MN, NP(F), is an emergency nurse practitioner at Vancouver Coastal Health, Vancouver, BC, the managing editor for the Emergency Practice, Interventions, Care – Canada program, and the co-host of the NursEM podcast.

J. Graham McLean

NP(F), practices as a family nurse practitioner at Fraser Health in British Columbia.

References

British Columbia College of Nurses and Midwives. (2022, October 4). Registered nurses: Scope of practice. https://www.bccnm.ca/Documents/standards_practice/rn/RN_ScopeofPractice.pdf

Canadian Point-of-Care Ultrasound Society. (n.d.-a). Acute care core. https://cpocus.ca/acute-care-core/

Canadian Point-of-Care Ultrasound Society. (n.d.-b). Member communications. https://cpocus.ca/resources/#FAQ

Díaz-Gómez, J. L., Mayo, P. H., & Koenig, S. J. (2021). Point-of-care ultrasonography. New England Journal of Medicine, 385(17), 1593–1602. https://doi.org/10.1056/NEJMra1916062

Lai, A., & Paquin, R. (Hosts). (2020, March 11). Nurse point-of-care ultrasound with Tammy Lowe and Korbin Haycock (No. 18) [Audio podcast episode]. In Resus Tonight. https://resustonight.buzzsprout.com/478678/2944678-ep-18-nurse-point-of-care-ultrasound-with-tammy-lowe-and-korbin-haycock

Moore, C. L., & Copel, J. A. (2011). Point-of-care ultrasonography. New England Journal of Medicine, 364(8), 749–757. https://doi.org/10.1056/NEJMra0909487

Province of British Columbia, Nurses (Registered) and Nurse Practitioners Regulation, B.C. Regulation 284/2008, under Health Provisions Act, RSBC 1996. King’s Printer. https://www.bclaws.ca/civix/document/id/complet/statreg/284_2008

See, K. C., Ong, V., Wong, S. H., Leanda, R., Santos, J., Taculod, J., Phua, J., & Teoh, C. M. (2016). Lung ultrasound training: Curriculum implementation and learning trajectory among respiratory therapists. Intensive Care Medicine, 42(1), 63–71. https://doi.org/10.1007/s00134-015-4102-9

Selden, N., Skaggs, H., Lowe, T., Haycock, K., & Dinh, V. (2017). Assessing the utility of nursing-performed point-of-care ultrasound as a guide to fluid resuscitation of septic patients in the emergency department. Annals of Emergency Medicine, 70(4), S134. https://doi.org/10.1016/j.annemergmed.2017.07.409

Soni, N. J., Arntfield, R., & Kory, P. (2020). Evolution of point-of-care ultrasound. In N. J. Soni, R. Arntfield, & P. Kory (Eds.), Point-of-care ultrasound (2nd ed., pp. 1-6). Elsevier.

Tulleken, A. M., Gelissen, H., Lust, E., Smits, T., van Galen, T., Girbes, A. R. J., Tuinman, P. R., & Elbers, P. W. G. (2019). UltraNurse: Teaching point-of-care ultrasound to intensive care nurses. Intensive Care Medicine, 45(5), 727–729. https://doi.org/10.1007/s00134-018-05512-x

Whittaker, J. L., Thompson, J. A., Teyhen, D. S., & Hodges, P. (2007). Rehabilitative ultrasound imaging of pelvic floor muscle function. Journal of Orthopaedic & Sports Physical Therapy, 37(8), 487–498. https://doi.org/10.2519/jospt.2007.2548

Zisis, G., Yang, Y., Huynh, Q., Whitmore, K., Lay, M., Wright, L., Carrington, M. J., & Marwick, T. H. (2022). Nurse-provided lung and inferior vena cava assessment in patients with heart failure. Journal of the American College of Cardiology, 80(5), 513–523. https://doi.org/10.1016/j.jacc.2022.04.064

Published

2023-03-24

How to Cite

Lai, A., Mclaughlin, M., & McLean, J. G. (2023). Clinician’s Corner: An introduction to point-of-care ultrasound. Canadian Journal of Emergency Nursing, 45(3), 5–7. https://doi.org/10.29173/cjen210

Issue

Section

NonPeer Reviewed Content