never had formal training and some who have multiple types of accreditation. I just feel standardisation and reviewing each others work is likely to create more consistency and therefore trust in the interpretation. For example, we rarely question an echo, because cardiologists all have BSE

Sorry I think I wrote it poorly… I’m not suggesting every scan is reviewed before we interpret, but to have a logbook we keep reviewed is good practice (as is standard for lots of other areas of practice). You are likely very competent, as a trainee in supervised by a combination of people who’ve…

Completely agree, along with increased trust in ability. And maybe I’m seeing this from a purist trainee perspective, but surely the way to start this is proper governance of scans (ie radiology/peer reviewed) to ensure quality and reliability

Also, very few systems I’ve worked in where they allow POCUS imaging to be uploaded to PACS. I’m yet to even come across a consultant body who have their images/interpretations peer or radiology reviewed for governance reasons

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🩹 The SUSPECT Trial says… maybe not.
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Amazing - sounds like you do things very thoroughly! Will have a look into that app - thanks a lot!

Do you keep a personal logbook of scans? For either educational or governance reasons?

For anonymised images, types of scan, simple demographics with the option to write a little reflection is generally what I do and what’s required from ED trainees. Unsure of other specialties and curious to see what’s out there! Thanks

POCUS community, what logbooks do people use to record scans? Excel, apps or websites? If the latter, which ones? Thanks in advance! #pocus

What level do you need to be at to help? I understand Monday is a no go, but I’m an ST4 in the west mids, hopefully undertaking an OOP in USS at Worcester in August so may be able to help in the future

For as long as ‘traditional’ politicians offer little hope and no signs of improvement people will always vote for alternatives promising other things. I, unfortunately, don’t think trump failing will stop this wave of right wing populism

Ambulance handover delays in England may harm 1,000 patients a day Exclusive: 414,137 people believed to have experienced some level of harm in last year, Guardian analysis finds

I reviewed an 80 year old with a deformed wrist after a fall on the back of an ambulance the other week. It needed manipulation, he was in pain. The department was too full to offload and he had no nerve/vessel damage so I could not escalate. He sat there for 6 hours in all. Harm is already here

I thought tariffs was the most beautiful word in the dictionary…

😂 sorry for misunderstanding the point…

In a patient with a fever, likely source, hypotension and other features of sepsis, did the PCT make any difference to your management here? I feel you would have done cultures and given reasonable antibiotics regardless of PCT…

From the UK here, we almost exclusively use beta blockers, possibly a nitrate in some places. Is there much evidence nicardipine has better outcomes? We use some Ca blockers but largely orally for long term control or post SAH BP control

Yeah 100%, the reason I’m slightly focused on the heart currently is because that’s the formal accreditation I’m undertaking at the moment, hopefully I’ll be able to integrate it well with other views and contexts though! Accept I’m in early stages of my pocus career though… on here to learn!

Thanks! Appreciate this insight a lot - will do some more reading around this and get some better lung views with my echo’s then

Is there any evidence behind this approach? Genuinely asking as someone who’s accrediting in echo as we speak

Yes so it remains voluntary until December 2026… I agree, ED manages very high levels of risk. RCEM are good at highlighting and mitigating this where possible. The issue most have with PA’s is their use, vague regulation, no scope, replacing doctors on rotas, therefore increasing risk to docotors

PA’s will be voluntarily regulated, with no national scope of practice and with responsibility placed on the employing trust. Not sure I follow the emergency department analogy - probably my misreading - but ED patients don’t get sent anywhere, they sit there until they are seen

Useful in that it can help distinguish bias in reporting - our background determines the way we see (or don’t) see things. I think news is best interpreted if you can understand potential biases of the reporting