Smallwood Nicholas, Matsa Ramprasad, Lawrenson Philip, Messenger Jenny, Walden Andrew
St6 Acute Internal Medicine, East Surrey Hospital, Redhill.
Consultant in Intensive Care and Acute Medicine, Royal Stoke University Hospitals, University Hospitals of North Midlands NHS Trust.
Acute Med. 2015;14(4):159-64.
The use of point of care ultrasound (POCU) is increasing across a number of specialties, becoming mandatory within some specialist training programmes (for example respiratory and emergency medicine). Despite this, there are few data looking at the prevalence of use or the training clinicians have undertaken; this survey sought to address this. It shows that the majority of POCU undertaken on the Acute Medical Unit (AMU) is without formal accreditation, with significant arriers to training highlighted including a lack of supervision, time and equipment. For those who undertook POCU, it was shown to regularly speed up clinical decision making, while 76.3% respondents believed a lack of access to POCU out of hours may affect patient safety. The data provide support to the concept of developing AMU specific POCU accreditation, to ensure robust and safe use of this modality on the AMU.
即时超声检查（POCU）在多个专业领域的应用正在增加，在一些专科培训项目（如呼吸医学和急诊医学）中已成为强制性要求。尽管如此，关于其使用普及率或临床医生所接受培训的数据却很少；本次调查旨在解决这一问题。结果显示，急性内科病房（AMU）进行的大多数即时超声检查没有正式认证，培训面临的重大障碍包括缺乏监督、时间和设备。对于进行即时超声检查的人员而言，该检查被证明能经常加快临床决策速度，同时76.3%的受访者认为非工作时间无法进行即时超声检查可能会影响患者安全。这些数据为制定针对急性内科病房的即时超声检查认证概念提供了支持，以确保在急性内科病房安全、有效地使用这种检查方式。
