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评估和评价中国急诊科床旁超声的普及情况。

Evaluating and assessing the prevalence of bedside ultrasound in emergency departments in China.

作者信息

Shi Di, Walline Joseph H, Yu Xuezhong, Xu Jun, Song Priscilla P, Zhu Huadong

机构信息

Department of Emergency Medicine, Peking Union Medical College Hospital, Beijing 100730, China.

Department of Surgery, Division of Emergency Medicine, Saint Louis University Hospital, Saint Louis, MO, USA.

出版信息

J Thorac Dis. 2018 May;10(5):2685-2690. doi: 10.21037/jtd.2018.04.88.

DOI:10.21037/jtd.2018.04.88
PMID:29997930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006049/
Abstract

BACKGROUND

To survey the prevalence of bedside ultrasound assessment in emergency departments (EDs) in China.

METHODS

We designed an online survey for emergency physicians based in the China. The questionnaire included sixteen items querying common ED bedside ultrasound practices. Respondents were recruited via weblinks sent through social media and a popular Chinese emergency medicine website. Survey data was collected from April through June, 2016.

RESULTS

Four hundred and twenty-eight physicians responded to this survey; more than 80% of respondents reported working clinically in the ED. Ninety-eight percent of respondents agreed on the clinical importance and value of bedside ultrasound. However, less than half of participants' EDs had ultrasound devices, and less than half of the respondents said they knew how to perform bedside ultrasound. Less than 20% of respondents reported having had formal training in bedside ultrasound.

CONCLUSIONS

There is a strong interest in bedside ultrasound in Chinese EDs. Emergency physicians participating in this study considered bedside ultrasound a necessary skill, but, because there is a lack of training, most emergency physicians reported they did not know how to perform bedside ultrasonography. There is likely an acute desire and need for bedside ultrasound training for Chinese emergency physicians.

摘要

背景

调查中国急诊科床旁超声评估的普及情况。

方法

我们为中国的急诊医生设计了一项在线调查。问卷包含16项关于急诊科常见床旁超声操作的问题。通过社交媒体和一个热门的中国急诊医学网站发送的网络链接招募受访者。调查数据于2016年4月至6月收集。

结果

428名医生回应了此项调查;超过80%的受访者报告称在急诊科从事临床工作。98%的受访者认同床旁超声的临床重要性和价值。然而,不到一半的受访者所在的急诊科拥有超声设备,且不到一半的受访者表示他们知道如何进行床旁超声检查。不到20%的受访者报告接受过床旁超声的正规培训。

结论

中国急诊科对床旁超声有浓厚兴趣。参与本研究的急诊医生认为床旁超声是一项必要技能,但由于缺乏培训,大多数急诊医生报告称他们不知道如何进行床旁超声检查。中国急诊医生可能迫切需要床旁超声培训。

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Emerg Med Pract. 2016 Mar;18(3):1-20, 24; quiz 20-1. Epub 2016 Mar 1.
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Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients-Part I: General Ultrasonography.危重症患者床边普通及心脏超声检查应用指南——第一部分:普通超声检查。
Crit Care Med. 2015 Nov;43(11):2479-502. doi: 10.1097/CCM.0000000000001216.
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The 2011 model of the clinical practice of emergency medicine.2011 年版的《急诊医学临床实践》。
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The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll.RUSH检查:用于评估危重症患者休克情况的快速超声检查
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