COVID-19 POCUS HUB
Medstudent POCUS has created a quick-look page for emergency clinicians using POCUS in the COVID-19 pandemic.
4 TAKE-HOME POINTS
Here are our 4 top points for ED clinicians using POCUS for COVID-19.
COVID-19 lung ultrasound findingsare not specific for the virus and similar to the interstitial syndrome pattern that is seen with other viral illnesses.
confluent B lines
pleural thickening with irregularity
consolidated lesions in a skip pattern.
*Pleural effusions are rare.
Lung ultrasound (LUS) is an alternative to time-consuming CT scans, improving throughput and transmission risk. Thoroughness with a lawn-mower scanning motion increases sensitivity. LUS is more sensitive than CXR and as sensitive as CT for viral pneumonia *when lesions extend to pleura.
Scan the heart! COVID-19 can progress to myocarditis and heart failure.
And don't forget other uses: IV access, central line placement, intubation confirmation
Learn Lung US Now!
Lung ultrasound is relatively easy to learn. There have been suggestions to teach any untrained staff, including nurses. Some suggested applications: triage, screening, monitor progression