Paediatric and adult neurological point-of-care ultrasound: review of the evidence and the UK accreditation pathway

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Waraich, Manprit
Zoica, Bogdana
Alexander, Emma
Stephens, Jennie
Conway, Hannah
Griksaitis, Michael
Kirk-Bayley, Justin
Miller, Ashley
Parulekar, Prashant
Peck, Marcus

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2026

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Neurological emergencies such as stroke and traumatic brain injury are major contributors to morbidity and mortality in critically ill patients. These conditions frequently result in alterations in cerebral haemodynamics, including raised intracranial pressure, which require timely recognition and management to optimise outcomes. Neuro point-of-care ultrasound (NeuroPOCUS), incorporating transcranial Doppler (TCD), transcranial colour-coded duplex (TCCD) ultrasound, and optic nerve sheath diameter (ONSD) measurement, offers a non-invasive, bedside means of assessing cerebral physiology and is increasingly recognised as a valuable adjunct in neurocritical care. Despite the successful adoption of point-of-care ultrasound in critical care through established accreditation pathways such as FUSIC

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Journal of the Intensive Care Society

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27

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2

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