{"pk":7216,"title":"Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia","subtitle":null,"abstract":"<p><strong>Case Presentation:</strong> An 8-month-old infant presented to a general emergency department with chief complaints of rhinorrhea, decreased activity, and fever. A point-of-care lung ultrasound (LUS) was performed at bedside with potential early findings of pneumonia. Based on these findings on LUS, a chest radiograph (CXR) was ordered and performed with no acute findings. He was discharged without antibiotics based on these findings; unfortunately, he returned two days later with worsening symptoms requiring chest tube placement, mechanical ventilation, and prolonged hospitalization for complicated bacterial pneumonia.</p>\n<p><strong>Discussion:</strong> Pneumonia is a major cause of pediatric morbidity and mortality worldwide. Despite evidence supporting the utilization of LUS for the diagnosis of pediatric pneumonia, CXR remains the default imaging for clinical decision-making in most settings. In this case, earlier antibiotics and higher reliance on LUS for clinical decision-making may have prevented the morbidity associated with this hospitalization.</p>","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"point-of-care ultrasound"},{"word":"pneumonia"},{"word":"Lung ultrasound"},{"word":"Chest x-ray"},{"word":"pediatrics"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/60m4j454","frozenauthors":[{"first_name":"John","middle_name":"H.","last_name":"Priester","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"Department of Emergency Medicine"},{"first_name":"Prasanna","middle_name":"","last_name":"Kumar","name_suffix":"","institution":"Brown University/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":""},{"first_name":"Jesse","middle_name":"","last_name":"Naumann","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Katherine","middle_name":"","last_name":"Dolbec","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Peter","middle_name":"","last_name":"Weimersheimer","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Christian","middle_name":"D.","last_name":"Pulcini","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont; University of Vermont, Larner College of Medicine, Department of Pediatrics, Burlington, Vermont","department":"Emergency Medicine & Pediatrics"}],"date_submitted":"2024-01-25T16:33:02.381000-06:00","date_accepted":"2024-04-11T17:52:00.394000-05:00","date_published":"2024-07-18T08:00:00-05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/22136/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/10906/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/22136/download/"}]}