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Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a

Jordan Chanler-Berat, Alfunsi Birungi, Brad Dreifuss and 1 more

African Journal of Emergency Medicine · 2016

doi:10.1016/j.afjem.2015.09.004 (opens in a new tab)

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Abstract

Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility in the hands of physicians and may be useful for non-physician providers to learn as well. Case Report: An 11 year old male presented with abdominal pain and diffuse abdominal tenderness to a remote Emergency Centre (EC). An Emergency Care Practitioner, a non-physician emergency care provider with limited ultrasound training, used bedside ultrasonography and alerted the on-call surgeon of complex intraperitoneal fluid representing perforated typhoid, which expedited the patient’s care. Discussion: There is scant literature involving cases of non-physician use of POCUS, particularly in the emergency care setting. This case demonstrates the potential benefits of training these providers in POCUS.

Abstract licence: CC BY-NC-ND

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