Point of care ultrasound use by associate providers for differentiating abscess versus cellulitis skin and soft tissue infection in the emergency department
The Journal of Emergency Medicine Oct 27, 2020
Knaysi G, Ringelberg J, Stadlberger N, et al. - The present study was sought to ascertain the accuracy of ultrasound for diagnosing soft tissue abscesses by emergency medicine associate providers (APs). Researchers conducted a prospective observational study including adult patients with suspected skin and soft tissue infection (SSTI) in the emergency department of a rural tertiary care academic medical center. They examined ultrasound images and interpretation by the attending emergency physician with either rejection or agreement of the image interpretation, diagnosis, and management. They included 64 individuals with suspected SSTI: 29 had POCUS-proven abscesses and 33 had cellulitis; 2 were excluded. The findings revealed that APs can successfully use POCUS to identify abscesses with modest training, in patients in the emergency department with SSTIs. This study’s findings demonstrate that POCUS increases the ability to rule in the diagnosis and changes management in a clinically relevant number of individuals with SSTIs.
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