A/Prof Francis Lee
Khoo Teck Puat Hospital
A/Prof Francis Lee is an emergency physician whose interest lies in the wave-particle duality of emergency ultrasound and disaster medicine. These days he exists more as a “wave” and deals with anything of rhythm: from the 3Hz tempo of long distance running, drum & bass and supraventricular tachycardia to 3MHz and above realm of point of care ultrasound (POCUS). He is the clinical director of Life Support Training Centre and the president of the Alexandra Academy of Clinical and Emergency Sonography in Yishun Health (YH) cluster. He established emergency POCUS training in YH and actively involved in POCUS education in Asia.
Emergency GI Ultrasound: Diagnosis by scanning rather than gut feeling
Acute abdominal pain makes up as much as 10% of emergency department visits, of which a great proportion are related to gastrointestinal pathologies. Traditional methods of clinical assessment, labs and basic radiology remains the fundamental approach to managing abdominal emergencies but often lack good sensitivity and specificity. Not every practise environment have ready access to advanced imaging such as CT scans and even so, cost and medicolegal considerations could influence this imaging choice. Ultrasound is in a unique position to help make early diagnosis of gastrointestinal pathologies and thereby points the right direction for further management and workup. It should be included as a point of care evaluation for acute abdominal pain.