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PEM POCUS Fellowship

Point-of-care ultrasound (POCUS) aims to gather essential information in patient care situations where clinicians are required to make time sensitive management decisions. We perform goal directed and problem-oriented evaluations for a variety of patient care scenarios. We bring this evolving technology to the bedside to make the emergency care of our pediatric patients faster and safer.

POCUS Fellowship

The Yale Pediatric Emergency POCUS fellowship was started in 2019. Our mission is to provide a nurturing environment for our fellows to acquire the skills necessary for the proficient use of basic and advanced POCUS. During the training program, fellows will encounter a broad range of pediatric pathology and experience a comprehensive exposure to clinical and procedural ultrasound exams. They will also gain experience in POCUS administration and quality assurance. Upon completion, graduates will be well equipped to pursue careers in pediatric POCUS and become leaders in the field. Through collaboration with the Yale Emergency Medicine Ultrasound Section, PEM POCUS fellows also gain experience performing procedures and diagnosing pathology in our adult emergency department as well. More information on the Yale Emergency Medicine Ultrasound Section can be found here.

Featured Webcasts and Podcasts

  • Favorite PEPEC Cases of 2020 – Dr. Leviter presents how to screen for pulmonary embolus by POCUS. Watch here on Zoom.
    • Zoom Password: +CN3j2x%
  • Dr. Leviter & Dr. Riera present a series of challenging cases: pneumonia, COVID, undifferentiated abdominal pain, unexpected right ventricular thrombus, and ovarian torsion in a young girl. Watch here on Zoom.
    • Zoom Password: 378HRBW
  • The Ultrasound GEL crew review our focused cardiac ultrasound quality improvement initiative. Listen on Apple Podcasts here.
  • Dr. Leviter again reviews interesting cases/unusual presentations in patients with MISC, appendicitis, pulmonary infarct and Hirschsprung's. Watch here on Zoom.
    • Zoom Password: 3urY@ALT

Peer-Reviewed Original Articles

  • Ultrasound-Guided Regional Anesthesia of the Femoral Nerve in the Pediatric Emergency Department (2022). PMID: 35245015
  • Focused Cardiac Ultrasound Findings in Children Presenting with Shock to a Tertiary Care Hospital in Rwanda (2022). PMID: 34570083
  • Ultrasound Curriculum for Endotracheal Tube Confirmation for Pediatric Critical Care Transport Team Through Remote Learning and Teleguidance (2022). | PMID: 35307147
  • The Feasibility of Using Point-of-Care Ultrasound During Cardiac Arrest in Children: Rapid Apical Contractility Evaluation (2022). | PMID: 35470313
  • Point-of-Care Ultrasound for Pulse Checks in Pediatric Cardiac Arrest: Two Illustrative Cases (2022) | PMID: 35477928
  • Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department (2021). PMID: 29746359
  • Evaluation of Hip Pain and Management of Toxic Synovitis in the Ultrasound Era (2021). PMID: 33394943
  • Agreement With Pediatric Suprapatellar Bursa Effusion Assessments by Point-of-Care Ultrasound After Remote Training (2021). PMID: 34542989
  • Ultrasound-assisted Lumbar Puncture for Obese Pediatric Oncology Patients: A Feasibility Study (2021). PMID: 34862351
  • Ocular Point-of-Care Ultrasound: Description of Intermediate Uveitis in an Adolescent Female (2021) | PMID: 34180860
  • 13-year-old with Left Heel Injury (2021) | PMID: 34278378
  • Ultrasound-assisted Lumbar Puncture for Obese Pediatric Oncology Patients: A Feasibility Study (2021) | PMID: 34862351
  • Point-of-Care Ultrasound for Undifferentiated Abdominal Pain in a Pediatric Patient: A Proposed Algorithm (2020). PMID: 32149996
  • Sound and Air: Ultrasonographic Measurements of Pediatric Chest Wall Thickness and Implications for Needle Decompression of Tension Pneumothorax (2020). PMID: 32925707
  • Accuracy of Remote Interpretation of Pediatric Emergency Ultrasound Over Third Generation Networks Across Continents (2020). PMID: 31851076
  • Reevaluation of FAST Sensitivity in Pediatric Blunt Abdominal Trauma Patients: Should We Redefine the Qualitative Threshold for Significant Hemoperitoneum? (2019) PMID: 31356479
  • "Full Stomach" Despite the Wait: Point-of-care Gastric Ultrasound at the Time of Procedural Sedation in the Pediatric Emergency Department (2019). PMID: 30372569
  • Pediatric emergency medicine fellow training in ultrasound: consensus educational guidelines (2013). PMID: 23517263
  • Ultrasound evaluation of skull fractures in children: a feasibility study (2012). PMID: 22531195
  • Diagnosis of intussusception by physician novice sonographers in the emergency department (2012). PMID: 22424652
  • Needle-entry angle for lumbar puncture in children as determined by using ultrasonography (2011). PMID: 21444601
  • Remember the saphenous: ultrasound evaluation and intravenous site selection of peripheral veins in young children (2011). PMID: 22134232
  • Positioning for lumbar puncture in children evaluated by bedside ultrasound (2010). PMID: 20403933
  • Use of bedside ultrasound to assess degree of dehydration in children with gastroenteritis (2010). PMID: 21040104
  • Novel applications of ultrasound in pediatric emergency medicine (2007). PMID: 17351413
  • Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound (2007). PMID: 17726410
  • Use of ultrasound measurement of the inferior vena cava diameter as an objective tool in the assessment of children with clinical dehydration (2007). PMID: 17898246
  • Utility of bedside bladder ultrasound before urethral catheterization in young children (2005). PMID: 15629989

Peer-Reviewed Case Reports/Case Series:

  • Point-of-Care Ultrasound for Pulse Checks in Pediatric Cardiac Arrest: Two Illustrative Cases. (2022). | PMID: 35477928
  • Ocular Point-of-Care Ultrasound: Description of Intermediate Uveitis in an Adolescent Female (2021). | PMID: 34180860
  • POCUS Case Review: Considering Superior Mesenteric Artery Syndrome in the Pediatric Emergency Department (2021). | PMID: 32541404
  • Point-of-Care Ultrasound to Evaluate the Acute Abdomen: A Case of Bowel Perforation After Unknown Single Magnet Ingestion (2021). | PMID: 34116554
  • Point-of-Care Ultrasound Identification of Right-Sided Cardiac Chamber Collapse Associated with Pericardial Effusions Without Hypotension (2021). | PMID: 34463664
  • 13-year-old with Left Heel Injury (2021). | PMID: 34278378
  • Terminal Ileitis Presenting with a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography (2020). | PMID: 31433363
  • Use of Point-of-Care Ultrasound to Assess and Guide Renal Stent Repositioning in the Pediatric Emergency Department (2019). | PMID: 30829842
  • A Multi-institutional Case Series with Review of Point-of-Care Ultrasound to Diagnose Malrotation and Midgut Volvulus in the Pediatric Emergency Department (2019). | PMID: 30702647
  • Vaginal Foreign Bodies: The Potential Role of Point-of-Care-Ultrasound in the Pediatric Emergency Department (2017). | PMID: 29095775
  • Point-of-Care Ultrasound Identification of an Abdominal Hernia (2017). | PMID: 28777270
  • Previous Looks May Be Deceiving: Point-of-Care Ultrasound to Diagnose Hypertrophic Cardiomyopathy Despite a Previously Normal Echocardiogram (2017). | PMID: 29095776
  • If You Twinkle When You Tinkle, Stones Are Found on Ultrasound (2016). | PMID: 26359827
  • Use of emergency ultrasound in the diagnostic evaluation of an infant with vomiting (2011). | PMID: 21975504