Research and scholarship advance the field and establish the evidence for our use of POCUS across all specialties of medicine. Take a look at our regularly updated Zotero library of POCUS literature. We are also dedicated to delivering high quality and innovative research in POCUS, so check out our featured publications.
Case report of a patient presenting with shortness of breath and presyncope who was found to have a clot in transit on point of care echocardiography and a femoral DVT on POCUS. Impressive images and videos of this uncommon finding.
Just the Facts publication about the role of ultrasound guidance for arthrocentesis. It describes the rationale for using ultrasound guidance and describes the technique. It is accompanied by this handy infographic you can refer to at the bedside.
Images in Emergency Medicine case of a patient with ischemic ventricular septal rupture diagnosed on point of care echocardiography. The image and accompanying video are striking.
Prospective observational study of 20 PEM physicians examining 71 children aged 4 to 10 years old. We compared the PEM physician’s identification of the distal fibular physis based on physical exam compared to the position of the distal fibular physis on ultrasound (the criterion standard). The PEM physicians demonstrated poor accuracy (34%) with their physical exam.
Just the Facts publication about the role of POCUS for skin and soft tissue infections, specifically cellulitis, abscess, and necrotizing fasciitis. It provides guidance about how to perform the scan, as well as how POCUS can be used to assist with incision and drainage of abscesses.
A meta-research study of systematic reviews assessing the diagnostic accuracy of POCUS applications. This study attempted to characterize the completeness of reporting using the PRISMA-DTA checklist. Overall, systematic reviews of POCUS diagnostic accuracy were moderately reported, but the main areas of deficiency were systematic review registration and the identification of a minimally acceptable test accuracy threshold.
Observational study of 110 patients to assess the change in the position of the cricothyroid landmark from 0° head of bed elevation to 30° and 90°. Elevating the head of bed to 30° results in a cephalad change of 2.7 mm in the landmark, and elevating to 90° results in a cephalad change of 4.2 mm. This may be clinically important when attempting cricothyrotomy using a percutaneous (blind) technique.
Consensus recommendations from the CAEP Emergency Ultrasound Comittee on POCUS use in patients with known or suspected COVID-19, with an emphasis on machine infection control measures.
Long N, Ahn JS, Monkewich G, Kim DJ. Point of care ultrasound in the diagnostic workup of hemorrhagic cholecystitis. CMAJ 2021; [in press].
Long N, Ahn JS, Kim DJ. Adjunctive use of point of care ultrasound to diagnose compartment syndrome of the thigh. POCUS Journal 2021; [in press].
Poonja Z, Ahn JS, Kim DJ. Just the facts: Ultrasound guidance for arthrocentesis. CJEM 2021; https://doi.org/10.1007/s43678-021-00184-x.
Douglas-Vail M, Ogilvie K, Sutherland KA, Kim DJ. Clot in transit: A case for point of care echocardiography. Vis J Emerg Med 2021; 25:101096. https://doi.org/10.1016/j.visj.2021.101096
Dion V, Sabhaney V, Ahn JS, Erdelyi S, Kim DJ. The physical examination is unreliable in determining the location of the distal fibular physis. Am J Emerg Med 2021; 50:97-101. https://doi.org/10.1016/j.ajem.2021.07.040
Prager R, Pratte M, Guy A, Bala S, Bachar R, Kim DJ, Millington S, Salameh J, McGrath TA, McInnes MDF. Completeness of reporting for systematic reviews of point-of-care ultrasound: A meta-research study. BMJ Evid Based Med 2021; https://doi.org/10.1136/bmjebm-2020-111652
Arthurs L, Erdelyi S, Kim DJ. The effect of patient positioning on ultrasound landmarking for cricothyrotomy. Can J Anesth 2021; 68(1):24-29. https://doi.org/10.1007/s12630-020-01826-x
Gottlieb M, Sundaram T, Kim DJ, Olszynski P. Just the facts: Point-of-care ultrasound for skin and soft tissue abscesses. CJEM 2021; 23(5):597-600. https://doi.org/10.1007/s43678-021-00132-9.
Golby R, Ahn J, Kim DJ. Man with persistent chest pain (ventricular septal rupture). Ann Emerg Med 2021; 78(2):e23-e24. https://doi.org/10.1016/j.annemergmed.2021.02.025
Kim DJ, Jelic T, Woo MY, Heslop C, Olszynski P. Misinterpretation of recommendations from the CAEP Emergency Ultrasound Committee as a case report. Echocardiography 2021; 38(4):718. https://doi.org/10.1111/echo.15033
Frenkel O, Barbic D, Francispragasm M, Murray D, Yoo J, Scheuermeyer FX. Elderly woman with cough, fever, and dyspnea. Ann Emerg Med 2021; 77(1):e64-e65. https://doi.org/10.1016/j.annemergmed.2020.07.002
Kim DJ, Jelic T, Woo MY, Heslop C, Olszynski P. Just the facts: Recommendations on point of care ultrasound use and machine infection control during the COVID-19 pandemic. CJEM 2020; 22(4):445-9. https://doi.org/10.1017/cem.2020.364
Kim DJ, Thiessen M, Strony R. Point-of-care ultrasound credentialing: Big picture principles for big health systems. Jt Comm J Qual Patient Saf 2020; 46(8):435-7. https://doi.org/10.1016/j.jcjq.2020.06.001
Quan GE, Kendall JL, Bogseth MC, Ruygrok ML, Luoma KA, Louderback RZ, Pieracci F, Byyny RL. Predictors of false-negative focused assessment with sonography for trauma examination in pediatric blunt abdominal Trauma. Pediatr Emerg Care 2020; 36(5):e274-e279. https://doi.org/10.1097/PEC.0000000000002094
Olszynski P, Kim DJ, Liu R, Arntfield R. Multidisciplinary response to CAR's POCUS position statement. Can Assoc Radiol J 2020; 71(2):136-7. https://doi.org/10.1177/0846537119898004
Olszynski P, Heslop C, Atkinson P, Lewis D, Kim DJ, Pham C, Ritcey B. Ultrasound at the point of care – Grown up and moving out! CJEM 2020; 22(1):1-2. https://doi.org/10.1017/cem.2019.448
Hans PS, Ahn JS, Kim DJ. Ultrasound features of rhabdomyolysis. CJEM 2020; 22(3):386-8. https://doi.org/10.1017/cem.2020.16
Arthurs L, Ahn JS, Kim DJ. Man with chest pain (type B thoracic aortic dissection). Ann Emerg Med 2020; 75(3):e15-6. https://doi.org/10.1016/j.annemergmed.2019.10.007
Lewis D, Rang L, Kim D, Robichaud L, Kwan C, Pham C, Shefrin A, Ritcey B, Atkinson P, Woo M, Jelic T, Dallaire G, Henneberry R, Turner J, Andani R, Demsey R, Olszynski P. Recommendations for the use of point-of-care ultrasound (POCUS) by emergency physicians in Canada. CJEM 2019; 21(6):721-6. https://doi.org/10.1017/cem.2019.392
Olszynski P, Kim DJ, Ma IWY, Clunie M, Lambos P, Guzowski T, Butz M, Thoma B. The development of a provincial multidisciplinary framework of consensus-based standards for point of care ultrasound at the University of Saskatchewan. Ultrasound J 2019; 11(1):28. https://doi.org/10.1186/s13089-019-0142-7
Kim DJ, Francispragasam M, Docherty G, Silver B, Prager R, Lee D, Maberley D. Test characteristics of point-of-care ultrasound for the diagnosis of retinal detachment in the emergency department. Acad Emerg Med 2019; 26(1):16-22. https://doi.org/10.1111/acem.13454
Andruko J, Kim DJ. Pregnant woman with abdominal pain (heterotopic pregnancy). Ann Emerg Med 2019; 73(5):e67-8. https://doi.org/10.1016/j.annemergmed.2018.10.011
Kim DJ. Point of Care Ultrasound for Emergency Medicine and Resuscitation. Edited by Paul Atkinson, Justin Bowra, Tim Harris, Bob Jarman, and David Lewis. New York: Oxford University Press, 2019; 264 pp; $90.00 (paperback). Acad Emerg Med 2019; 26(12):1400-1. https://doi.org/10.1111/acem.13865
Poonja Z, Uppal J, Netherton SJ, Bryce R, Lyon AW, Cload B. Evaluation of emergency department ultrasound machines for the presence of occult blood. CJEM 2019; 21(3):395-398. https://doi.org/10.1017/cem.2018.447
Olszynski P, Kim DJ, Chenkin J, Rang L. The CAEP emergency ultrasound curriculum – Objectives and recommendations for implementation in postgraduate training: Executive summary. CJEM 2018; 20(5):736-8. https://doi.org/10.1017/cem.2018.35
Olszynski P, Kim D, Chenkin J, Rang L. The core emergency ultrasound curriculum project: A report from the Curriculum Working Group of the CAEP Emergency Ultrasound Committee. CJEM 2018; 20(2):176-82. https://doi.org/10.1017/cem.2017.44
Cessford T, Meneilly GS, Arishenkoff S, Eddy C, Chen LYC, Kim DJ, Ma IWY. Comparing physical examination with sonographic versions of the same examination techniques for splenomegaly. J Ultrasound Med 2018; 37(7):1621-9. https://doi.org/10.1002/jum.14506
Prager R, Sedgwick C, Lund A, Kim DJ, Ho B, Stachura M, Gutman SJ. Prospective evaluation of point-of-care ultrasound at a remote, multi-day music festival. Prehosp Disaster Med 2018; 33(5):484-489. https://doi.org/10.1017/S1049023X18000821
Atkinson P, Olszynski P, Chenkin J, Kim DJ, Hall G. CJEM Debate Series: #PoCUS – All physicians practicing emergency medicine should be competent in the use of point of care ultrasound. CJEM 2018; 20(3):329-33. https://doi.org/10.1017/cem.2018.12
Iradukunda D, Lee J, Kim DJ. Unexpected source of fever: Liver abscess on point of care ultrasound. CJEM 2018; 20(5):802-3. https://doi.org/10.1017/cem.2018.408
Murray DJ, Kim DJ. An unusual case of exertional dyspnea: Atrial myxoma on point of care ultrasound. CJEM 2018; 20(1):146-7. https://doi.org/10.1017/cem.2017.351
Kim DJ. Chapter 7.2: Cricothyrotomy. In: Lewiss RE, Jones RA, Strony RJ, eds. Practical Guide to Critical Ultrasound, Volume 2. Dallas, TX: American College of Emergency Physicians; 2018:119-23.
Stachura M, Landes M, Aklilu F, Venugopal R, Hunchak C, Berman S, Maskalyk J, Sarrazini J, Kebede T, Azazh A. Evaluation of a point-of-care ultrasound scan list in a resource-limited emergency centre in Addis Ababa Ethiopia. Afr J Emerg Med 2017; 7(3):118-23. https://doi.org/10.1016/j.afjem.2017.04.011
Murphy DL, Oberfoell SH, Trent SA, French AJ, Kim DJ, Richards DB. Validation of a low-cost optic nerve sheath ultrasound phantom: An educational tool. J Med Ultrasound 2017; 25(2):96-100. https://doi.org/10.1016/j.jmu.2017.01.003
Stringer CEA, Ahn JS, Kim DJ. Asteroid hyalosis: A mimic of vitreous hemorrhage on point of care ultrasound. CJEM 2017; 19(4):317-20. https://doi.org/10.1017/cem.2016.358
Francispragasam M, Yoo JH, Lam TV, Kim DJ. Diagnosis of a pericardial effusion with stable ascending thoracic aortic aneurysm by point-of-care ultrasound. CJEM 2017; 19(1):71-4. https://doi.org/10.1017/cem.2016.1
Kim DJ, Byyny RL, Rice CA, Faragher JP, Nordenholz KE, Haukoos JS, Liao MM, Kendall JL. Test characteristics of emergency physician-performed limited compression ultrasound for lower extremity deep vein thrombosis. J Emerg Med 2016; 51(6):684-90. https://doi.org/10.1016/j.jemermed.2016.07.013
Prager R, McCallum J, Kim D, Neitzel A. Point of care ultrasound in undergraduate medical education: A survey of University of British Columbia medical student attitudes. UBC Medical J 2016; 7(2):12-6. https://ubcmj.med.ubc.ca/point-of-care-ultrasound-in-undergraduate-medical-education-a-survey-of-ubc-medical-student-attitudes/
Ahn JS, French AJ, Thiessen ME, Browne V, Deutchman M, Guiton G, Madigosky W, Kendall JL. Using ultrasound to enhance medical students' femoral vascular physical examination skills. J Ultrasound Med 2015; 34(10):1771-6. https://doi.org/10.7863/ultra.15.14.11014
Stachura MR, Socransky SJ, Wiss R, Betz M. A comparison of the supraclavicular and infraclavicular views for imaging the subclavian vein with ultrasound. Am J Emerg Med 2014; 32(8):905-8. https://doi.org/10.1016/j.ajem.2014.05.001
Ahn JS, French AJ, Thiessen ME, Kendall JL. Training peer instructors for a combined ultrasound/physical exam curriculum. Teach Learn Med 2014; 26(3):292-5. https://doi.org/10.1080/10401334.2014.910464
Kim DJ, Theoret J, Liao MM, Kendall JL. Experience with emergency ultrasound training by Canadian emergency medicine residents. West J Emerg Med 2014; 15(3):306-311. https://doi.org/10.5811/westjem.2013.9.18025
Lee WW, Kim DJ. Migrating sternal rod: Ultrasound identification of an unusual soft tissue foreign body. J Emerg Med 2014; 46(4):e117-20. https://doi.org/10.1016/j.jemermed.2013.11.072
Kim DJ, Kendall JL. Fournier’s gangrene and its characteristic ultrasound findings. J Emerg Med 2013; 44(1):e99-101. https://doi.org/10.1016/j.jemermed.2012.01.015
Kim DJ. Chapter 28: Cholecystitis: Right-upper-quadrant pain in a 15-year-old female. In: McLario DJ, Kendall JL, eds. Case Studies in Pediatric Emergency and Critical Care Ultrasound Cambridge, UK: Cambridge University Press; 2013:129-33.
Kim DJ. Chapter 56: Hip and Knee Arthrocentesis: Limp in a 5-year-old male. In: McLario DJ, Kendall JL, eds. Case Studies in Pediatric Emergency and Critical Care Ultrasound Cambridge, UK: Cambridge University Press; 2013: 261-6.
Kim DJ, Theoret J, Liao MM, Hopkins E, Woolfrey K, Kendall JL. The current state of ultrasound training in Canadian emergency medicine programs: Perspectives from program directors. Acad Emerg Med 2012; 19(9):1073-8. https://doi.org/10.1111/j.1553-2712.2012.01430.x
Kim DJ, Welch M, Kendall JL. A case of Cesarean scar ectopic: A rare but important form of ectopic pregnancy. Crit Ultrasound J 2011; 3(1):55-7. https://doi.org/10.1007/s13089-011-0064-5