Emergency Medicine: All Areas
Emergency Medicine 9
Paul A. Khalil, MD (he/him/his)
Nicklaus Children’s Hospital
Miami, Florida, United States
The initial survey had 314 respondents from 147 separate institutions. Most respondents worked in an urban, academic, pediatric ED setting (Table 1). 14% of the respondents will perform POCUS prior to RADUS for testicular torsion but if the study was negative for findings, 84% will still order a RADUS study for further evaluation. For those institutions with surgical management capability, only 3% of the surgeons will operate on testicular torsion based on positive POCUS findings.
19 PEM POCUS program directors completed the second survey (Table 2). Majority of the testicular ultrasounds are performed by Radiology sonographers with estimated result turnaround times between 60-90 minutes.
Conclusion(s): Performance of testicular ultrasound by POCUS remains low despite how time-sensitive it is to diagnose testicular torsion. Opportunities to encourage POCUS use for scrotal pathology may expedite management when compared to RADUS. Further study is needed to inquire on behavior and barriers preventing more POCUS studies to be performed in the Pediatric ED.