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Thus, for example, in acute vascular pathology of the eye, it is not only useful for assessing central retinal artery occlusion, as mentioned in the article, but also for assessing central retinal vein occlusion, anterior ischaemic optic neuritis, diabetic retinopathy or ocular ischaemic syndrome, among others.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">However, point-of-care ultrasound or POCUS in emergency medicine should be rapid, focused, and performed for a specific condition for which it has been shown to be useful. In addition, it should be easy to learn and only endeavour to demonstrate a few easily recognisable bedside findings.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore, in our work we have focused on the most important pathologies that are easy to diagnose with basic ultrasound skills.</p><p id="par0020" class="elsevierStylePara elsevierViewall">In fact, the <span class="elsevierStyleItalic">Accreditation Council for Graduate Medical Education</span> (ACGME) and the <span class="elsevierStyleItalic">American Board of Emergency Medicine</span> (ABEM)<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> describe 5 levels of skills in emergency ultrasound, from medical student level 1 to level 5, which includes skills in the use of advanced echocardiography or transcranial Doppler, among others. Also, the <span class="elsevierStyleItalic">Royal College of Emergency Medicine</span> (RCEM)<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> discusses various levels of skills, pointing out 4 basic point-of-care ultrasound applications, called CORE (formerly level 1) (including the FAST protocol or the assessment of abdominal aneurysm), which every physician must know in order to qualify as an emergency doctor.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Similarly, as we discussed in the article, there are already proposals for basic ultrasound protocols, such as the so-called ViGMO protocol, for patients with acute vision-threatening non-traumatic ocular pathologies.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Thus, although there are many ocular diseases of great interest in point-of-care ultrasound, we think it is more practical to know how to diagnose a common and serious pathology such as retinal detachment (in which emergency point-of-care ultrasound has a sensitivity of 96.9% and a specificity of 88.1%<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>) than a carotid-cavernous fistula, due to its rarity and diagnostic difficulties.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Castilla-Guerra L, Gómez-Escobar A, Carmona-González E. Respuesta. Med Clin (Barc). 2022;158:345–346.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utilidad de la ecografía clínica en la valoración de la patología ocular urgente no traumática. Réplica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.L. Callejas" 1 => "J.L. García Serrano" 2 => "N. Ortego Centeno" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medcli.2021.06.027" "Revista" => array:2 [ "tituloSerie" => "Med Clin." 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"fecha" => "2019" "volumen" => "2" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31173122" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015800000007/v1_202205040609/S2387020622001188/v1_202205040609/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015800000007/v1_202205040609/S2387020622001188/v1_202205040609/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622001188?idApp=UINPBA00004N" ]
