Abu-Zidan F M, Freeman P, Mandavia D
Department of Surgery, Faculty of Medicine and Health Science, University of Auckland.
N Z Med J. 1999 Aug 27;112(1094):322-4.
Bedside ultrasound is not widely practised by emergency physicians in Australasia despite its use in Europe, Asia and North America, and an extensive medical literature on the subject. A workshop was organised at Auckland Hospital, aiming to introduce emergency physicians to the basics of emergency ultrasound. This article summarises the content of the programme, the responses from the participants and the principles that emerged at this workshop.
A standardised, 16-hour, emergency ultrasound curriculum was offered to 23 participants. Lectures with syllabus material were used to cover the following topics: basic ultrasound physics, pelvis, right upper quadrant, renal, aorta, trauma and echocardiography. Each participant received eight hours of hands-on ultrasound instruction. On completion of the course participants responded anonymously to a course appraisal questionnaire.
Twenty-one participants responded to the questionnaire (91% response rate). Delegates found the course informative and the material was considered relevant. Workshop objectives were met and the venue was appropriate. Most participants thought the practical sessions could be improved by decreasing the ratio of delegates to human models.
The first Australasian workshop on bedside ultrasound in the Emergency Department held in Auckland (February 1998) was successful in achieving its objectives. Focused emergency ultrasound can be taught to detect free intraperitoneal or pericardial fluid in trauma patients. There is a need for appropriate quality assurance and credentialling guidelines as more Australasian emergency departments consider the application of focused ultrasound.
尽管床边超声在欧洲、亚洲和北美已得到应用，且有大量关于该主题的医学文献，但在澳大拉西亚地区，急诊医生对其应用并不广泛。奥克兰医院组织了一次研讨会，旨在向急诊医生介绍急诊超声的基础知识。本文总结了该课程的内容、参与者的反馈以及本次研讨会中形成的原则。
为23名参与者提供了一个标准化的、为期16小时的急诊超声课程。通过讲座及教学大纲材料涵盖以下主题：超声基本物理学、骨盆、右上腹、肾脏、主动脉、创伤及超声心动图。每位参与者接受了8小时的超声实践指导。课程结束后，参与者对课程评估问卷进行了匿名回复。
21名参与者回复了问卷（回复率为91%）。代表们认为该课程内容丰富且相关。研讨会目标得以实现，场地也合适。大多数参与者认为通过降低代表与人体模型的比例，实践课程可以得到改进。
1998年2月在奥克兰举行的澳大拉西亚地区首届急诊科床边超声研讨会成功实现了其目标。可以教授聚焦急诊超声以检测创伤患者腹腔或心包内的游离液体。随着更多澳大拉西亚地区的急诊科考虑应用聚焦超声，需要制定适当的质量保证和资质认证指南。
