Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
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Extended focused assessment with sonography in trauma (EFAST) examinations are routinely performed by emergency physicians and general surgeons as an integral part of trauma care. Although guidelines for competency in the EFAST examination exist, tools to assess competency are lacking. Our goal was to develop and validate a Web-based competency assessment tool to evaluate providers who perform the EFAST examination. ⋯ Use of this assessment tool for interpretation of EFAST images showed face and content validity. Score trends showed a significant correlation with existing ACEP guidelines, ultrasound experience, and the training level. Scores continued to improve with experience beyond ACEP recommended guidelines.
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The purpose of this study was to describe a technique using ultrasound guidance to perform thoracic facet joint injections. ⋯ We describe a relatively feasible technique for performing thoracic facet joint injections using ultrasound guidance. Further verification of this technique, and modification if applicable, should be performed before directly applying this technique in a clinical practice setting.
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Case Reports
High-intensity focused ultrasound treatment of abnormal vaginal bleeding secondary to uterine myoma.
We describe the use of high-intensity focused ultrasound for acute vaginal bleeding secondary to uterine myoma in 2 young female patients. Both patients had episodes of abnormal vaginal bleeding with severe dysmenorrhea that was not efficiently controlled by medical treatment. ⋯ The patients remained free of symptoms during 2 months of follow-up and regained normal menstruation after high-intensity focused ultrasound therapy. High-intensity focused ultrasound treatment is one of the least invasive options for dysfunctional vaginal bleeding and may be an effective and safe alternative to other procedures in women of reproductive age with abnormal vaginal bleeding secondary to uterine myoma.