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Apr 27, 2021 Clinical guide green lights point-of-care imaging with standard diagnosis in ED, inpatient settings Clinicians can use add-on point-of-care ultrasonography in patients with unspecified acute dyspnea in the emergency department (ED) or inpatient setting, according to the American College of Physicians (ACP), although the recommendation is based on a low certainty of evidence. Combining point-of-care ultrasonography (POCUS) with the standard diagnostic pathway increased the proportion of correct diagnoses by 32%, boosted the sensitivity of standard testing without “a substantial tradeoff in specificity,” did not seem to be tied to any serious harms, is not a high-cost test, and did not result in a longer length of stay (LOS) for patients, wrote Amir Qaseem, MD, PhD, MHA, of the ACP in Philadelphia, and co-authors on the college’s clinical guidelines committee.

Saudi arabiaUnited statesAmir qaseemShalmali palAndrew rl medfordGerald gartlehnerMaurizio zanobettiAmerican college of physiciansDanube university kremsBristol lung centreAmerican college of emergency physiciansCareggi university hospital in florenceAmerican institute of ultrasoundAmerican collegeCareggi university hospitalNorth bristol lung centre