The use of evaluation tool for ultrasound skills development and education to assess the extent of point-of-care ultrasound adoption in lebanese emergency departments

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.

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Point-of-care ultrasonography adoption in Canada: using diffusion theory and the Evaluation Tool for Ultrasound skills Development and Education (ETUDE)

CJEM ◽

10.2310/8000.2013.131243 ◽

2014 ◽

Vol 16 (05) ◽

pp. 345-351 ◽

Cited By ~ 4

Author(s):

Michael Y. Woo ◽

Jason R. Frank ◽

A. Curtis Lee

Keyword(s):

Diffusion Of Innovations ◽

Diffusion Theory ◽

Point Of Care ◽

First Trimester ◽

Skills Development ◽

Emergency Physicians ◽

Evaluation Tool ◽

Diffusion Of Innovations Theory ◽

Early Adopters ◽

Point Of Care Ultrasonography

ABSTRACTObjective:Point-of-care ultrasonography (PoCUS) first appeared in the 1980s in North America, but the extent of the diffusion of its adoption is unknown. We characterized early PoCUS adoption by emergency physicians in Canada and its barriers to use using Rogers' diffusion of innovations theory.Methods:We developed a questionnaire based on a pilot study and literature review to assess past, current, and potential use of PoCUS and potential barriers to adoption. A Dillman technique for electronic surveys was used for dissemination. Using Rogers' diffusion of innovations theory, we developed and validated the Evaluation Tool for Ultrasound skills Development and Education (ETUDE). ETUDE scores allowed categorization of respondents into innovators, early adopters, majority, and nonadopters. Descriptive statistics, correlations, and x2statistics were used to analyze the data.Results:The 296 respondents (36.4% of 814 surveyed) had a median age of 40 and were 72.5% male. Adoption scores using ETUDE revealed nonadopters (18.8%), majority (28.7%), early adopters (34.5%), and innovators (18.0%). Respondents endorsed “always” using PoCUS currently and in the future for focused assessment with sonography in trauma (FAST) (current 41.8%/future 88.4%), first trimester pregnancy (current 23.3%/future 73.7%), suspected abdominal aortic aneurysm (current 32.7%/future 92.6%), basic cardiac indications (current 30.7%/future 87.5%), and central venous catheterization (current 17.0%/future 80.3%). Several barriers to PoCUS were identified for part-time emergency physicians and those working in inner-city/urban/suburban settings.Conclusion:This is the first study to determine the state of adoption and barriers to the introduction of PoCUS in Canadian emergency medicine practice. The novel validated ETUDE instrument should be used to evaluate the uptake of PoCUS over time.

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

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2014.09.017 ◽

2015 ◽

Vol 48 (2) ◽

pp. 191-196.e2 ◽

Cited By ~ 13

Author(s):

Meghan Kelly Herbst ◽

Carlos A. Camargo ◽

Alberto Perez ◽

Christopher L. Moore

Keyword(s):

Emergency Departments ◽

Point Of Care ◽

Point Of Care Ultrasound

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Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?

The Ultrasound Journal ◽

10.1186/s13089-021-00209-7 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Antoine Fasseaux ◽

Philippe Pès ◽

Françoise Steenebruggen ◽

Florence Dupriez

Keyword(s):

Online Survey ◽

Point Of Care ◽

Seminal Vesicles ◽

Free Fluid ◽

Point Of Care Ultrasound ◽

Ultrasound Images ◽

Evaluation Tool ◽

Potential Pitfall ◽

Therapeutic Benefits ◽

Dynamic Ultrasound

Abstract Background Trauma is a major cause of death among the working population. Many countries have now adopted a structured approach to trauma management in which ultrasound is used as a primary evaluation tool. While its use has direct therapeutic benefits, many artifacts and pitfalls are inherent to the technique. Knowledge of the most frequently encountered pitfalls in practice could thus help reduce the risk of error and lead to more accurate trauma assessments. Objective This study evaluates a potential pitfall caused by seminal vesicles during focused assessment with sonography for trauma examinations of the male pelvis performed by an emergency physician with experience in point-of-care ultrasound. Methods We took five static and five dynamic (3-s loops) transverse ultrasound images of the pelvis in five healthy males. The images and videos were then incorporated into an online survey and emailed through the World Interactive Network Focused On Critical UltraSound (WINFOCUS) in France and the Ultrasound and Emergency Medicine (UEM) Organization in Belgium. A questionnaire asked anonymous participants to assess the presence of free fluid in the static and dynamic images and to share information about their training and experience in point-of-care ultrasound. To validate the static and dynamic images, the survey was sent to three external radiologists for independent verification. Results A total of 191 individuals responded fully or partially to the survey, 114 of whom completed it. Among the 114 participants who completed the survey, the misinterpretation rate was 0.55 (95CI 0.51–0.60) for all static and dynamic ultrasound transverse pelvic views. The misinterpretation rate was 0.61 (95CI 0.55–0.66) and 0.50 (95CI 0.45–0.55) for static and dynamic ultrasound transverse pelvic views, respectively. The three external radiologists answered the questionnaire correctly without misinterpreting the survey ultrasound views. Conclusions Seminal vesicles are a potential pitfall when interpreting transverse ultrasound images of the male pelvis in the context of point-of-care ultrasound.

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