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Standard consultative ultrasonography requires the frontline EM physician to order the examination and to rely on the radiologist or cardiologist to perform it in a timely and clinically relevant manner. In using POCUS, the EM physician performs all image acquisition and interpretation at the point of care and uses the information immediately to address specific hypotheses and to guide ongoing therapy. This requires that the EM physician has skill at image acquisition, image interpretation, and the cognitive elements required for immediate application of the results of the examination. The frontline EM clinician has full knowledge of the case, and is able to rapidly integrate the results of the POCUS examination into the management plan, whereas the traditional consultative model involves delay in performance of the study, delay in its interpretation, and delay in transmission of the results to the clinical team. In addition, the radiology or cardiology consultant is not fully aware of the clinical facts of the case. Use of POCUS may be limited by time and staffing constraints in the busy emergency department. However, unlike the standard workflow of traditional consultative ultrasonography, the EM POCUS examination may be limited in scope and goal directed; or, depending on the clinical situation, available time, and skill of the operator, it may be as comprehensive as the standard consultative examination. 2b1af7f3a8