POCT

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Cardiac troponin I concentration measured at POC

Triage aided by a quick sensitive test

Large proportions of patients can be safely triaged either to rule out discharge or rule in lifesaving management – if following the European Society of Cardiology (ESC) Guidelines Class I recommendation of two serial measurements of hs-cTnI on admission and after one hour, if there are assay specific cut off values for the 0/1 algorithms. The Pathfast hs-cTNI assay is an approved system to…

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Point-of-Care ultrasound

Diving deep with POCUS

Costantino Balestra, Professor of Physiology at Haute Ecole Bruxelles-Brabant in Belgium, uses point-of-care ultrasound (POCUS) in environments that could not be more different from a typical hospital setting. His expertise lies in studying the effects of extreme conditions on the human body, including temperatures, altitudes, and ambient pressures, for example, in deep oceans. One of his areas…

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Rapid diagnostics

The clinical potential of POCT

In 2019, the Central Laboratory of the Institute for Clinical Chemistry and Pathobiochemistry at the Klinikum rechts der Isar of the Technical University Munich, headed by Professor Peter B Luppa, organised the 4th of the internationally renowned Munich Point-of-Care Testing Symposiums. Dr Andreas Bietenbeck is senior physician at the Institute which for many years has been focusing on…

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Challenges in acute care

POCT: Understanding sources of error

In an emergency, point-of-care-testing can provide results in minutes. However, sources of error must be understood to ensure result accuracy and confident diagnosis (particularly important during the current pandemic). Medical teams frequently use POCT devices to assess acutely ill patients; a hospital’s diagnostic laboratory is responsible for the analysers, plus training non-laboratory…

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POCT for the head

New device detects traumatic brain injury 'on the spot'

A method for detecting traumatic brain injury at the point of care has been developed by scientists at the University of Birmingham. Using chemical biomarkers released by the brain immediately after a head injury occurs, researchers are able to pinpoint when patients need urgent medical attention. This saves time in delivering vital treatment and avoids patients undergoing unnecessary tests where…

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POCT as initial coronavirus screening tool

Ultrasound confirms frontline value in COVID-19 setting

Ultrasound could become the prime modality in emergency settings for tracking disease progression in COVID-19 patients. While chest CT has held a key diagnostic role thus far, many experts now advocate the benefits of ultrasound within the context of the coronavirus epidemic. Dr Rachel Liu, who recently led a high-profile panel discussion with experts from the USA and areas of Europe with high…

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Prototype

Portable point-of-care for Covid-19 tests

As COVID-19 continues to spread, bottlenecks in supplies and laboratory personnel have led to long waiting times for results in some areas. In a new study, University of Illinois, Urbana-Champaign researchers have demonstrated a prototype of a rapid COVID-19 molecular test and a simple-to-use, portable instrument for reading the results with a smartphone in 30 minutes, which could enable…

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POCUS equipment

New point-of-care ultrasound system for better workflow

Fujifilm Sonosite, Inc. has announced the launch of the new Sonosite PX ultrasound system. It is the next generation in the manufacturer's point-of-care ultrasound (POCUS) devices, with the most advanced image quality ever seen in a Sonosite system, a suite of workflow efficiency features, and an adaptable form factor.

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Coronavirus imaging

AI enhanced lung ultrasound for COVID-19 testing

Establishing whether a patient is suffering from severe lung disease, possibly COVID-19, within a few minutes: this is possible using fairly simple ultrasound machines that are enhanced with artificial intelligence. A research team at Eindhoven University of Technology (TU/e) and the University of Trento in Italy has been able to translate the expertise of top lung specialists into a software…

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Paradigm shift for point-of-Care-Testing

IT security of POCT devices – not everything is picture-perfect

Until recently, the major challenges surrounding Point-of-Care-testing (POCT) concerned the quality of the results and improving the reagents and the procedures in order to optimise patient care. In the modern clinical environment, however, IT security of POCT devices is becoming increasingly important, in Germany also due to new industry-specific safety standards under the Act on the Federal…

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Blood gas testing

Aiding COVID-19 efforts: FDA clearance for blood gas analyzer

Siemens Healthineers announced that its latest critical care testing solution, the RapidPoint 500e Blood Gas Analyzer, has received clearance from the U.S. Food and Drug Administration (FDA), and is now available in the U.S., Europe and countries requiring the CE mark. The analyzer generates blood gas, electrolyte, metabolite, CO-oximetry, and neonatal bilirubin results, which are used to…

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Customer story

Ultrasound improves renal care at St Helier Hospital

St Helier Hospital in the London Borough of Sutton – part of the Epsom and St Helier University Hospitals NHS Trust – has one of the largest renal medicine departments in the UK, and relies on Fujifilm SonoSite point-of-care ultrasound (POCUS) systems to improve care and patient safety. Dr Pritpal Virdee, a senior registrar in the department, explained: “We have a very busy renal department…

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POCUS in Basque Country

Spreading point-of-care ultrasound across northern Spain

The rapid scanning and dynamic imaging capabilities offered by point-of-care ultrasound make it an invaluable tool for emergency medicine. Dr Enrique Ortiz Villacian (from Emergency Services at Donostia University Hospital in San Sebastián) and Dr Juanjo Zafra Sanchez (from the Emergency Unit at San Eloy Hospital in Barakaldo) discussed the role ultrasound plays in their respective emergency…

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In-depth exams for injured mountaineers

Ultrasound climbs the heights

Dr Philippe Mahiou practices anaesthesia in the Grenoble area, splitting his time between a private clinic and working as a helicopter doctor to attend mountaineering accidents. As part of his work, Mahiou routinely uses ultrasound, and understands the importance of the technology to guide anaesthesia in the operating room and assess patients in the field. When anaesthetist Dr Philippe Mahiou…

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GERICARE research programme

Evaluating the benefits of point-of-care ultrasound for geriatric medicine

Dr Nicolas Azulay is a general medicine doctor specialising in scheduled and emergency ultrasound examinations at the University Hospitals of Nice, where he works at the Pasteur II and Cimiez hospitals. As part of the clinical research programme GERICARE, he recently studied the impact of point-of-care ultrasound (POCUS) assessment of patients admitted to the short-stay geriatric unit at Cimiez,…

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POC imaging

Introducing a point-of-care MRI system

The world’s first low-cost, point-of-care (POC) magnetic resonance imaging (MRI) system was presented by Hyperfine Research Inc. at the American College of Emergency Physicians (ACEP) Scientific Assembly 2019. The system aims to make MRI available anytime, anywhere, to any patient who needs it. Hyperfine makes MRI inexpensive, accessible, and easy to use by leveraging the ten million-fold…

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Lab medicine

Four perspectives on preanalytics and patient safety

BD participated in the 5th European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) conference on preanalytical phase in Zagreb, Croatia 22–23 March 2019. At the conference, we met Mr Steve McManus, Prof Ana-Maria Simundic, EFLM conference chair, Prof Mario Plebani and Dr Alexander von Meyer, member of the EFLM conference scientific committee. Prof Simundic and Dr von Meyer…

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Combatting nosocomial infections

A&E Staphylococci POCT

Martin Möckel and Dorothee Riedlinger, from the Charité Medical University Berlin, Emergency and Acute Medicine Campus Virchow-Klinikum, and Campus Charité-Mitte report on POCT testing in the A&E Department to screen for Staphylococcus aureus colonisation of the nose or throat. People colonised with Staphylococci are at increased risk of developing a nosocomial, i.e. hospital acquired…

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POCUS

Point-of-care ultrasound – a valuable tool for nephrology

Point-of-care ultrasound (POCUS) systems are becoming a common sight in nephrology departments and renal dialysis clinics, helping clinical staff to evaluate and effectively access the vasculature of dialysis patients. Dr Jean-Yves Bosc, a nephrologist and vascular doctor working at the non-profit private health establishment AIDER SANTÉ in the South of France, has been a champion of ultrasound…

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Immunoassay

The quantitative measurement of cardiac troponin I concentration

Pathfast hs-cTnI is a chemi-luminescent enzyme immunoassay (CLEIA) for the quantitative measurement of cardiac troponin I (cTnI) concentration in whole blood or plasma at the point-of-care (POC). Reagents are single use in all-in-one cartridges and up to six tests in parallel can be analysed,’ the manufacturer Mitsubishi reports. ‘Low concentrations of cTnI can be analysed by using high…

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IT Solutions

Siemens Healthineers shows the power of data in the lab at AACC 2019

At the 71st AACC Annual Scientific Meeting & Clinical Lab Expo, Siemens Healthineers features in Booth #1039 its innovative IT solutions to combat the laboratory’s staffing challenges, limited budgets, and the increasing complexity in sample management and testing. “We will be demonstrating the power of our broad IT offerings and how the data they deliver, and artificial intelligence, can…

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Point-of-care ultrasound

One for all – standardising medical equipment

Point-of-care ultrasound (POCUS) is widely used in hospitals across the country. However, as these systems are often shared between departments, and consultants may work at more than one hospital within a trust, there is a clear advantage to choosing instruments from a single supplier wherever possible. Jim McWilliams, Associate Director for Technical Services at Hinchingbrooke Hospital in…

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Point-of-Care Testing

POCT: A coordination office is necessary

Point-of-care testing (POCT) is complex and its development continues due to digitisation in healthcare and increasing international partnerships among the healthcare actors. In a hospital, a number of factors need consideration to fully exploit the potential of bedside testing. POCT instruments and analysis methods must be thoroughly validated and quality assurance processes be in place.…

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POCUS online education

Fujifilm SonoSite unveils its redesigned SonoSite Institute

Fujifilm SonoSite is pleased to announce the launch of its redesigned SonoSite Institute, a comprehensive online educational resource dedicated to empowering and educating healthcare providers about point-of-care ultrasound (POCUS). The enhanced website takes account of feedback from current users worldwide to offer an improved user experience, easier to locate content, and reconfigured learning…

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