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      Point-of-care ultrasound in resource-limited settings: the PURLS fellowship

      brief-report

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          Abstract

          Background

          The role of point-of-care ultrasonography (POCUS) is rapidly expanding in both resource-rich and resource-limited settings (RLS). One limitation to this rapid expansion has been the lack of educators adequately trained to teach this user-dependent skill. This is particularly true in RLS, where disease presentations, infrastructure limitations, and approach to medical education present unique challenges to the direct application of resource-rich emergency department POCUS curricula.

          Objectives

          We describe the point-of-care ultrasound in resource-limited settings (PURLS) fellowship, a novel curriculum designed to provide advanced training and expertise in clinical care and POCUS application and education in RLS.

          Conclusion

          Our curriculum design is one approach to create context-specific POCUS education for use in RLS, thereby improving patient care.

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          Most cited references21

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          Point-of-care ultrasonography.

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            Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the Global Rheumatic Heart Disease Registry (the REMEDY study).

            Rheumatic heart disease (RHD) accounts for over a million premature deaths annually; however, there is little contemporary information on presentation, complications, and treatment.
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              Review article: Use of ultrasound in the developing world

              As portability and durability improve, bedside, clinician-performed ultrasound is seeing increasing use in rural, underdeveloped parts of the world. Physicians, nurses and medical officers have demonstrated the ability to perform and interpret a large variety of ultrasound exams, and a growing body of literature supports the use of point-of-care ultrasound in developing nations. We review, by region, the existing literature in support of ultrasound use in the developing world and training guidelines currently in use, and highlight indications for emergency ultrasound in the developing world. We suggest future directions for bedside ultrasound use and research to improve diagnostic capacity and patient care in the most remote areas of the globe.
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                Author and article information

                Contributors
                slburleson@uabmc.edu
                dpigott@uabmc.edu
                jgullett@uabmc.edu
                christophergreene@uabmc.edu
                cbgibson@uabmc.edu
                sirvine@uabmc.edu
                dakaminstein@augusta.edu
                Journal
                Ultrasound J
                Ultrasound J
                The Ultrasound Journal
                Springer Milan (Milan )
                2524-8987
                20 March 2020
                20 March 2020
                December 2020
                : 12
                : 14
                Affiliations
                [1 ]GRID grid.413019.e, ISNI 0000 0000 8951 5123, Department of Emergency Medicine, , University of Alabama at Birmingham Hospital, ; Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL 35249 USA
                [2 ]GRID grid.410427.4, ISNI 0000 0001 2284 9329, Department of Emergency Medicine, , Augusta University, ; Augusta, GA USA
                Author information
                http://orcid.org/0000-0002-6305-4677
                Article
                159
                10.1186/s13089-020-00159-6
                7082434
                32193724
                9caef734-347a-4700-a064-5ce38df81ac4
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 16 October 2019
                : 6 February 2020
                Categories
                Short Communication
                Custom metadata
                © The Author(s) 2020

                point-of-care ultrasound,tropical infectious disease,resource-limited settings,fellowship

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