Appropriate use of ultrasound at the point of care can decrease medical errors, provide more efficient real-time diagnosis and supplement or replace more advanced imaging in appropriate situations. Ultrasound, when used at the point of care, facilitates collaboration and efficient care by yielding immediate findings that can lead to high value referrals. In cases when advanced diagnostic imaging is medically warranted this allows better targeting of diagnostic studies. Ultrasound should be employed for procedural guidance. Expansion of ultrasound to include the echo applications has been the fastest growing application. Ultrasound enables immediate diagnosis and accelerates treatment sometimes sparing the patient the cost of a more expensive procedure.