Emergency Medicine

POCUS in Emergency Medicine

With the ever-changing landscape of health care delivery, a greater proportion of patients are receiving their initial care and diagnostic testing in emergency department. Ultrasound is now an essential tool to expedite triage and time to diagnosis, decreasing morbidity and mortality in critically ill patients. Uses can range from a quick assessment to a more complete examination. It answers specific clinical questions, guides clinical therapy, and can directly impact patient management. Accessibility and availability is key to effective use of ultrasound for emergency medicine. With a new era of affordability and with AI capabilities becoming more available on POCUS, the use model continues to expand.

 

Common uses of POCUS in the ED (but not limited to):

  • eFAST - [Extended Focused Assessment with Sonography in Trauma] assessment for internal injuries in traumatic patients
  • RUSH exam for Undifferentiated Shock
  • PEA in cardiac arrest
  • AAA
  • Goal directed echocardiography including IVC
  • Lung and Pleura
  • Gall Bladder and RUQ  to evaluate acute cholecystitis 
  • Lung/pleural – assessment of patients with respiratory failure, pneumothorax, pleural effusion
  • Renal exam – management of acute kidney injury, urinary tract infection and kidney stones
  • Procedure guidance that are required for treatment of critical illness or routine management of disease process including vascular access like central line placement (IJV, CFV), difficult peripheral arterial and venous catheter insertion, incision and drainage of abscess, arthrocentesis, airway management, thoracentesis, paracentesis, lumbar puncture
  • Deep Vein Thrombosis (DVT)
  • Nerve blocks.
  • Soft tissue/musculoskeletal imaging – may diagnose some fractures, tendon injuries, and foreign body identification
  • Testicular exam – cystic and solid lesions, testicular torsion

Kosmos Advantages in Emergency Medicine

  • Top -Tier Image Quality for Informed Decisions – Quickly – Kosmos no compromise image quality with quick access presets, gives rapid access to heart, abdominal, small parts, lung, MSK and vascular applications.
  • Why Wait? – The only ultraportable equipped with PW and CW Doppler, with an extensive cardiac calculation package so you can look, measure and decide. No need to pull to use a larger cart-based system for a more complete exam.
  • Procedural safety- Higher resolution compound imaging improves visualization of anatomy and needle path.
  • One Transducer for Multisystemic Assessments – In emergency settings speed is essential. No need to change probes, the Torso-one provides imaging of heart, lung, abdomen and pelvis.
Image of Basillic Vein on Kosmos Bridge with Lexsa transducer
  • AI FAST – Labels upper quadrant and pelvic anatomy, so less experience users can be more confident in their examination of trauma patients.
  • AI – The US2.AI software the Kosmos is continually gathering data and delivering cardiac reports, as the data is acquired. No waiting for answers, or spending valuable time manually measuring cardiac function or valve pathology.
  • Kosmos TRIO and EF – AI driven Guiding, Grading and Labeling of the heart allows less experienced users achieve optimal imaging planes with automated cardiac function calculations. 
  • Only Ultraportable Device – With capabilities to assess valvular stenosis, pulmonary HTN, and estimation of cardiac filling pressures with imaging features like Continuous Wave Doppler and Tissue Doppler Imaging.
  • Battery Life- Ninety minutes of continuous scanning time allows for reliability during critical times.
  • Availability – Use Kosmos as an ultraportable device, or wheel to the bedside on our space efficient AI stand. Kosmos is easy to store and ready to go.
  • Easy to Clean – We designed Kosmos for clinical scenarios where repeated cleaning is required. With this in mind feel free to clean the Kosmos Bridge and probes as frequently as you wish.
  • 5 Year Warranty – The rigors of the ED can be hard on any product. We have you covered.
Image of Kosmos AI Stand, Kosmos Carrying Bag, and Kosmos Bridge

Preferred Configuration

The following configuration provides comprehensive imaging and feature sets for Emergency Medicine. In some clinical settings only one probe may be needed. Please contact EchoNous and we would be delighted to discuss your individual requirements.

 

Kosmos Lexsa Linear Array

  • 4-11 MHz probe with compound imaging for high definition.
  • Color Doppler
  • Pulsed Wave Doppler - coming soon
  • Superficial nerve blocks
  • Central line placements
  • Peripheral IV
  • Lung imaging

Torso-One Phased Array Probe

  • 2-5 MHz probe with Top Tier image quality, color, pulsed and continuous wave Doppler, TDI.
  • Cardiac imaging
  • Assessments of cardiac function and valve disease with AI
  • Assessment of venous congestion
  • eFAST (with AI)
  • Pelvis
  • Abdominal organs
  • AAA
  • IVC
  • Lung

Kosmos Bridge or Android tablet for display.

See Android Compatibility

AI Station and/or Kosmos Essentials bag