PDF(Pubmed)
Abstract：
Patients with chief complaints of musculoskeletal pain comprise a significant portion of emergency department (ED) visits. Identifying and utilizing methods to expedite diagnosis in these cases may help reduce ED crowding, improve outcomes, and increase patient satisfaction. We present a case in which a 52-year-old man presented to the ED with complaints of unilateral right knee pain, swelling, and stiffness. An initial plain film X-ray showed a large suprapatellar effusion over the patient\'s arthritic right knee. Point-of-care ultrasound (POCUS) was used by an ED physician to facilitate a suprapatellar arthrocentesis. The patient tolerated the procedure well, remarking that he had no pain during or after its completion. POCUS can increase the accuracy, efficacy, and speed of procedures for which physicians have traditionally used landmarks or formal radiology consultations. While POCUS can prove helpful, barriers to its widespread implementation still remain. However, these barriers can be addressed with relative ease.
摘要：
主要抱怨肌肉骨骼疼痛的患者占急诊科（ED）就诊的很大一部分。在这些情况下，识别和利用方法来加快诊断可能有助于减少ED拥挤，改善结果，提高患者满意度。我们介绍了一个案例，其中一名52岁的男子向ED提出了单侧右膝疼痛的投诉，肿胀,和刚度。最初的X线平片显示患者的关节炎右膝上方有大量的髌上积液。ED医师使用定点护理超声（POCUS）来促进the上关节穿刺术。患者对手术耐受良好，他说他在完成期间或之后没有疼痛。POCUS可以提高精度，功效,以及医生传统上使用地标或正式放射学咨询的程序速度。虽然POCUS可以证明是有帮助的，其广泛实施的障碍仍然存在。然而,这些障碍可以相对容易地解决。
