All Journals from Eugene Tabiowo
Point of care ultrasound (POCUS) in the hands of the non-radiologist has seen a steady growth in popularity amongst emergency, intensive care and acute medical physicians. Increased accessibility to portable, purpose-built ultrasound machines has meant that clinicians often have access to a safe and non-invasive tool to enhance their management of the unwell.
Point of care ultrasound (POCUS) has seen steady growth in its use and applications in aiding clinicians in the management of acutely unwell patients. Focused Acute Medicine Ultrasound (FAMUS) is the standard created specifically for Acute Medicine physicians and is endorsed by the Society for Acute Medicine and recognised by the Acute Internal Medicine (AIM) training committee as a specialist skill.
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Point of care ultrasound (POCU) is becoming increasingly popular as an extension to clinical examination techniques. Specific POCU training pathways have been developed in specialties such as Emergency and Intensive Care Medicine (CORE Emergency Ultrasound and Core UltraSound Intensive Care, for example), but until this time there has not been a curriculum for the acutely unwell medical patient outside of Critical Care. We describe the development of Focused Acute Medicine Ultrasound (FAMUS), a curriculum designed specifically for the Acute Physician to learn ultrasound techniques to aid in the management of the unwell adult patient. We detail both the outline of the curriculum and the process involved for a candidate to achieve FAMUS accreditation. It is anticipated this will appeal to both Acute Medical Unit (AMU) clinicians and general physicians who deal with the unwell or deteriorating medical or surgical patient. In time, the aspiration is for FAMUS to become a core part of the AIM curriculum.
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A 51-year-old man who was normally fit and well, presented with a one-week history of fever, cough, shortness of breath, myalgia and diarrhoea. On examination he was febrile at 37.8°C, acutely short of breath with oxygen saturations of 75% on 15L of oxygen via a non re-breath mask and a respiratory rate of 25.
Our case highlights an uncommon complication of nasogastric tube insertion. Enteral feeding plays an essential role in recovery from critical illness. Benefits include increasing blood flow to the gut, maintaining mucosal integrity, preserving the enterocyte gut-blood defence barrier, reducing translocation of bacteria and enhancing the gut’s role as an immune organ.
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