Purpose of Review
This review examines the applications of point-of-care ultrasound (POCUS) in pediatric emergency departments in low-resource settings (LRS), assesses implementation challenges, highlights successful programs, and explores future directions, such as training, policy support, and technological advancements.
Recent Findings
POCUS has proven highly effective in diagnosing various pediatric emergencies, including respiratory conditions like pneumonia, bronchiolitis, and pleural effusions, as well as cardiac emergencies like pericardial effusion and left ventricular dysfunction. Successful POCUS programs in Pakistan, South Sudan, Uganda, Haiti, and Ghana underscore its feasibility and impact on patient care in LRS. These programs often involve focused training for healthcare providers, integration of POCUS into standard protocols, and ongoing mentorship. However, challenges remain, including inadequate infrastructure, training deficits, financial constraints, and cultural/institutional barriers.
Summary
POCUS has the potential to transform pediatric emergency care in LRS by enabling rapid and accurate diagnoses, facilitating timely interventions, and ultimately improving patient outcomes. To realize this potential, it is crucial to address implementation challenges through tailored training programs, sustainable funding models, supportive policies, and the integration of technologies like telemedicine and AI. By addressing these challenges, POCUS can become an indispensable tool for pediatric emergency care globally.