Emergency Point of Care ultrasound for early detection of Atypical Presentation of Pleural Effusion

Abstract

Ultrasound has become an indispensable tool in modern emergency departments, significantly enhancing diagnostic accuracy, reducing patient waiting times, and facilitating the identification and treatment of life-threatening conditions. Point-of-care ultrasound (POCUS), which involves using ultrasound directly at the patient's bedside, has revolutionized the approach to emergency medicine. By using specific POCUS protocols for different organ systems, clinicians can deliver swift and accurate diagnoses, ensuring timely interventions. Among these protocols, the BLUE (Bedside Lung Ultrasound in Emergency) protocol is particularly effective in diagnosing lung-related conditions, such as pleural effusion. This case study highlights the critical role of POCUS in detecting atypical presentations of pleural effusion, a condition that can sometimes present in unconventional ways, complicating timely diagnosis. By recognizing specific signs during a lung ultrasound, clinicians can achieve an early and accurate diagnosis, ultimately leading to more effective interventions during resuscitation. Early detection of pleural effusion using the BLUE protocol can greatly improve patient outcomes, allowing for life-saving measures to be taken swiftly within the emergency department setting. We present a case where the identification of a particular sign during POCUS led to the early diagnosis of pleural effusion, enabling rapid intervention in a resuscitation scenario. This case underscores the significance of incorporating POCUS into emergency practice, as it enhances diagnostic capabilities and expedites treatment for critical conditions. The use of POCUS has the potential to save lives, particularly in high-stakes situations where time is of the essence.