From the Department of Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.
Emergency Department, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Pediatr Emerg Care. 2022 Oct 1;38(10):e1594-e1600. doi: 10.1097/PEC.0000000000002767. Epub 2022 May 24.
We surveyed the dissemination and use of point-of-care ultrasound (POCUS), physician training levels, and barriers and limitations to use of POCUS among pediatricians and pediatric emergency medicine (PEM) physicians across Europe and Israel.
A questionnaire was distributed through the PEM section of the European Society for Emergency Medicine and the Research in European Pediatric Emergency Medicine Network.
A total of 581 physicians from 22 countries fully completed the questionnaire. Participants were primarily pediatric attending physicians (34.9% [203 of 581]) and PEM attending physicians (28.6% [166 of 581]). Most of the respondents, 58.5% (340 of 581), reported using POCUS in their practice, and 61.9% (359/581) had undergone POCUS training. Point-of-care ultrasound courses represented the most common method of becoming proficient in POCUS. Overall, the Focused Assessment with Sonography in Trauma scan was the mostly taught application, with 76.3% (274 of 359). Resuscitative, diagnostic, and procedural POCUS were rated as very useful or useful by the most of respondents.The lack of qualified personnel to train (76.9% [447 of 581]), and the insufficient time for physicians to learn, POCUS (63.7% [370 of 581]) were identified as the main limitations to POCUS implementation.
The dissemination of pediatric POCUS in the European and Israeli centers we surveyed is limited, and its applications are largely restricted to the Focused Assessment with Sonography in Trauma examination. This is likely related to lack of training programs. In contrast, the potential value of use of POCUS in PEM practice is recognized by the majority of respondents.
我们调查了欧洲和以色列的儿科医生和儿科急诊医学（PEM）医生对即时护理超声（POCUS）的传播和使用情况、医生的培训水平，以及使用 POCUS 的障碍和限制。
通过欧洲急诊医学学会的 PEM 分会和欧洲儿科急诊医学研究网络分发了问卷。
共有来自 22 个国家的 581 名医生完整填写了问卷。参与者主要是儿科主治医生（34.9%[581 人中有 203 人]）和 PEM 主治医生（28.6%[581 人中有 166 人]）。大多数受访者（58.5%[581 人中有 340 人]）在实践中使用 POCUS，61.9%（581 人中有 359 人）接受过 POCUS 培训。POCUS 课程是成为 POCUS 熟练者最常见的方法。总的来说，创伤超声重点评估（FAST）是最常教授的应用，76.3%（359 人中有 274 人）。复苏、诊断和程序性 POCUS 被大多数受访者评为非常有用或有用。缺乏合格人员进行培训（76.9%[581 人中有 447 人]）和医生学习 POCUS 的时间不足（63.7%[581 人中有 370 人]）被认为是实施 POCUS 的主要限制。
我们调查的欧洲和以色列中心的儿科 POCUS 的传播有限，其应用主要限于创伤超声重点评估。这可能与缺乏培训计划有关。相比之下，大多数受访者认识到 POCUS 在 PEM 实践中的潜在价值。
