[Ultrasound diagnostics in prehospital emergency care-do we need a standardized educational approach?]

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-05-01 Epub Date: 2023-08-14 DOI:10.1007/s00063-023-01045-4

Christine Eimer, Ulf Lorenzen, Florian Reifferscheid, Nils Passau, Katharina Helzel, Alexander Schmuck, Stephan Seewald, Andrea Köser, Norbert Weiler, Holger Gässler, Björn Hossfeld, Matthias Gruenewald, Maximilian Feth

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引用次数: 0

Abstract

Background: Limited diagnostic capabilities represent an ongoing obstacle in out-of-hospital emergency settings. Prehospital deployment of ultrasound might reduce this particular diagnostic gap. So far, little is known about the availability and usage of ultrasound in emergency medical services (EMS) or about the level of education of EMS physicians regarding prehospital ultrasound (point-of-care ultrasound, POCUS).

Methods: A nationwide survey was conducted among emergency physicians in Germany focusing on POCUS education and experience.

Results: Between 02/2022 and 05/2022, 1079 responses were registered, of which 853 complete responses were analyzed. Of the emergency physicians, 71.9% consider POCUS beneficial for out-of-hospital diagnostics and 43.8% had participated in a certified POCUS training prior to the survey. The self-evaluation of POCUS skills among emergency physicians depended significantly on their participation in a certified training (p < 0.001) and frequent ultrasound routine (p < 0.001).

Conclusion: The majority of participating emergency physicians in Germany consider POCUS to improve out-of-hospital diagnostic capabilities. Participation in a certified POCUS training and frequent use of ultrasound facilitated higher self-confidence in POCUS skills.

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[院前急救中的超声诊断--我们需要标准化的教育方法吗？］

背景：有限的诊断能力一直是院外急救环境中的一个障碍。院前部署超声波可缩小这一诊断差距。迄今为止，人们对急救医疗服务（EMS）中超声波的可用性和使用情况，以及急救医疗服务医生对院前超声波（护理点超声波，POCUS）的教育水平知之甚少：方法：对德国的急诊医生进行了一次全国范围的调查，重点是 POCUS 的教育和经验：结果：在 2022 年 2 月至 2022 年 5 月期间，共收到 1079 份回复，对其中 853 份完整回复进行了分析。71.9%的急诊医生认为 POCUS 有利于院外诊断，43.8%的急诊医生在调查前参加过经认证的 POCUS 培训。急诊医生对 POCUS 技能的自我评价在很大程度上取决于他们是否参加过认证培训（p 结论：POCUS 技术的自我评价取决于他们是否参加过认证培训（p 结论：POCUS 技术的自我评价取决于他们是否参加过认证培训）：德国大多数参与调查的急诊医生认为 POCUS 可提高院外诊断能力。参加经认证的 POCUS 培训和经常使用超声波有助于提高对 POCUS 技能的自信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.