Jones Peter G, Peak Stephen, McClelland Andy, Holden Andrew, Higginson Ian, Gamble Greg
Departments of Emergency Medicine, Radiology, Auckland Hospital, Auckland, New Zealand.
Emerg Med (Fremantle). 2003 Feb;15(1):54-62. doi: 10.1046/j.1442-2026.2003.00409.x.
Focused assessment with sonography for trauma and emergency ultrasound for abdominal aortic aneurysm are now practiced widely by non-radiologists in emergency departments worldwide. Various credentialling programs have been proposed for novice sonographers; however, their feasibility has been questioned. We adopted the Australasian College for Emergency Medicine (ACEM) credentialling process for emergency ultrasound to determine whether it is feasible for emergency physicians in the Australasian environment.
Three full-time emergency medicine specialists and a post-Fellowship Examination trainee at Auckland Hospital undertook the credentialling process.
All four participants had sufficient scans to complete the process after 16 months. Accuracy for focused assessment with sonography for trauma, 90% (95% CI 83-95%), and abdominal aortic aneurysm, 99% (95% CI 90-100%), is similar to that previously reported.
The ACEM credentialling process for focused assessment with sonography for trauma and abdominal aortic aneurysm is practical and achievable for emergency medicine specialists working in the Emergency Department at Auckland Hospital. Further studies are necessary to determine whether this holds true for other major trauma centres in Australasia.
创伤超声重点评估（FAST）及腹主动脉瘤急诊超声检查目前在全球急诊科已被非放射科医生广泛应用。针对新手超声检查医师已提出了各种认证程序；然而，其可行性受到质疑。我们采用了澳大利亚急诊医学学院（ACEM）的急诊超声认证程序，以确定在澳大利亚环境下对急诊医师而言是否可行。
奥克兰医院的三名全职急诊医学专家及一名通过专科医师资格考试后的实习生接受了认证程序。
16个月后，所有四名参与者都有足够的扫描量来完成该程序。创伤超声重点评估的准确率为90%（95%置信区间83 - 95%），腹主动脉瘤的准确率为99%（95%置信区间90 - 100%），与先前报告的结果相似。
对于在奥克兰医院急诊科工作的急诊医学专家而言，ACEM的创伤及腹主动脉瘤超声重点评估认证程序切实可行。有必要进一步研究以确定这一结论在澳大利亚其他主要创伤中心是否同样适用。
