Pub Date : 2025-01-01Epub Date: 2024-10-10DOI: 10.1016/j.mcna.2024.07.006
Giada Cucciolini, Francesco Corradi, Elena Marrucci, Stig Holm Ovesen
Proficiency in basic lung ultrasound is highly recommended for clinicians in general and internal medicine. This article will review and provide guidance for novice users on how to use lung ultrasound in clinical practice, through a pathology-oriented approach. The authors recommend a 12-zone protocol and describe how to perform and apply it in clinical practice while examining patients with clinical suspicion for the following diseases: pleural effusion, heart failure, pneumonia (bacterial and viral), interstitial lung disease, and pneumothorax.
{"title":"Basic Lung Ultrasound and Clinical Applications in General Medicine.","authors":"Giada Cucciolini, Francesco Corradi, Elena Marrucci, Stig Holm Ovesen","doi":"10.1016/j.mcna.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.mcna.2024.07.006","url":null,"abstract":"<p><p>Proficiency in basic lung ultrasound is highly recommended for clinicians in general and internal medicine. This article will review and provide guidance for novice users on how to use lung ultrasound in clinical practice, through a pathology-oriented approach. The authors recommend a 12-zone protocol and describe how to perform and apply it in clinical practice while examining patients with clinical suspicion for the following diseases: pleural effusion, heart failure, pneumonia (bacterial and viral), interstitial lung disease, and pneumothorax.</p>","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"109 1","pages":"11-30"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2024-10-10DOI: 10.1016/j.mcna.2024.07.001
Lauren Ann Selame, Janeve Rose Desy, Chiara Cogliati
Point-of-care ultrasound (POCUS) enhances diagnostic accurate, reduces time to diagnosis, and improves patient satisfaction. Competenties encompass indications, image acquisition, interpretation, and medical decision-making. Education involves didactic methods and hands-on practice with emphasis on longitudinal training and feedback. Assessment tools target knowledge, psychomotor, attitudinal domains. POCUS portfolios and quality assurance ensure competence and continued overarching POCUS oversight and feedback. Scan numbers are often used as a surrogate for competency; however, it is important to note that learning curves vary by POCUS application. Proper POCUS use requires understanding its diagnostic power and potential limitations. POCUS indications vary by clinical scenarios and beneficial applications for training and credentialing vary by medical niche. This text underscores the importance of standardized training and evidence-based practices in POCUS utilization.
{"title":"Point-of-Care Ultrasound Competency, Credentialing and Policies.","authors":"Lauren Ann Selame, Janeve Rose Desy, Chiara Cogliati","doi":"10.1016/j.mcna.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.mcna.2024.07.001","url":null,"abstract":"<p><p>Point-of-care ultrasound (POCUS) enhances diagnostic accurate, reduces time to diagnosis, and improves patient satisfaction. Competenties encompass indications, image acquisition, interpretation, and medical decision-making. Education involves didactic methods and hands-on practice with emphasis on longitudinal training and feedback. Assessment tools target knowledge, psychomotor, attitudinal domains. POCUS portfolios and quality assurance ensure competence and continued overarching POCUS oversight and feedback. Scan numbers are often used as a surrogate for competency; however, it is important to note that learning curves vary by POCUS application. Proper POCUS use requires understanding its diagnostic power and potential limitations. POCUS indications vary by clinical scenarios and beneficial applications for training and credentialing vary by medical niche. This text underscores the importance of standardized training and evidence-based practices in POCUS utilization.</p>","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"109 1","pages":"285-297"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/j.mcna.2024.08.001
{"title":"CME Accreditation Page","authors":"","doi":"10.1016/j.mcna.2024.08.001","DOIUrl":"10.1016/j.mcna.2024.08.001","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Pages iii-iv"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/S0025-7125(24)00108-1
{"title":"Contributors","authors":"","doi":"10.1016/S0025-7125(24)00108-1","DOIUrl":"10.1016/S0025-7125(24)00108-1","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Pages vii-x"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/S0025-7125(24)00106-8
{"title":"Copyright","authors":"","doi":"10.1016/S0025-7125(24)00106-8","DOIUrl":"10.1016/S0025-7125(24)00106-8","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Page ii"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/S0025-7125(24)00105-6
Efrén C. Manjarrez (Editor)
{"title":"Perioperative and Consultative Medicine","authors":"Efrén C. Manjarrez (Editor)","doi":"10.1016/S0025-7125(24)00105-6","DOIUrl":"10.1016/S0025-7125(24)00105-6","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Page i"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/j.mcna.2024.08.005
Daniel D. Dressler MD, MSc, MHM, FACP
{"title":"Perioperative and Consultative Medicine: A Religious Experience","authors":"Daniel D. Dressler MD, MSc, MHM, FACP","doi":"10.1016/j.mcna.2024.08.005","DOIUrl":"10.1016/j.mcna.2024.08.005","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Pages xv-xvii"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/S0025-7125(24)00107-X
{"title":"Forthcoming Issues","authors":"","doi":"10.1016/S0025-7125(24)00107-X","DOIUrl":"10.1016/S0025-7125(24)00107-X","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Page v"},"PeriodicalIF":3.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-03DOI: 10.1016/j.mcna.2024.07.002
Efrén C. Manjarrez MD, SFHM, FACP
{"title":"Perioperative Medicine Front and Center","authors":"Efrén C. Manjarrez MD, SFHM, FACP","doi":"10.1016/j.mcna.2024.07.002","DOIUrl":"10.1016/j.mcna.2024.07.002","url":null,"abstract":"","PeriodicalId":49838,"journal":{"name":"Medical Clinics of North America","volume":"108 6","pages":"Pages xix-xx"},"PeriodicalIF":3.8,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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