Utilization of Emergency Ultrasound in Pediatric Emergency Departments

Chamberlain, Marydee C.; Reid, Samuel; Madhok, Manu

doi:10.1097/pec.0b013e3182259908

Cited by 41 publications

(36 citation statements)

References 23 publications

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“…Emergency POCUS in Canadian PEM fellowship programs CJEM JCMU 2016;18 (6)this subject, and, in 2008, Chamberlain et al sent a survey to all U.S. pediatric emergency medical directors, fellowship directors, and graduating fellows. [14][15][16] In 2011, 53/60 (88%) of U.S. PEM programs responding to their survey offer some POCUS training to their fellows, 14 compared to 65% in 2006 15 and 56% of the Canadian programs in our study. A pediatric-specific POCUS curriculum is currently offered in only three (33%) of the Canadian PEM programs, which is similar to U.S. reporting 5 years ago.…”

Section: Discussionmentioning

confidence: 61%

“…In the study by Chamberlain et al, FAST use was reported by fellows to be 93%. 16 In that same survey, 53% of responders (fellows, PDs, and medical directors) stated that POCUS was used for soft tissue evaluation in their ED, 37% stated its use for cardiac assessment, 9% for abdominal assessment, and 40% for procedural guidance. In our study, the vast majority of PEM fellows stated that POCUS was used for these indications "never," "rarely", or "sometimes" (36 fellows for musculoskeletal problems, 35 for cardiac, 39 for abdominal assessment, and 36 for procedural guidance).…”

Section: Discussionmentioning

confidence: 99%

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Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

Hoeffe

Desjardins

Fischer

et al. 2016

CJEM

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Background: Adult and pediatric emergency physicians have been using point-of-care ultrasound (POCUS) for many years. It is a fast, usually painless, noninvasive diagnostic tool that does not expose the patient to radiation. Information about its current implementation in pediatric emergency medicine (PEM) fellowship programs in Canada is lacking. Objective: The main goal of our study was to investigate current integration and future direction of POCUS training in Canadian PEM programs. Methods: The study consisted of two surveys designed for fellows and program directors of all Canadian PEM fellowship programs. The major aspects of the survey were 1) to describe current training in POCUS in fellowship programs, 2) to compare the kind of training that programs offer with what fellows actually receive, and 3) a needs assessment by fellows and program directors for future POCUS training programs. Surveys were sent to program directors and passed on to their fellows. Results: Ninety percent of fellowship program directors as well as 70% (42/60) of fellows responded to the survey. A formal POCUS curriculum exists in five of the nine PEM programs included in this study. Three programs offer specific pediatric POCUS training. The main application is the FAST (focused assessment with sonography for trauma) exam. Conclusion: There is a wide variation in POCUS content and delivery across PEM fellowship programs, as well as differences in perceptions of current training and of needs by fellows and program directors. However, given that both groups feel POCUS is very important and essential for PEM training, the opportunity exists to develop a standardized curriculum across Canada.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

Hoeffe

Desjardins

Fischer

et al. 2016

CJEM

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“…Tras un estudio bibliográfico y legal exhaustivo, concluimos que no existen estudios que revelen una respuesta concreta y única, si bien hay múltiples referencias donde se muestra que los clínicos no especialistas en Radiología tienen resultados equiparables o mejores que los radiólogos, únicamente con pautas sencillas 3,4 . Proponemos por tanto una respuesta sencilla: la ecografía ha de realizarla quien tenga la capacidad, los conocimientos, la inmediatez y, sobre todo, aquel médico que vaya a proporcionar una mejor respuesta al problema clí-nico que se nos plantee, en el momento concreto.…”

Section: Colaboración Especialunclassified

Ecografía clínica: ¿prueba complementaria o una parte más de la exploración rutinaria?

Sánchez-Ferrer

Marchal

Schneider³

2014

Rev Pediatr Aten Primaria

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Clinical ultrasound: a diagnostic test or a part of the routine exam?La ecografía ha sido considerada una prueba complementaria que deben realizar los especialistas en imagen. Desde su inicio, determinados especialistas como obstetras o cardiólogos la han utilizado en su campo con grandes resultados. En los últimos años, los médicos generales y de otras especialidades se van acercando a la técnica, que es rápida, inocua, accesible, barata y que, sobre todo, permite completar en tiempo real la exploración del paciente. Muchos son los países y las sociedades donde los médicos no especialistas en Radiología realizan ecografía a diario y cada vez más estudios muestran la utilidad de la misma en la práctica clínica habitual.Ultrasound has been considered an additional test to be carried out by image specialists. Since its inception, some specialists like obstetricians or cardiologists have used with great results. Now, the general practitioners and other specialties are approaching this technique that is quick, safe, accessible, inexpensive, and above all allows you to complete real-time exploration of the patient. In many countries and societies the non-radiology specialist physicians are beginning to perform ultrasounds on a daily basis and more and more studies show its usefulness in normal clinical practice. Key words: Clinical ultrasonography  Diagnostic imaging  Medical Education Cómo citar este artículo: Sánchez Ferrer F, González de Caldas Marchal R, Schneider S. Ecografía clínica: ¿prueba complementaria o una parte más de la exploración rutinaria? Rev Pediatr Aten Primaria. 2014;16:361-5. Desde los años 40 del siglo pasado, los médicos incorporaron los ultrasonidos para el diagnóstico y seguimiento de las patologías 1 . El campo militar y comercial fueron los primeros en aplicar esta herramienta y desarrollar su potencial. La expansión de la técnica en el ámbito médico ha evolucionado hasta la actualidad, donde los ecógrafos permiten imágenes de gran realidad. Es en los últimos 20 años cuando los clínicos de las distintas especialidades han comenzado a utilizarlo en la práctica diaria 2 . Actualmente, la ecografía es considerada una prueba complementaria, si bien, a diferencia de otras como la tomografía computarizada, la resonancia magnética o la analítica sanguínea, la exploración ecográfica permite el contacto con el paciente, realizar la historia clínica y la visualización de las estructuras de interés en tiempo real y de manera funcional. Por este motivo debemos cambiar el concepto y acercarnos a ella como una prueba exploratoria que debe realizar el clínico (al igual que la auscultación o la exploración del fondo

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“…[4][5][6][7] Knowledge translation-from guideline to practice-has always been an area in which the medical profession has grappled with limited success. If knowledge translation is the major issue, then it behooves us to make a concerted effort to address these issues on a large scale.…”

Section: Niranjan Kissoon MDmentioning

confidence: 99%

“…Regardless of the reasons, the marked variation in opinions and practice patterns of clinicians seen in this and other reports is not acceptable yet is widely tolerated. 4,5 Standing on neutral grounds and accepting marked variability in practice for common conditions are not options. We should accept that variability is anathema to good practice but refrain from suggesting remedies based on gut reactions because they may be at best useless and at worst harmful.…”

Section: Niranjan Kissoon MDmentioning

confidence: 99%

Unnecessary variation cloaked as discretion in medical decisions

Kissoon

2013

CJEM

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Utilization of Emergency Ultrasound in Pediatric Emergency Departments

Abstract: In our study sample, there is wide variation in the uses of EUS and the training pediatric emergency physicians receive in its use.

Cited by 41 publications

References 23 publications

Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

Emergency point-of-care ultrasound in Canadian pediatric emergency fellowship programs: current integration and future directions

Ecografía clínica: ¿prueba complementaria o una parte más de la exploración rutinaria?

Unnecessary variation cloaked as discretion in medical decisions

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