• Anna M Musolino, Danilo Buonsenso, Anna C Massolo, Mariasara Gallo, Maria C Supino, and Elena Boccuzzi.
• Pediatric Emergency Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
• J Paediatr Child Health. 2021 Mar 1; 57 (3): 318-322.

AbstractPoint-of-care ultrasound (POCUS) is a growing interesting tool in the emergency setting. Its usefulness in diagnostic and therapeutic pathway of patients with respiratory distress in addition to clinical evaluation is well established in adult emergency medicine while paediatric specific data, although growing, remain limited. We report a case series of paediatric patients presenting with respiratory distress successfully diagnosed with cardiac dysfunction following POCUS evaluations. Lung POCUS, in combination with cardiac POCUS, is a very useful supplementary diagnostic tool to assess the breathless child and to rapidly identify life-threatening primary etiologies or secondary physiologies. Thus, fast echocardiography is a desirable aid for paediatric emergency physicians and should be supported in all paediatric emergency settings following an adequate training that is mandatory regarding image acquisition and data interpretation.© 2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

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