Home » When Decisions Matter: POCUS Informing the Next Steps

When Decisions Matter: POCUS Informing the Next Steps

Point-of-care ultrasound (POCUS) continues to transform and revolutionize medicine. This non-invasive device holds numerous benefits for the user and patient alike. Characterized as a fast, repeatable, accurate, and a radiation-free diagnostic bedside tool, POCUS has been deemed useful when critical decision-making is required.

The undeniable value of POCUS has taken the entire world of medicine by storm. POCUS use by non-radiologists has amplified and developed the hand-held device into a life-saving modality. Today, POCUS is utilized throughout the numerous stages of a patient’s care plan; diagnosis, resuscitation, operation, and postoperative critical care. Included in this usage growth are oncologists and other cancer specialists exploring how POCUS can diagnose and manage the disease.

Though the jury is still out on how well POCUS can detect early signs of cancer or small tumors, it has been found useful in evaluating masses, hepatic lesions, the presence of ascites, and lymph nodes. Studies have also shown POCUS to be essential in assessing benign and malignant conditions of the chest.

The Case Series, Point-of-Care Ultrasound on Oncology Inpatients with Respiratory Abnormalities, involved 13 cancer patients with various types of malignancies. Each patient received a POCUS assessment for dyspnea, which revealed in 11 of the 13 patients findings that led to alterations in their medical management. Six patients had new procedures performed that entailed four pleural taps, one pleural drain removed, and one dialysis. A new imaging study, echocardiography, was ordered for three of the 11 patients. In two patients, a new consult, one for nephrology and another for surgery, was requested. A care management change was required in three of the 11 patients after conducting a POCUS examination, which revealed pneumonia in one patient, requiring antibiotics. Two others were treated for heart failure.

The study outcome points to the relevant and vital need for POCUS in sub-acute settings. In this case, using POCUS unveiled clinical findings that led to alteration management among 84% of patients involved. In this same study, two additional cases were noted that support these findings.

Admitted to the hospital was a 66-year-old male with symptoms of fever and dyspnea. His medical history included lung cancer, hypertension, COPD, and congestive heart failure. A POCUS examination revealed severe decompensated heart failure and pulmonary hypertension. The rapid diagnosis provided allowed the care team to immediately spring into action. They initiated medical treatment and ordered formal imaging.

A second case involved a 69-year-old male with a history of lung cancer, ischemic heart disease, and chronic kidney failure. His hospital admission was due to shortness of breath and a high fever. Discovered was a large left sided pleural effusion during a POCUS assessment. His care team’s rapid response was to drain the fluid found.

As described in the examples, the inclusion of POCUS in caring for cancer patients, particularly conditions of the chest, can indeed be life-saving. In each of these cases employing POCUS to monitor and assess the patient proved to be a vital measure taken to prevent or reverse further complications. The incorporation of POCUS led to informing critical decisions that had to be made to provide the best care for the majority of the patients involved.

Want to learn more about the impact POCUS is having on patient care? Visit our education and training resources page for more in-depth insights. Ready to begin your POCUS journey? Check out our many certificates and certifications here

Looking for more information?

Fill out the form below or email us at POCUS@Inteleos.org to get more info.
  • This field is for validation purposes and should be left unchanged.

[gravityform id="66" ajax="true"]
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_66' ><div id='gf_66' class='gform_anchor' tabindex='-1'></div> <div class='gform_heading'> <h3 class="gform_title">Get your POCUS Guide - POPUP</h3> <span class='gform_description'></span> </div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_66' id='gform_66' action='/when-decisions-matter-pocus-informing-the-next-steps/#gf_66' novalidate> <div class='gform_body gform-body'><ul id='gform_fields_66' class='gform_fields top_label form_sublabel_below description_below'><li id="field_66_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_1"><label class='gfield_label screen-reader-text' for='input_66_1' >Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_1' id='input_66_1' type='email' value='' class='form-control medium' placeholder='Email Address' aria-required="true" aria-invalid="false" /> </div></li><li id="field_66_3" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_3"><div class='ginput_container ginput_container_text'><input name='input_3' id='input_66_3' type='hidden' class='gform_hidden' aria-invalid="false" value='https://www.pocus.org/when-decisions-matter-pocus-informing-the-next-steps/' /></div></li><li id="field_66_4" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_66_4"><label class='gfield_label' for='input_66_4' >Name</label><div class='ginput_container'><input name='input_4' id='input_66_4' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_66_4'>This field is for validation purposes and should be left unchanged.</div></li></ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_66' class='gform_button button' value='Download POCUS Guide' onclick='if(window["gf_submitting_66"]){return false;} if( !jQuery("#gform_66")[0].checkValidity || jQuery("#gform_66")[0].checkValidity()){window["gf_submitting_66"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_66"]){return false;} if( !jQuery("#gform_66")[0].checkValidity || jQuery("#gform_66")[0].checkValidity()){window["gf_submitting_66"]=true;} jQuery("#gform_66").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=66&amp;title=1&amp;description=1&amp;tabindex=0' /> <input type='hidden' class='gform_hidden' name='is_submit_66' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='66' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_66' value='WyJbXSIsIjZmY2YxODJmMjQzYjkwYWE0YTkyM2JiYzA3ZGNhOGYzIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_66' id='gform_target_page_number_66' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_66' id='gform_source_page_number_66' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> <p style="display: none !important;"><label>&#916;<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_2" name="ak_js" value="69"/><script>document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() );</script></p></form> </div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_66' id='gform_ajax_frame_66' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe> <script type="text/javascript"> gform.initializeOnLoaded( function() {gformInitSpinner( 66, 'https://www.pocus.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_66').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_66');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_66').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_66').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_66').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_66').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_66').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_66').val();gformInitSpinner( 66, 'https://www.pocus.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [66, current_page]);window['gf_submitting_66'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_66').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_66').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [66]);window['gf_submitting_66'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_66').text());}, 50);}else{jQuery('#gform_66').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [66, current_page]);} );} ); </script>