April 26, 2023

ACEP EUS Pediatric Subcommittee Update

Lindsey Tilt, MD, Atrium Health Carolinas Medical Center, Charlotte, ND
Matthew Kusulas, MD, MSEd, Cohen’s Children’s Medical Center, Northwell Health, Queens, NY

The Peds Subcommittee aims to provide a robust pediatrics presence throughout the ACEP EUS. Our recent collaboration with other subcommittees in the last year include:

US Program Starter Kit
The fellowship sub-committee has begun an initiative called the “US Program Starter Kit,” which aims to house all relevant documents that would be useful for a graduating fellow to start their own US program. We have suggested including for the pediatric content:

  1. Marin et al's “Summary of the Evidence”
  2. ACEP’s statement on point of care ultrasound by PEM physician
  3. AAP Policy Statement: “Point-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians”
  4. Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography, 2023.
  5. Consensus Core Point‐of‐Care Ultrasound Applications for Pediatric Emergency Medicine Training
  6. Core Content for Pediatric Emergency Medicine Ultrasound Fellowship Training: A Modified Delphi Consensus Study

PEM PoCUS Pocket Cards
We are adding peds content to the quick reference cards started by the Critical Care Emergency Ultrasound Subcommittee with their critical care advanced echo cards. So far, we have created cards for hip effusions, skull fractures, supracondylar elbow fractures, pyloric stenosis, and appendicitis, with infant lumbar puncture on the way.

PEM content in EUS Newsletter
We aim to include peds content in each quarterly edition, from faculty, fellows, residents, or medical students! Recent submissions include a how-to for appendicitis, and cases of some pathological mimics of the bladder.

ACEP PoCUS Image Criteria Compendium
In the most recent revision of the ACEP Emergency Ultrasound Imaging Criteria Compendium, the addition of the following pediatric applications were included: pediatric appendicitis, pyloric stenosis, intussusception, pediatric lung, and pediatric MSK.

PEM Toolkit
We continue to grow this repository of peds-PoCUS curricula to be utilized by general EM clinicians who want to increase their skill in Peds-PoCUS skills, or for PEM programs looking for examples of how to further integrate ultrasound instruction in their fellowship.

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