scholarly journals Current State of Point-of-care Ultrasound Usage in Canadian Emergency Departments

Cureus ◽  
2019 ◽  
Author(s):  
Mason Leschyna ◽  
Erfun Hatam ◽  
Samantha Britton ◽  
Frank Myslik ◽  
Drew Thompson ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Current State

scholarly journals P082: Current state of POCUS usage in canadian emergency departments

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S106
Author(s):  
M.W. Leschyna ◽  
E.M. Hatam ◽  
S.R. Britton ◽  
K. Van Aarsen ◽  
S.A. Detombe ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Formal Training ◽  
Point Of Care Ultrasound ◽  
Emergency Physicians ◽  
Current State ◽  
Patterns Of Use ◽  
Canadian Association ◽  
Cardiac Assessment ◽  
Level Of Training

Introduction: Point of care ultrasound (POCUS) has many applications in Emergency Medicine which are proven to improve patient outcomes. Training programs and guidelines for its use are available but its utilization metrics across Canadian Emergency Departments are unknown. This study aims to provide a comprehensive national assessment of POCUS usage, with a key component comparing training with patterns of use. Methods: A survey was distributed via email to all staff adult emergency physician members of the Canadian Association of Emergency Physicians (CAEP). The survey included questions related to training, attitudes towards POCUS, POCUS utilization, and barriers to POCUS use. Standard descriptive statistics were calculated, and differences in mean POCUS usage between groups were measured using a one-way analysis of variance (ANOVA). Results: The survey received 189 responses from emergency physicians from across Canada, 81% of which viewed POCUS as “useful and essential”. Respondents indicated that on average, POCUS was used during 71% (SD 29%) of shifts and on 23% (SD 17%) of patients. POCUS was most commonly used for basic applications, including thoracoabdominal trauma (FAST), cardiac assessment in arrest (trans-abdominal), and assessing for pericardial effusion. The most commonly cited barrier to wider POCUS adoption was a lack of training, with 41% of respondents identifying this as an issue. Correspondingly, formal POCUS training and certification were associated with significantly higher POCUS usage: usage rates ranged from 11.5% (SD 10.5%) of patients for those with formal training but no certification to 39.5% (SD 16.4%) of patients for those with a POCUS fellowship (p <0.001). Conclusion: The presented results from this survey provide an initial overview of the current state of POCUS usage in Canadian Emergency Departments. In summary, a higher level of training was associated with higher POCUS usage, and over a third of the respondents cited lack of training as a barrier to adoption; this suggests that efforts to facilitate POCUS utilization should focus on improving access to formal training and certification. Future work will involve further evaluation of additional barriers preventing POCUS usage in the ED, with the goal of providing information that will encourage changes that support widespread POCUS adoption.

scholarly journals Preparedness of Australasian emergency departments for point‐of‐care ultrasound in the COVID‐19 pandemic

2021 ◽  
Author(s):  
Vijay Manivel ◽  
David G. Herbert ◽  
Gareth Ian Kitson ◽  
Dougal Buchanan Robertson ◽  
Jocelyne Marie Basseal ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals A majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Pierre Léger ◽  
Richard Fleet ◽  
Julie Maltais- Giguère ◽  
Jeff Plant ◽  
Éric Piette ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Barriers to point-of-care ultrasound use in rural emergency departments

CJEM ◽  
2016 ◽  
Vol 18 (6) ◽  
pp. 475-479 ◽  
Author(s):  
Taft Micks ◽  
Kyle Sue ◽  
Peter Rogers
Keyword(s):  
Emergency Medicine ◽  
Emergency Departments ◽  
Point Of Care ◽  
The United States ◽  
Point Of Care Ultrasound ◽  
Advanced Imaging ◽  
The Past ◽  
Rural Physicians ◽  
Training Courses ◽  
Rural Sites

AbstractOver the past few decades, point-of-care ultrasound (PoCUS) has come to play a major role in the practice of emergency medicine. Despite its numerous benefits, there has been a slow uptake of PoCUS use in rural emergency departments. Surveys conducted across Canada and the United States have identified a lack of equipment, training, funding, quality assurance, and an inability to maintain skills as major barriers to PoCUS use. Potential solutions include expanding residency training in ultrasound skills, extending funding for PoCUS training to rural physicians in practice, moving PoCUS training courses to rural sites, and creating telesonography training for rural physicians. With these barriers identified and solutions proposed, corrective measures must be taken so that the benefits of PoCUS are extended to patients in rural Canada where, arguably, it has the greatest potential for benefit when access to advanced imaging is not readily available.

Use of Point-of-Care Ultrasound in Connecticut Emergency Departments

2015 ◽  
Vol 48 (2) ◽  
pp. 191-196.e2 ◽  
Author(s):  
Meghan Kelly Herbst ◽  
Carlos A. Camargo ◽  
Alberto Perez ◽  
Christopher L. Moore
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals The use of point of care ultrasound (POCUS) in UAE emergency departments (ED)

2018 ◽  
Vol 6 (1) ◽  
pp. 1-9
Author(s):  
Varsha Arjandas ◽  
◽  
Fatema Salem Al Ameri ◽  
Mehmood Chaudhry ◽  
Rasha Buhumaid ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Pre-hospital point-of-care ultrasound

2019 ◽  
pp. 227-236
Author(s):  
Nils Petter Oveland ◽  
Jim Connolly
Keyword(s):  
Image Quality ◽  
Real Time ◽  
Point Of Care ◽  
Clinical Applications ◽  
Point Of Care Ultrasound ◽  
Medical Field ◽  
Medical Specialties ◽  
Current State ◽  
Therapeutic Decisions

Over the last two decades, ultrasound has evolved from a modality reserved to certain medical specialties into its current state, with a diversity in both the operator background and clinical applications. This has, in large part, been due to the increasing portability and image quality of ultrasound machines, combined with decreased cost of systems, as well as the fact that physicians from different specialties can become very adept at using ultrasound for diagnostic and procedural applications relevant to their medical field. These characteristics add the aspect for operators to make bedside diagnostic and therapeutic decisions in real time, without having to take the patients out of their environment. Point-of-care ultrasound is therefore a particularly attractive modality in pre-hospital settings as an extension of the comprehensive Airway, Breathing, Circulation, Disability, and Exposure/Extremities (ABCDE) resuscitation.

Current use and training needs of point-of-care ultrasound in emergency departments: A national survey of VA hospitals

2019 ◽  
Vol 37 (9) ◽  
pp. 1794-1797 ◽  
Author(s):  
Jeremy S. Boyd ◽  
Charles M. LoPresti ◽  
Megan Core ◽  
Christopher Schott ◽  
Michael J. Mader ◽  
...  
Keyword(s):  
National Survey ◽  
Emergency Departments ◽  
Point Of Care ◽  
Training Needs ◽  
Point Of Care Ultrasound ◽  
Va Hospitals ◽  
And Training
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