Date: 9th January 2021
The Second session of COVIPOCUS2021 was held on 9th January 2021 from 6:30PM-8:30PM (India Time). Delegates from all over the world participated in the conference. The meeting was also attended by 12 international leaders.
Dr. Sagar Galwankar, Executive Director of WACEM welcomed the delegates and faculty to the E-Conference and gave a brief insight into the expanding role of Point Of Care ultrasound in the Emergency Department.
The proceedings were moderated By Dr Eran Tal-Or.
Dr. Eran Tal-Or is the Director of Emergency Medicine Department, Poria Medical Cente, Kinneret Area, Israel.
The First speaker was NIH Fogarty Grant Award Winner Dr. Rockefeller Oteng from University of Michigan. Dr Oteng is credited for developing Academic Emergency Medicine in Ghana. He elaborated on how POCUS has helped in diagnosing and monitoring patients with COVID 19 specially in GHANA were facilities like CT scans are scarce.
Dr. John Gullett was the second Speaker of the session. Dr Gullett is an Associate Professor of Emergency Medicine in UAB, Alabama, USA. Dr John Gullet talked on the extra-pulmonary uses of POCUS in COVID -19. He focused his talk on the usefulness of POCUS in cardiac monitoring of patients with COVID-19 as well as on evaluating volume status in such patients.
Dr. Asheesh Vali, from Tanzania elborated on the Radiologist perspective of lung ultrasonography in COVID-19 patients. He gave a detailed description of various findings on lung Ultrasonography of a patient with COVID-19, and how lung ultrasonography compares with CT in patients with COVID-19.
Panel Discussion: POINT OF CARE ULTRASOUND IN PEDIATRIC PATIENTS WITH COVID-19 INFECTION
Dr Prashant Mahajan, Vice Chair, Department of Emergency Medicine, University of Michigan, USA
Dr John Gullett, Director of Ultrasound, Department of Emergency Medicine, UAB Family Medicine Centre, Alabama, USA
Dr Asheesh Vali, Senior Radiologist, Hitech Sai Hospital, Dar-es-Salaam, Tanzania
Dr Rockfeller Oteng, Assistant Professor, Department of Emergency Medicine, Ghana
Dr Christopher Fung, Assistant Professor, Division of Critical Care, Department of Emergency Medicine, Univ of Michigan, USA
Dr Akshay Kumar, Assistant Professor, Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India
The panelists agreed that there is a limited experience of using POCUS in Pediatric patients. Globally in the academic emergency medicine training there is more focus on adult emergency medicine and that needs to change. Need for actual research in pediatric emergency medicine and point of care ultrasound in children rather than simple extrapolation from the adult age group.
Technology & Innovation
Dr. Mahajan emphasized that technology also needs to be harnessed to make ultrasound easy to perform in the pediatric age group for example using the butterfly ultrasound machine or other smaller tablet-based sonography technologies will make it easier for the child patient and the provider.
Research/ Future Directions
Emphasis for research in multisystem inflammatory syndrome of children (MIS-C) commonly identified in children and working to explore the role of POCUS in extrapulmonary conditions and organs like the heart, inferior vena cava for volume assessment and thrombus assessment in proximal and distal veins.
Developing collaborative deidentified baseline repository in pediatric POCUS which will help us identify geographical and regional variations and hence generating big data should give us better understanding of the role of POCUS in identification and management in acutely ill child in COVID and beyond.
Clinical Case Presentation
The Panel Discussion was followed by Research Presentation by Dr P R R Vaishnavi, Junior Resident, Emergency Department, AIIMS, which was followed by QandA.