Ali Noman, Shakeel Erum, Soomar Salman Muhammad
Aga Khan University, Karachi, Pakistan.
Glob Pediatr Health. 2023 Jul 18;10:2333794X231187485. doi: 10.1177/2333794X231187485. eCollection 2023.
POCUS is the acquisition, interpretation, and rapid clinical integration of ultrasonographic imaging performed by the treating physician at the patient's bedside. It is used in the field Emergency Medicine to assist in diagnosing and managing various clinical conditions ranging from undifferentiated shock, respiratory failure, and cardiac arrest, which have shown a positive impact on clinical decision-making, resulting in a decreased emergency department and hospital length of stay. POCUS is also a valuable diagnostic tool in managing pediatric patients for whom radiation exposure is a significant concern. It is used to aid in diagnosing and managing various pediatric medical and surgical emergencies. Despite the evident literature regarding the utility of POCUS in Pediatric Emergency Medicine (PEM) practice, there is a lack of specialized training for pediatric emergency physicians, especially in low-income countries. Therefore, this comment emphasizes the need for POCUS training in PEM.
床旁超声检查(POCUS)是指由主治医生在患者床边进行的超声成像的采集、解读及快速临床整合。它在急诊医学领域用于协助诊断和管理各种临床病症,包括不明原因的休克、呼吸衰竭和心脏骤停等,已证明对临床决策有积极影响,可缩短急诊科停留时间和住院时间。POCUS也是管理儿科患者的一项重要诊断工具,因为儿科患者对辐射暴露问题十分担忧。它用于辅助诊断和管理各种儿科医疗及外科急症。尽管有明显的文献表明POCUS在儿科急诊医学(PEM)实践中有用,但儿科急诊医生缺乏专门培训,尤其是在低收入国家。因此,本评论强调了PEM中POCUS培训的必要性。