Gallagher Rachel A, Levy Jason A
Division of Emergency Medicine, Department of Pediatrics, Children's Hospital Boston, Boston, Massachusetts, USA.
Curr Opin Pediatr. 2014 Jun;26(3):265-71. doi: 10.1097/MOP.0000000000000097.
Point-of-care ultrasound (POCUS) has become an integral part of emergency medicine practice. Research evaluating POCUS in the care of pediatric patients has improved the understanding of its potential role in clinical care.
Recent work has investigated the ability of pediatric emergency medicine (PEM) physicians to perform a wide array of diagnostic and procedural applications in POCUS ultrasound. Studies have demonstrated that PEM providers are able to identify an array of diseases, including intussusception, pyloric stenosis and appendicitis. Novel applications of ultrasound, such as a cardiac evaluation in the acutely ill patient or identification of skull fractures in the assessment of a patient with head injury, have shown excellent promise in recent studies. These novel applications have the potential to reshape pediatric diagnostic algorithms.
Key applications in PEM have been investigated in the recent publications. Further exploration of the ability to integrate ultrasound into routine practice will require larger-scale studies and continued growth of education in the field. The use of ultrasound in clinical practice has the potential to improve safety and efficiency of care in the pediatric emergency department.
床旁超声（POCUS）已成为急诊医学实践中不可或缺的一部分。评估POCUS在儿科患者护理中应用的研究增进了人们对其在临床护理中潜在作用的理解。
近期研究调查了儿科急诊医学（PEM）医生在POCUS超声中进行广泛诊断和操作应用的能力。研究表明，PEM医护人员能够识别一系列疾病，包括肠套叠、幽门狭窄和阑尾炎。超声的新应用，如对急危重症患者进行心脏评估或在评估头部受伤患者时识别颅骨骨折，在近期研究中显示出巨大潜力。这些新应用有可能重塑儿科诊断算法。
近期出版物对PEM中的关键应用进行了研究。进一步探索将超声整合到常规实践中的能力将需要更大规模的研究以及该领域教育的持续发展。在临床实践中使用超声有可能提高儿科急诊科护理的安全性和效率。
