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

Published:March 01, 2019DOI:https://doi.org/10.1016/j.ajem.2019.02.043
      Point-of-care ultrasound (POCUS) is being increasingly used to rapidly diagnose and manage acute illnesses in different healthcare settings [
      ]. POCUS use has been considered a core emergency medicine (EM) application since 2001 [
      ,
      • Beeson M.S.
      • Carter W.A.
      • Christopher T.A.
      • et al.
      Emergency medicine milestones.
      ]. Given the variability of ED staffing and individual provider skills, current POCUS usage and training needs among physicians working in EDs is largely unknown. Though a few studies have reported POCUS usage patterns, [
      • Moore C.L.
      • Molina A.A.
      • Lin H.
      Ultrasonography in community emergency departments in the United States: access to ultrasonography performed by consultants and status of emergency physician-performed ultrasonography.
      ,
      ] a national survey of multiple hospital EDs has not been conducted.

      Abbreviations:

      ACEP (American College of Emergency Physicians), COS (Chiefs of Staff), EDs (Emergency Departments), EM (Emergency Medicine), HAIG (Healthcare Analysis and Information Group), POCUS (Point-of-care ultrasound), VA (Veterans Affairs)

      Keywords

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      References

      1. Ann Emerg Med. 2017; 69: e27-e54
        • Beeson M.S.
        • Carter W.A.
        • Christopher T.A.
        • et al.
        Emergency medicine milestones.
        J Grad Med Educ. 2013; 5: 5-13
        • Moore C.L.
        • Molina A.A.
        • Lin H.
        Ultrasonography in community emergency departments in the United States: access to ultrasonography performed by consultants and status of emergency physician-performed ultrasonography.
        Ann Emerg Med. 2006; 47: 147-153
      2. Tayal V. Emergency ultrasound guidelines. 2008: 1-38 (Dallas, TX)
      3. Affairs UDoV. Vha support services center emergency medicine management tool for fy 2016. Last accessed September 18, 2017/2017.

        • Sanders J.L.
        • Noble V.E.
        • Raja A.S.
        • Sullivan A.F.
        • Camargo Jr., C.A.
        Access to and use of point-of-care ultrasound in the emergency department.
        West J Emerg Med. 2015; 16: 747-752
        • Stein J.C.
        • River G.
        • Kalika I.
        • et al.
        A survey of bedside ultrasound use by emergency physicians in California.
        J Ultrasound Med. 2009; 28: 757-763
        • Micks T.
        • Sue K.
        • Rogers P.
        Barriers to point-of-care ultrasound use in rural emergency departments.
        Cjem. 2016; 18: 475-479
        • Mengarelli M.
        • Nepusz A.
        • Kondrashova T.
        A comparison of point-of-care ultrasonography use in rural versus urban emergency departments throughout Missouri.
        Mo Med. 2018; 115: 56-60
        • Backlund B.H.
        • Hopkins E.
        • Kendall J.L.
        Ultrasound guidance for central venous access by emergency physicians in Colorado.
        West J Emerg Med. 2012; 13: 320-325
        • Buchanan M.S.
        • Backlund B.
        • Liao M.M.
        • et al.
        Use of ultrasound guidance for central venous catheter placement: survey from the American board of emergency medicine longitudinal study of emergency physicians.
        Acad Emerg Med. 2014; 21: 416-421
        • Amini R.
        • Wyman M.T.
        • Hernandez N.C.
        • Guisto J.A.
        • Adhikari S.
        Use of emergency ultrasound in Arizona community emergency departments.
        J Ultrasound Med. 2017; 36: 913-921