El-Hussein Mahmoud, Hamieh Cyma, Gautier Maxime
Emergency Medicine Department, APHP, Lariboisière Hospital, Paris, France.
Family Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon.
Radiol Case Rep. 2022 May 9;17(7):2453-2459. doi: 10.1016/j.radcr.2022.03.092. eCollection 2022 Jul.
From its first use in medicine, ultrasonography has been an excellent non-invasive diagnostic tool. The use of ultrasound increased dramatically especially in the last decade, as it is a painless, safe, and widely accessible, especially with the development of pocket ultrasound machines. In addition, it is crucial in promptly diagnosing unstable patients in emergency settings. Currently, emergency physicians are leaning more towards ultrasound, fellowships and university courses are created around the globe to teach this essential skill. This article highlights the importance of ultrasound in the hands of emergency physicians while presenting a life-threatening diagnosis that could have been easily missed if it wasn't for the use of ultrasound. Cases like these are frequently seen in the emergency departments, and it is when blinded by a tunnel vision, and anchoring bias, that these serious diagnoses can be left undiagnosed. Many individuals in the medical community are against the use of ultrasound by untrained physicians, but it remains highly recommended that emergency physicians get a proper training on the use of this tool for it is of great value in the emergency department.
自超声检查首次应用于医学领域以来，它一直是一种出色的非侵入性诊断工具。尤其是在过去十年中，超声检查的使用急剧增加，因为它无痛、安全且广泛可用，特别是随着便携式超声设备的发展。此外，在急诊环境中对不稳定患者进行快速诊断时，超声检查至关重要。目前，急诊医生越来越倾向于使用超声检查，全球各地都开设了相关的进修课程和大学课程来教授这项基本技能。本文强调了急诊医生使用超声检查的重要性，同时展示了一个如果不使用超声检查可能很容易被漏诊的危及生命的诊断病例。这类病例在急诊科很常见，正是由于视野狭窄和锚定偏差导致这些严重诊断被漏诊。医学界许多人反对未经培训的医生使用超声检查，但强烈建议急诊医生接受关于使用此工具的适当培训，因为它在急诊科具有巨大价值。
