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Precision Medicine With Point-of-Care Ultrasound: The Future of Personalized Pediatric Emergency Care

Kessler, David MD, MSc, RDMS; Ng, Lorraine MD, RDMS; Tessaro, Mark MD; Fischer, Jason MD, MSc, FACEP

doi: 10.1097/PEC.0000000000001050
Special Feature

The Precision Medicine Initiative spearheaded by the National Institute of Health has pioneered a new model of health care focused on health care delivery that is tailored to an individual. Medical advances have already provided clinicians with the tools to better predict treatment outcomes based on the individual needs of each patient's disease process. Three-dimensional printing allows medical devices and implants to be custom made-to-order. Technological advances in preoperative imaging have augmented the ability for surgeons to plan a specific surgical approach for each patient. In a similar vein, point-of-care ultrasound offers the emergency care provider an opportunity to move beyond protocols and provide precise medical care tailored to the acute needs of each ill or injured emergent patient. In this article, we explore several cutting-edge applications of point-of-care ultrasound that can help providers develop a personalized approach to resuscitation and emergent procedures in pediatrics.

From the *Department of Pediatrics, Columbia University Medical Center/New York-Presbyterian; and †Morgan Stanley Children's Hospital of New York-Presbyterian, New York, NY; and ‡Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.

Disclosure: The authors declare no conflict of interest.

Reprints: David Kessler, MD, MSc, RDMS, Department of Pediatrics, Columbia University Medical Center, 3959 Broadway, CHN-1-116, New York City, NY 10032 (e-mail:

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