Paediatric distal forearm fractures are a common presentation to the paediatric emergency department. The Bedside Ultrasound Conducted in Kids with distal upper Limb fractures in the Emergency Department (BUCKLED) trial compared ultrasound versus radiography as the initial imaging for the diagnosis suspected distal forearm fractures in children aged 4-15 years. This presentation will discuss the findings of the this trial plus other related studies, including the utility of ultrasound secondary signs for distal radius fractures.

Musculoskeletal bleeds in children and young people with bleeding disorders may be clinically occult based on traditional assessment methods. For this reason, there is a growing trend to utilise point-of-care ultrasound as a supplementary tool to enhance physiotherapy clinical decision-making. Case examples will highlight how collaborative practice between physiotherapists and sonographers, and the integration of ultrasound into clinical care, can optimise decision-making and support a safe, individualised return to activity.

Paediatric patients with haemophilia present ongoing challenges in musculoskeletal assessment and rehabilitation, where early identification and monitoring of joint and soft‑tissue changes are essential to long‑term outcomes. Point‑of‑care ultrasound is increasingly recognised as a valuable adjunct in this setting; however, confidence and capability in its use varies across professional groups.
This presentation describes a collaborative project exploring how ultrasound can support physiotherapy‑led management of paediatric haemophilic patients. The physiotherapy co‑presenter will provide a brief clinical overview using selected case studies to demonstrate how ultrasound can assist assessment, guide management decisions, and monitor progression in routine practice.
The sonographer co presenter will outline the design and delivery of a targeted ultrasound education program for specialist physiotherapists. The program was structured to build on existing strengths in anatomy and patient management while addressing less familiar areas such as ultrasound physics, image optimisation, and basic B‑mode scanning. Education was delivered using in‑clinic equipment, supported by ongoing sonographer mentorship to build confidence and improve patient outcomes.

From tiny lungs to big impact - this session explores the growing role of lung and diaphragm ultrasound in enhancing clinical decision-making by physiotherapists at the bedside, highlighting how real-time imaging can improve and guide treatment. Through practical case examples incorporating both lung and diaphragmatic ultrasound, participants will gain insight into real-world applications across diverse clinical scenarios and gain understanding of how physiotherapy use differs from the role of the sonographer. The session will outline key steps for successful implementation, including training, governance, and integration into clinical workflows. Common barriers such as skill acquisition, time constraints, and cultural resistance, will be addressed with practical strategies to overcome them. Attendees will also be introduced to the Paediatric Lung Ultrasound for Physiotherapists (PLUS+P) online learning package and structured training pathway developed at the Queensland Children's Hospital, to support competency development. Finally, the lecture will examine future directions in point-of-care ultrasound, including technological advances, expanding clinical indications, and the evolving role of physiotherapists in ultrasound-guided care.

At A Glance:
- How physiotherapy use of LUS differs from the role of a sonographer
- The impact of LUS on clinical decision making
- Case examples of the clinical use of LUS and DUS
- Implementation processes
- Breaking down barriers to the use of LUS
- PLUS+P - online learning package and training pathway
- Future directions

Introduction: Persistent neck masses in children are common, but most are benign; malignant causes such as lymphoma are less frequent yet clinically significant, particularly when associated with cardiorespiratory symptoms. High‑grade mature B‑cell lymphomas more often present with abdominal disease, and isolated deep cervical presentations can be diagnostically challenging for sonographers.
​Methods: This educational case report describes the clinical presentation, ultrasound assessment, and biopsy pathway of a 13‑year‑old girl with a right‑sided neck mass and a 6‑month history of dyspnoea, syncope and palpitations. High‑resolution B‑mode and colour Doppler ultrasound were used to characterise the lesion and guide core biopsy.
Results: Ultrasound demonstrated a large hypoechoic nodal mass in the right carotid space extending from the common carotid bifurcation to the skull base, with loss of normal nodal architecture, conglomeration of adjacent nodes, and displacement but preservation of carotid flow. The sonographic features were suspicious for malignant lymphadenopathy rather than reactive disease or a primary vascular lesion. Ultrasound‑guided core biopsy confirmed high‑grade mature B‑cell lymphoma, and subsequent staging established the extent of nodal involvement. The patient commenced paediatric lymphoma chemotherapy with favourable early response.
Conclusion: This case highlights an uncommon presentation of paediatric high‑grade mature B‑cell lymphoma as a deep cervical nodal mass closely related to major vessels and underscores the pivotal role of ultrasound in risk stratification and biopsy planning.