title: Diagnosis of an intraventricular hemorrhage by a pediatric emergency medicine attending using point-of-care ultrasound: a case report.
abstract: For the past 2 decades, point-of-care ultrasound (POCU) has been increasingly performed in adult emergency medicine for a variety of indications. However, the incorporation of POCU into pediatric emergency medicine has been much slower. Cranial ultrasound is an integral part in neonatology and is routinely used to diagnose intraventricular hemorrhage (IVH). Although cranial ultrasound is not considered a core emergency ultrasound application in the 2008 American College of Emergency Physicians ultrasound guidelines, this novel approach may prove beneficial in the emergency department (ED) setting. We report a case of a 16-day-old male that presented to the pediatric ED with fussiness and found to be anemic. An IVH was diagnosed for the first time using POCU by a pediatric ED attending. Sonographic characteristics of an IVH may be helpful in the prompt diagnosis of this condition, thereby reducing morbidity and mortality and improving the final outcome.
authors.affiliation: Emergency Department, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA. brunhildh@kapiolani.org
authors.forename: Brunhild M
authors.initials: BM
authors.lastname: Halm
authors.forename: Adrian A
authors.initials: AA
authors.lastname: Franke
mesh_terms: D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D002552:Cerebral Ventricles; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D019095:Point-of-Care Systems; D015203:Reproducibility of Results; D014463:Ultrasonography