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Visualizing the Real Time Reduction of Pulled Elbow Using Point of Care Ultrasound (POCUS)
David J Mccreary1, Mbbs Mrcph1, Pgc Us1
1Paediatric Emergency Department, Sunderland Royal Hospital Sunderland UK.
Insights
Point-of-care ultrasound (POCUS) aids in diagnosing pulled elbow. Encouraging its use in pediatric emergency departments enhances patient safety and clinician confidence, with real-time reduction of pulled elbow demonstrated via POCUS.
Area of Science:
- Pediatric Emergency Medicine
- Diagnostic Imaging
Background:
- Pulled elbow (also known as radial head subluxation) is a common pediatric injury.
- Accurate diagnosis can sometimes be challenging based on clinical presentation alone.
Abstract:
POCUS is a useful tool for correctly identifying pulled elbow. We believe that clinicians working in Pediatric Emergency Departments should be encouraged to embrace using it in cases which are less straightforward - either due to an atypical history or based on examination findings. This will serve to not only increase safety and improve the patient journey, but also to improve the clinician's confidence in their practice. This is the first ever documented instance where the reduction of pulled elbow has been demonstrated in real time using POCUS.
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