Evidence map›Paper›PMID 29858431›Full record

ReviewClinical medicine (London, England)2018

Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?

Nicholas Smallwood, Martin Dachsel

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Clinical medicine (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05438654 nacompletednot on this mapstarted 2022, after this paper: background citation

Improvement of Diagnostic Approach Using PoCUS for Right Upper Quadrant Abdominal Pain Management in the Emergency Department: A Prospective Study

TypeinterventionalSponsorCliniques universitaires Saint-Luc- Université Catholique de LouvainRan2022 to 2023Enrolled66ConditionsAbdominal PainArmsPoint of care ultrasound
NCT05729035 unknown statusnot on this mapstarted 2023, after this paper: background citation

Predictive Value of Point of Care Ultrasound (POCUS) Versus Computerized Tomography (CT) in Diagnosis of Acute Dyspnea in Chronic Hemodialysis Patients.

TypeobservationalSponsorRanda Ahmed SarhanRan2023 to 2024Enrolled100ConditionsDyspnea, Chronic Renal FailureArmsPOCUS
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Sample Size of Trials Investigating the Impact of Point-of-Care Ultrasound-Guided Strategies on Patient Outcomes: A Systematic Review.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
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  16. The merit of rural point-of-care ultrasound: Carotid pseudoaneurysm case report.African journal of primary health care & family medicine · 2025
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Nicholas SmallwoodSurrey and Sussex Healthcare NHS Trust, Surrey, UK nicholas.smallwood@nhs.net.
Martin DachselSurrey and Sussex Healthcare NHS Trust, Surrey, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decade there has been increasing interest and enthusiasm in point-of-care ultrasound (POCUS) as an aide to traditional examination techniques in assessing acutely unwell adult patients. However, it currently remains the domain of a relatively small handful of physicians within the UK. There are numerous reasons for this, notably a lack of training pathways and supervisors but also a lack of understanding of the evidence base behind this imaging modality. This review article aims to explore some of the evidence base behind POCUS for a number of medical pathologies, and where possible compare it to evidenced traditional examination techniques. We discuss the issues around training in bedside ultrasound and recommend a push to integrate POCUS training into internal medicine curricula and support trainers to comprehensively deliver this.

Indexed as

Evidence-Based MedicinePoint-of-Care TestingUltrasonographyAbdominal InjuriesEchocardiographyHeart ArrestHumansPneumothoraxRespiratory InsufficiencyShockSurgery, Computer-AssistedUnited Kingdomclinical reviewdiagnosticsPOCUSPoint-of-care ultrasoundultrasound

Identifiers

PMID29858431
PMCPMC6334078

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.