Time to add a fifth pillar to bedside physical examination: Inspection, palpation, percussion, auscultation, and insonation. Traditionally, the four pillars of bedside physical examination are inspection, palpation, percussion, and auscultation. In this paper, Drs. Narula, Chandrashekhar and Braunwald propose adding a fifth element—bedside ultrasound (or insonation). This is timely for several reasons, including that current physical examination skills in new trainees are often suboptimal and efforts to improve examination skills during medical training have not been particularly successful. Also, point-of-care handheld ultrasound systems are now available that make bedside insonation imminently feasible. The newest devices are handheld, in some cases wireless, compatible with smartphone technologies, and, in one case, costing less than $2000. MORE
Elsevier author, Dr. Nilam Soni donated copies of his book to the Alma Mater Hospital in Gros Morne, Haiti for use in their point-of-care ultrasound training program. The average life expectancy in Haiti is only 44 years, as most Haitians lack access to proper medical care and many providers lack the necessary resources to make proper diagnoses. MORE
Time to add a fifth pillar to bedside physical examination: Inspection, palpation, percussion, auscultation, and insonation. Traditionally, the four pillars of bedside physical examination are inspection, palpation, percussion, and auscultation. In this paper, Drs. Narula, Chandrashekhar and Braunwald propose adding a fifth element—bedside ultrasound (or insonation). This is timely for several reasons, including that current physical examination skills in new trainees are often suboptimal and efforts to improve examination skills during medical training have not been particularly successful. Also, point-of-care handheld ultrasound systems are now available that make bedside insonation imminently feasible. The newest devices are handheld, in some cases wireless, compatible with smartphone technologies, and, in one case, costing less than $2000. MORE
This book achieves its goal of educating students and trainees about almost every topic in neurosurgery. This book provides a superb level of detail in its explanation of each topic, including a clear and efficient discussion of background and clinical relevance as well as scenarios. MORE
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