Was ist Point-of-Care-Ultraschall (POCUS)?

Der Begriff „Point-of-Care-Ultraschall“ bezeichnet den Einsatz von Ultraschall durch medizinisches Fachpersonal zur Erkennung von Problemen unabhängig vom Ort, an dem der Patient behandelt wird, sei es in einem modernen Krankenhaus, in einem Rettungswagen, in einer Praxis, in einem abgelegenen Dorf oder in der Sporthalle bzw. dem Fußballfeld.

Somit ist POCUS ein weiter gefasster Begriff, der viele Szenarien umfasst, in denen tragbare Ultraschallgeräte eingesetzt werden können. Der Begriff „Point-of-Care Ultraschall“ weist also darauf hin, dass ein transportables Ultraschallgerät überall dorthin gebracht werden kann, wo sich der Patient befindet und für die Abklärung einer speziellen klinischen Fragestellung eingesetzt wird.

In vielen klinischen Situationen ist zur Beurteilung der aktuellen Situation des Patienten keine vollständige sonographischen Regional- oder Organuntersuchungen notwendig, vielmehr eine fokussierte Sonographie, die eine einfache Frage beantworten kann. Zum Beispiel ob eine Sehne oder ein Muskel in ihrer Struktur verletzt ist, ob ein Gelenkerguss vorliegt und ob dieser sich unter der Therapie zurückentwickelt.

Der fokussierte Ultraschall geht also immer von einer klaren Fragestellung aus, die er versucht mit «ja» oder «nein» zu beantworten. Er beschränkt sich somit auf vordefinierte Regionen und Fragestellungen.

In der Ausbildung in MSK-Sonographie lernen Sie diese Fragen zu stellen und sich selbst durch eine Ultraschalluntersuchung die Antwort darauf zu geben.

  • Hören Sie sich an was Experten zu dem Thema POCUS zu sagen haben. Wir haben hier einige Beiträge für Sie bereitgestellt:

  • Greg Fritz was in a compulsory post pregnancy ultrasound when he saw his son’s forming bones inutero. He asked himself “Why don’t we use this to look at bones and muscles on my patients?” This started his passion/obsession for POCUS MSK. Greg was one of 3 Physical Therapists in the nation to pass the pioneer RMSK certification in 2012. Greg lectures at the university of Washington and is on the training faculty for interventional POC orthobiologics.

  • Join James A DellaValle, MD, MBA, Chairman of the POCUS Assessment Committee, talk about the Promise of POCUS, how it renewed his interest in his work, and his experience volunteering in Haiti.

  • Victor Rao, MBBS, DMRD, RDMS is a radiologist by training and is one of the pioneers to introduce and develop Point of Care ultrasound learning content for medical students, PA students and residents and CME content for physicians at the USC School of Medicine in Columbia. He was the director of ultrasound education at USC School of Medicine from May 2008 to Aug 2018. He also trained physicians overseas in Tanzania and Philippines to establish POCUS programs. He loves teaching ultrasound and to travel. He has written some chapters in POCUS ultrasound textbooks and in an upcoming eBook. Victor has also worked as a primary care physician in mission hospitals overseas where he enjoyed seeing patients in the clinic and also managed inpatients and performed deliveries, C-sections and minor surgeries. Victor is presently involved with Innovation and The Pocus Certification Academy™ at Inteleos (formerly ARDMS) as a Global Clinical Content Manager. Some of his interest include travel, photography, fishing, flying drones and fixing things.

  • A Cardiovascular Physician Assistant since 1997, the focus of Kollpainter’s career has been on endoscopic vessel harvest and post-operative patient care. Since its inception, Kollpainter has been involved with all aspects of endoscopic vessel harvest. He has been named a Diamond level harvester by Guidant, having one of the largest known harvesting experiences. He has been a contributor at the corporate level as a Clinical and Teaching Consultant as well as being an Advisory Board Member since 2002. Kollpainter most notably contribution is that of the Maquet HEMOPRO cut-and-seal technology. It has been his honor to have been one of the handful of CVPA’s to teach endoscopic harvest techniques extensively throughout the United States, Europe, and India. Kollpainter has been involved with bedside ultrasound since 2005, receiving credentials as a Diagnostic Medical Sonographer in 2008.

  • Dr. Dawson specializes in vascular and endovascular surgery and is currently with Baylor Scott & White Health in Central Texas. His clinical practice includes carotid artery disease, aortic aneurysm repair, and treatment of mesenteric and renal artery disease, venous disorders, diabetic foot problems, and other complex circulation disorders. He is internationally recognized for his research and expertise with peripheral artery disease. He is a decorated Air Force veteran who, before joining the faculty at UC Davis, worked at NASA as chief of the Medical Sciences Division at the Johnson Space Center in Houston, Texas. His expertise in aviation and space medicine complements his interest in applying advanced technologies, including simulation, to health care. He is also an FAA Aviation Medical Examiner. He has written numerous journal articles and book chapters, frequently lectures at both national and international conferences, and serves in leadership roles in regional and national professional societies. Dr. Dawson is also known for roles in surgical education, including as program director for UC Davis’ vascular surgery residency and fellowship.

  • Join Paul Bornemann, MD, RMSK, RPVI, Associate Professor of Family and Preventive Medicine, University of South Carolina School of Medicine, reflect on the Big Picture Perspective for POCUS and how Point-of-Care Ultrasound is coming to Family Medicine regardless of whether people want it to or not.