Frederiksen Christian Alcaraz, Juhl-Olsen Peter, Sloth Erik
Aarhus University Hospital, Department of Anesthesiology and Intensive Care , Skejby, Brendstrupgaardsvej 100, 8200 Aarhus N , Denmark +45 7845 1028 ;
Expert Opin Med Diagn. 2012 May;6(3):167-70. doi: 10.1517/17530059.2012.669368. Epub 2012 Mar 9.
Advances in medical ultrasound have made the modality widely applicable and the new cart-based and pocket size devices have allowed for relevant point-of-care (POC) ultrasound examinations in many medical specialties. POC ultrasonography is performed as a real-time examination assisting the physician in diagnosis, procedure or screening of the patient without life threatening delays. The examination can be performed at the bedside or wherever the patient may be present. Structured and focused protocols for simple clinical questions have been developed and implemented in the following specialties: Anesthesiology, Cardiology, Critical Care Medicine, Dermatology, Emergency Medicine, Neonatology, Gynecology and Rheumatology and many others. POC ultrasound, as well as ultrasound in general, is very user dependent and the need for quality assurance, formal education and practical training is obvious. With this in mind, POC ultrasound now really has the potential for becoming the physician's new personal universal examination tool. Patients admitted to emergency departments will be able to receive organ or symptom-guided initial focused ultrasound triage as part of the physician's first encounter with the patient. This will allow for more accurate referral, correct diagnosis and relevant screening in turn leading to better overall treatment results.
医学超声的进展使该技术得到广泛应用，新型推车式和便携式设备使得在许多医学专科中都能进行相关的床旁即时超声检查。床旁即时超声检查是一种实时检查，可在不危及生命的情况下协助医生对患者进行诊断、操作或筛查。该检查可在床边或患者所在的任何地方进行。针对简单临床问题的结构化且有重点的检查方案已在以下专科中制定并实施：麻醉学、心脏病学、重症医学、皮肤科、急诊医学、新生儿学、妇科和风湿病学等。床旁即时超声检查以及一般的超声检查都非常依赖操作人员，因此质量保证、正规教育和实践培训的需求显而易见。考虑到这一点，床旁即时超声检查现在确实有潜力成为医生新的个人通用检查工具。急诊科收治的患者将能够接受器官或症状导向的初始重点超声分诊，作为医生首次接诊患者的一部分。这将实现更准确的转诊、正确的诊断和相关的筛查，进而带来更好的整体治疗效果。
