Ditch the X-Ray? Top Pediatric POCUS Applications That Could Replace Plain Films

Saturday, April 29, 2023

11:00 AM – 12:30 PM ET

Location: Convention Center: 208 AB

CE: Live CME: 1.50

Selected By: CC

Chair(s)

Almaz Dessie, MD (she/her/hers)

Assistant Professor of Pediatrics and Emergency Medicine, Director of Pediatric Emergency Ultrasound Fellowship
The Warren Alpert Medical School of Brown University
Cranston, Rhode Island, United States

Disclosure(s):

Almaz S. Dessie, MD: No financial relationships to disclose

Session

Description: Point-of-care ultrasound (POCUS) use in pediatrics is rapidly expanding, especially in the acute care setting (emergency department, urgent care, inpatient medicine, pediatric clinic sick visits) and among sub-specialists. In this Hot Topic Symposium, several POCUS applications that have the potential to reduce or eliminate the clinician’s reliance on plain radiographs will be presented. We will present both high acuity and low acuity applications; each are relevant to everyday practice of pediatricians.

Our session will consist of several "lightning" presentations on each application with time for audience participation in image review. These presentations will be followed by a Q&A session with a panel of experts. Our goal is for participants to have a better understanding of the growing list of POCUS applications that may reduce ionizing radiation use in children. Participants will learn the indication of each POCUS application, evidence for its use, basic technique and identification of common findings, as well as considerations for implementation in clinical practice. Audience participation will be encouraged through e-polling quizzes to assess knowledge acquisition and time set aside for participants' questions. Four applications traditionally evaluated by plain radiographs will be discussed: lung (pneumonia, pneumothorax, intubation confirmation), knee and hip (effusions), abdomen (constipation and small bowel obstruction), and foreign body identification (skin/soft tissue, esophageal). Following these presentations, we will conclude with a panel discussion of how to implement these applications into practice, including audience Q&A. Panelists will address pearls and pitfalls of using POCUS in lieu of radiographs.

Learning Objectives:

Upon completion, participants will be able to describe several POCUS applications that can be used in lieu of radiographs to diagnose common conditions in children.
Upon completion, will be able to identify pneumonia, pneumothorax, endotracheal intubation, knee and hip effusions, constipation, small bowel obstruction, and foreign bodies on POCUS.
Upon completion, participants will be able to anticipate and address challenges to incorporating these POCUS applications into their practice.

Presentations:

11:00 AM – 11:05 AM ET

Introduction
Speaker: Almaz S. Dessie, MD (she/her/hers) – The Warren Alpert Medical School of Brown University
11:05 AM – 11:25 AM ET

The case for POCUS over chest x-rays
Speaker: Matthew P. Kusulas, MD, MSEd (he/him/his) – Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
11:25 AM – 11:40 AM ET

The case for POCUS over knee & hip x-rays
Speaker: Laurie Malia, DO (she/her/hers) – Columbia University Medical Center/New York Presbyterian
11:40 AM – 11:55 AM ET

The case for POCUS over Abdominal X-rays
Speaker: Julie Leviter, MD – Yale University
11:55 AM – 12:20 PM ET

The case for POCUS over x-rays for foreign bodies
Speaker: Munaza Batool Rizvi, MD (she/her/hers) – Columbia University, Vagelos College of Physicians and Surgeons
12:20 PM – 12:30 PM ET

Q&A with panel
Speaker: Almaz S. Dessie, MD (she/her/hers) – The Warren Alpert Medical School of Brown University