Pub Date : 2023-10-16DOI: 10.1177/87564793231201587
3. The aim of this study was to ____________. A. Determine the accuracy of EPSS measurement B. Determine the extent of agreement on the measured echocardiographic EF measured by EM residents compared to a cardiologist C. Evaluate echocardiogram read times for critical patients D. Prove that visual assessment of EF is more accurate than Simpson’s method 4. This study compared echocardiogram interpretations from cardiologists and ________. A. Emergency medicine residents B. Cardiology fellows C. General surgeons D. Nurse practitioners
{"title":"SDMS CME Credit – Determining the Extent of Agreement for Determining the Echographic Ejection Fraction Determined by Emergency Medicine Residents Compared with a Cardiologist","authors":"","doi":"10.1177/87564793231201587","DOIUrl":"https://doi.org/10.1177/87564793231201587","url":null,"abstract":"3. The aim of this study was to ____________. A. Determine the accuracy of EPSS measurement B. Determine the extent of agreement on the measured echocardiographic EF measured by EM residents compared to a cardiologist C. Evaluate echocardiogram read times for critical patients D. Prove that visual assessment of EF is more accurate than Simpson’s method 4. This study compared echocardiogram interpretations from cardiologists and ________. A. Emergency medicine residents B. Cardiology fellows C. General surgeons D. Nurse practitioners","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201593
{"title":"SDMS CME Credit – Fetal Bowel Dilatation Associated With LCHAD Deficiency: A New Sonographic Finding","authors":"","doi":"10.1177/87564793231201593","DOIUrl":"https://doi.org/10.1177/87564793231201593","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201581
8. Which imaging modality is recommended as a first-line approach to the diagnosis of PAS? A. Contrast-enhanced CT B. Non-contrast MRI C. Grayscale and color Doppler sonography D. PET 9. What is the reported sensitivity and specificity of sonography with color Doppler supplementation? A. 12-15% and 35-45% respectively B. 25-35% and 50-60% respectively C. 40-50% and 65-70% respectively D. 82-100% and 70-100% respectively
{"title":"SDMS CME Credit – Placenta Accreta Spectrum: A Current Literature Review","authors":"","doi":"10.1177/87564793231201581","DOIUrl":"https://doi.org/10.1177/87564793231201581","url":null,"abstract":"8. Which imaging modality is recommended as a first-line approach to the diagnosis of PAS? A. Contrast-enhanced CT B. Non-contrast MRI C. Grayscale and color Doppler sonography D. PET 9. What is the reported sensitivity and specificity of sonography with color Doppler supplementation? A. 12-15% and 35-45% respectively B. 25-35% and 50-60% respectively C. 40-50% and 65-70% respectively D. 82-100% and 70-100% respectively","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201582
{"title":"SDMS CME Credit – The Accuracy of Various Lung Ultrasonography Findings in Predicting the Necessity for Surfactant Treatment in Neonates With Respiratory Distress Syndrome","authors":"","doi":"10.1177/87564793231201582","DOIUrl":"https://doi.org/10.1177/87564793231201582","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201583
2. Migration of biliary stents is a complication which may be seen in what percentage of patients who have undergone biliary stenting? A. More than 20% B. 10 – 20 % C. 5 – 10% D. Less than 4% 3. Figure 3 demonstrates a dual transverse sonogram that illustrates the proximal biliary stent. What does the solid white arrow identify? A. The proximal biliary stent in the GB lumen B. The distal biliary stent in the CBD C. The double lumen of the biliary stent in the head of the pancreas D. Choledocholithiasis in the CBD
{"title":"SDMS CME Credit – A Biliary Stent in the Gallbladder Lumen: Misplacement or Migration?","authors":"","doi":"10.1177/87564793231201583","DOIUrl":"https://doi.org/10.1177/87564793231201583","url":null,"abstract":"2. Migration of biliary stents is a complication which may be seen in what percentage of patients who have undergone biliary stenting? A. More than 20% B. 10 – 20 % C. 5 – 10% D. Less than 4% 3. Figure 3 demonstrates a dual transverse sonogram that illustrates the proximal biliary stent. What does the solid white arrow identify? A. The proximal biliary stent in the GB lumen B. The distal biliary stent in the CBD C. The double lumen of the biliary stent in the head of the pancreas D. Choledocholithiasis in the CBD","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201584
{"title":"SDMS CME Credit – Detecting Hemopneumothorax With Lung Sonography: A Case Report","authors":"","doi":"10.1177/87564793231201584","DOIUrl":"https://doi.org/10.1177/87564793231201584","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.1177/87564793231201585
{"title":"SDMS CME Credit – Comparing Ultrasonography With Plain Radiography in the Diagnosis of Long Bone Fractures","authors":"","doi":"10.1177/87564793231201585","DOIUrl":"https://doi.org/10.1177/87564793231201585","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-14DOI: 10.1177/87564793231200173
Joy D. Guthrie, Serena M. Bierig
Objective: Laboratory accreditation has been shown to impact variability and completeness. However, little data exist demonstrating the impact of personnel credentialing on completeness and efficiency. Therefore, the aim of this study was to evaluate exam completeness and efficiency among staff with an advanced cardiac sonographer (ACS) credential, Registered Diagnostic Cardiac Sonographer or Registered Cardiac Sonographer and noncredentialed staff. Materials and Methods: Retrospective review of adult and pediatric echocardiograms at eight facilities in three states. Exam completeness was compared with Intersocietal Accreditation Commission (IAC) standards and completeness by pathology was compared with the American Society of Echocardiography (ASE) standards. Results: This study was based on the review of 1147 patient cases. Of the cases reviewed, 60.3% were performed by credentialed (non-ACS) sonographers, 28.3% were completed by credentialed ACS, and 11.3% by noncredentialed staff. The credentialed staff completed exams ≤ 12 hours. The exams were reviewed for compliance with IAC standards and completed by ACS staff: 80.0% in aortic stenosis and 55.6% in non-ACS staff. Those patient cases for mitral regurgitation (14/19) were 73.7% IAC compliant, cases completed by credentialed non-ACS (20/56) were 35.7% compliant, and those completed by noncredentialed sonographers (2/11) only 18.2% were compliant. Cases specific to patent ductus arteriosus were 92.1% compliant with IAC standards that were completed by ACS compared with 77.9% completed by non-ACS staff. Cases of pulmonary hypertension were also evaluated for IAC compliance and 61.8% met the standard with ASE versus 41.7% completed by non-ACS. Conclusion: Examinations performed by ACS are more often complete in important pathology. Examination efficiency is highest among credentialed sonographers.
{"title":"Impact of Advanced Cardiac Sonographers on Exam Completeness in the Echocardiography Laboratory","authors":"Joy D. Guthrie, Serena M. Bierig","doi":"10.1177/87564793231200173","DOIUrl":"https://doi.org/10.1177/87564793231200173","url":null,"abstract":"Objective: Laboratory accreditation has been shown to impact variability and completeness. However, little data exist demonstrating the impact of personnel credentialing on completeness and efficiency. Therefore, the aim of this study was to evaluate exam completeness and efficiency among staff with an advanced cardiac sonographer (ACS) credential, Registered Diagnostic Cardiac Sonographer or Registered Cardiac Sonographer and noncredentialed staff. Materials and Methods: Retrospective review of adult and pediatric echocardiograms at eight facilities in three states. Exam completeness was compared with Intersocietal Accreditation Commission (IAC) standards and completeness by pathology was compared with the American Society of Echocardiography (ASE) standards. Results: This study was based on the review of 1147 patient cases. Of the cases reviewed, 60.3% were performed by credentialed (non-ACS) sonographers, 28.3% were completed by credentialed ACS, and 11.3% by noncredentialed staff. The credentialed staff completed exams ≤ 12 hours. The exams were reviewed for compliance with IAC standards and completed by ACS staff: 80.0% in aortic stenosis and 55.6% in non-ACS staff. Those patient cases for mitral regurgitation (14/19) were 73.7% IAC compliant, cases completed by credentialed non-ACS (20/56) were 35.7% compliant, and those completed by noncredentialed sonographers (2/11) only 18.2% were compliant. Cases specific to patent ductus arteriosus were 92.1% compliant with IAC standards that were completed by ACS compared with 77.9% completed by non-ACS staff. Cases of pulmonary hypertension were also evaluated for IAC compliance and 61.8% met the standard with ASE versus 41.7% completed by non-ACS. Conclusion: Examinations performed by ACS are more often complete in important pathology. Examination efficiency is highest among credentialed sonographers.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-25DOI: 10.1177/87564793231200192
Jose Luis Bastida, Maria S. Horenstein
This case study describes a 13-year-old male who presented with ventricular fibrillation and pulseless ventricular tachycardia (VT) that occurred during football practice. An echocardiogram showed severely diminished biventricular function with an ejection fraction (EF) of 23% and an anomalous left main coronary artery from the right sinus with an apical echogenic mass of 1.2 cm × 1.2 cm, believed to be a thrombus. The patient underwent unroofing of the left main coronary artery. He was discharged on lisinopril, aspirin, and metoprolol, and a follow-up echocardiogram 79 days after discharge showed improved EF of 51% and resolution of the apical thrombus. It is crucial to remember that postsurgical approaches may still present challenges even after the initial repair or intervention. It is important to remain vigilant and aware of any potential issues that may arise as they can have significant impact on the overall success of the procedure.
这个案例研究描述了一个13岁的男性谁提出心室颤动和无脉性室性心动过速(VT)，发生在足球练习。超声心动图显示双心室功能严重下降，射血分数(EF)为23%，左冠状动脉主动脉与右窦异常，顶端回声肿块大小为1.2 cm × 1.2 cm，认为是血栓。病人接受了左冠状动脉主干去顶术。出院后给予赖诺普利、阿司匹林和美托洛尔治疗，出院后79天随访超声心动图显示EF改善51%，根尖血栓消退。重要的是要记住，即使在最初的修复或干预后，术后入路仍然可能存在挑战。重要的是要保持警惕，意识到可能出现的任何潜在问题，因为它们会对手术的整体成功产生重大影响。
{"title":"The Importance of Cardiac Prescreening: A Case Report of Cardiac Arrest in a Teen Athlete","authors":"Jose Luis Bastida, Maria S. Horenstein","doi":"10.1177/87564793231200192","DOIUrl":"https://doi.org/10.1177/87564793231200192","url":null,"abstract":"This case study describes a 13-year-old male who presented with ventricular fibrillation and pulseless ventricular tachycardia (VT) that occurred during football practice. An echocardiogram showed severely diminished biventricular function with an ejection fraction (EF) of 23% and an anomalous left main coronary artery from the right sinus with an apical echogenic mass of 1.2 cm × 1.2 cm, believed to be a thrombus. The patient underwent unroofing of the left main coronary artery. He was discharged on lisinopril, aspirin, and metoprolol, and a follow-up echocardiogram 79 days after discharge showed improved EF of 51% and resolution of the apical thrombus. It is crucial to remember that postsurgical approaches may still present challenges even after the initial repair or intervention. It is important to remain vigilant and aware of any potential issues that may arise as they can have significant impact on the overall success of the procedure.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135815714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-22DOI: 10.1177/87564793231198521
Casey Farrell, Kay Cooper, Simon Hayward, Craig Walker
Objective: Lung ultrasonography (LUS) is a safe, quick, and portable diagnostic tool, which can accurately detect postoperative pulmonary complications, postsurgically, without ionizing radiation. The aim of this scoping review was to map the evidence base regarding the use of LUS to assess cardiac surgery patients. Materials and Methods: The JBI methodology was used to conduct this particular scoping review. Results: In total, 90 publications were identified and of those, 73 were research studies, six were narrative reviews, and 11 were narrative, opinion, and text articles. The studies that were included were predominantly observational cohorts and aimed to determine or compare LUS diagnostic ability, prognostic ability, or both. The LUS methods used with patients were heterogeneous and variably reported. Conclusion: Despite an increasing number of studies since 2014, standardized protocols for the use of LUS are yet to be widely adopted and remain an important area for further work. Future research should consider exploring perceptions and experiences of LUS, the use of LUS in treatment outcome measurement, and use by nonphysician health care professionals.
{"title":"Exploring the Use of Lung Ultrasonography to Assess Cardiac Surgery Patients: A Scoping Review","authors":"Casey Farrell, Kay Cooper, Simon Hayward, Craig Walker","doi":"10.1177/87564793231198521","DOIUrl":"https://doi.org/10.1177/87564793231198521","url":null,"abstract":"Objective: Lung ultrasonography (LUS) is a safe, quick, and portable diagnostic tool, which can accurately detect postoperative pulmonary complications, postsurgically, without ionizing radiation. The aim of this scoping review was to map the evidence base regarding the use of LUS to assess cardiac surgery patients. Materials and Methods: The JBI methodology was used to conduct this particular scoping review. Results: In total, 90 publications were identified and of those, 73 were research studies, six were narrative reviews, and 11 were narrative, opinion, and text articles. The studies that were included were predominantly observational cohorts and aimed to determine or compare LUS diagnostic ability, prognostic ability, or both. The LUS methods used with patients were heterogeneous and variably reported. Conclusion: Despite an increasing number of studies since 2014, standardized protocols for the use of LUS are yet to be widely adopted and remain an important area for further work. Future research should consider exploring perceptions and experiences of LUS, the use of LUS in treatment outcome measurement, and use by nonphysician health care professionals.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：