Kameda Toru, Ishii Hiromoto, Oya Seiro, Katabami Kenichi, Kodama Takamitsu, Sera Makoto, Takei Hirokazu, Taniguchi Hayato, Nakao Shunichiro, Funakoshi Hiraku, Yamaga Satoshi, Senoo Satomi, Kimura Akio
Committee for the Promotion of Point-of-Care Ultrasonography Japanese Association for Acute Medicine Japan.
Department of Clinical Laboratory Medicine Jichi Medical University Shimotsuke Japan.
Acute Med Surg. 2024 Jun 26;11(1):e974. doi: 10.1002/ams2.974. eCollection 2024 Jan-Dec.
Owing to the miniaturization of diagnostic ultrasound scanners and their spread of their bedside use, ultrasonography has been actively utilized in emergency situations. Ultrasonography performed by medical personnel with focused approaches at the bedside for clinical decision-making and improving the quality of invasive procedures is now called point-of-care ultrasonography (POCUS). The concept of POCUS has spread worldwide; however, in Japan, formal clinical guidance concerning POCUS is lacking, except for the application of focused assessment with sonography for trauma (FAST) and ultrasound-guided central venous cannulation. The Committee for the Promotion of POCUS in the Japanese Association for Acute Medicine (JAAM) has often discussed improving the quality of acute care using POCUS, and the "Clinical Guidance for Emergency and Point-of-Care Ultrasonography" was finally established with the endorsement of JAAM. The background, targets for acute care physicians, rationale based on published articles, and integrated application were mentioned in this guidance. The core points include the fundamental principles of ultrasound, airway, chest, cardiac, abdominal, and deep venous ultrasound, ultrasound-guided procedures, and the usage of ultrasound based on symptoms. Additional points, which are currently being considered as potential core points in the future, have also been widely mentioned. This guidance describes the overview and future direction of ultrasonography for acute care physicians and can be utilized for emergency ultrasound education. We hope this guidance will contribute to the effective use of ultrasonography in acute care settings in Japan.
由于诊断超声扫描仪的小型化及其在床边使用的普及，超声检查已在紧急情况下得到积极应用。由医务人员在床边采用聚焦方法进行超声检查以辅助临床决策并提高侵入性操作的质量，现在被称为床旁即时超声检查（POCUS）。POCUS的概念已在全球范围内传播；然而，在日本，除了用于创伤的超声重点评估（FAST）和超声引导下中心静脉置管外，缺乏关于POCUS的正式临床指南。日本急性医学协会（JAAM）的POCUS推广委员会经常讨论如何利用POCUS提高急性护理质量，最终在JAAM的认可下制定了《急诊与床旁即时超声检查临床指南》。本指南提及了背景、急性护理医生的目标、基于已发表文章的理论依据以及综合应用。核心要点包括超声的基本原理、气道、胸部、心脏、腹部和深静脉超声检查、超声引导下的操作以及基于症状的超声使用方法。目前作为未来潜在核心要点正在考虑的其他要点也被广泛提及。本指南描述了针对急性护理医生的超声检查概述和未来方向，可用于急诊超声教育。我们希望本指南将有助于超声检查在日本急性护理环境中的有效应用。
