Khan Moien A B, Abu-Zidan Fikri M
Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Turk J Emerg Med. 2020 Jan 28;20(1):1-11. doi: 10.4103/2452-2473.276384. eCollection 2020 Jan-Mar.
Point-of-care ultrasound (POCUS) is a focused examination, which is performed and interpreted at the bedside by the treating physician answering a specific clinical question. It is currently utilized as an essential adjunct to physical examination in many medical specialties. Recent advances in technology have made POCUS machines portable, affordable, and could be used with minimal training even by nonradiologists. This review aims to cover the fundamental physics of POCUS and its applications for diagnosing the acute abdomen in the primary health care including the most common causes encountered by family physicians. These are acute appendicitis, acute cholecystitis, renal colic, ectopic pregnancy, acute diverticulitis, bowel obstruction, and abdominal aortic aneurysm. We hope to encourage primary care physicians to incorporate POCUS in their routine clinical practice. We also highlight challenges encountered when using POCUS in the primary health care including limited availability and the need for proper training. Furthermore, we review the POCUS results when performed by primary health-care physicians. Integrating POCUS in primary health care empowers primary health-care physicians to provide high-quality, safe, and cost-effective care to the patients.
床旁超声检查（POCUS）是一种有针对性的检查，由主治医生在床边进行并解读，以回答特定的临床问题。目前，它在许多医学专科中被用作体格检查的重要辅助手段。技术的最新进展使POCUS机器便于携带、价格合理，甚至非放射科医生经过最少的培训也可以使用。本综述旨在涵盖POCUS的基本物理学原理及其在初级卫生保健中诊断急腹症的应用，包括家庭医生遇到的最常见病因。这些病因是急性阑尾炎、急性胆囊炎、肾绞痛、异位妊娠、急性憩室炎、肠梗阻和腹主动脉瘤。我们希望鼓励初级保健医生将POCUS纳入其日常临床实践。我们还强调了在初级卫生保健中使用POCUS时遇到的挑战，包括设备有限以及需要适当培训。此外，我们回顾了初级卫生保健医生进行POCUS检查的结果。将POCUS纳入初级卫生保健使初级卫生保健医生能够为患者提供高质量、安全且具有成本效益的护理。
