Why point-of-care ultrasound belongs in every emergency department triage

Emergency physicians Resa E. Lewiss and Courtney M. Smalley discuss their article, "Why point-of-care ultrasound belongs in emergency department triage." Amid the crisis of overcrowded waiting rooms and long wait times, they argue for the immediate integration of a powerful, underutilized tool: point-of-care ultrasound (POCUS). Resa and Courtney use compelling clinical examples, like identifying a collapsed lung or a ruptured ectopic pregnancy in under two minutes, to show how POCUS can dramatically improve risk stratification and save lives before a patient even leaves the triage area. They counter potential objections by explaining that emergency physicians are already highly trained in POCUS, the technology fits existing workflows, and it is a billable procedure that can generate revenue. The conversation serves as a direct call to action for hospital leaders to redesign triage spaces and protocols, making POCUS a standard of care to ensure the sickest patients are identified and treated without delay.

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