Micks Taft, Sue Kyle, Rogers Peter
*Department of Family Medicine,Memorial University of Newfoundland,St. John's,NL.
CJEM. 2016 Nov;18(6):475-479. doi: 10.1017/cem.2016.337. Epub 2016 Jul 25.
Over the past few decades, point-of-care ultrasound (PoCUS) has come to play a major role in the practice of emergency medicine. Despite its numerous benefits, there has been a slow uptake of PoCUS use in rural emergency departments. Surveys conducted across Canada and the United States have identified a lack of equipment, training, funding, quality assurance, and an inability to maintain skills as major barriers to PoCUS use. Potential solutions include expanding residency training in ultrasound skills, extending funding for PoCUS training to rural physicians in practice, moving PoCUS training courses to rural sites, and creating telesonography training for rural physicians. With these barriers identified and solutions proposed, corrective measures must be taken so that the benefits of PoCUS are extended to patients in rural Canada where, arguably, it has the greatest potential for benefit when access to advanced imaging is not readily available.
在过去几十年里，床旁超声（PoCUS）在急诊医学实践中发挥了重要作用。尽管它有诸多益处，但在农村急诊科，PoCUS的使用推广缓慢。在加拿大和美国进行的调查发现，设备短缺、培训不足、资金匮乏、质量保证缺失以及技能难以维持是PoCUS使用的主要障碍。潜在的解决方案包括扩大超声技能住院医师培训，将PoCUS培训资金扩展到在职的农村医生，将PoCUS培训课程转移到农村地区，并为农村医生开展远程超声检查培训。在明确了这些障碍并提出解决方案后，必须采取纠正措施，以便将PoCUS的益处扩展到加拿大农村的患者，在那里，当难以获得先进影像检查时，PoCUS可能带来最大的益处。
