Availability and practice of bedside ultrasonography in emergency rooms and prehospital setting: A French survey

Autor: Xavier Bobbia, Pierre-Géraud Claret, N. Hansel, Laurent Muller, H. Chenaitia, J.-E. de La Coussaye, R. Genre Grandpierre, Jean Yves Lefrant, A. Moreau
Přispěvatelé: Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Caractéristiques féminines des dysfonctions des interfaces cardio-vasculaires (EA 2992), Université Montpellier 1 (UM1)-Université de Montpellier (UM), Centre hospitalier de Grasse
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Questionnaires
medicine.medical_specialty
Emergency rooms
Emergency Medical Services
Point-of-Care Systems
Soins d’urgence préhospitaliers
Physical examination
Point of care systems
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
medicine
Médecine d’urgence
Bedside ultrasound
Focused assessment with sonography for trauma
Humans
Échographie clinique
030212 general & internal medicine
Prospective Studies
Ultrasonography
Response rate (survey)
medicine.diagnostic_test
Enquête
business.industry
Bedside ultrasonography
030208 emergency & critical care medicine
General Medicine
medicine.disease
3. Good health
Anesthesiology and Pain Medicine
Cross-Sectional Studies
Prehospital emergency care
Échographie
Health Care Surveys
Public hospital
Emergency medicine
Medical emergency
France
business
Emergency Service
Hospital
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Prehospital Emergency Care
Zdroj: Annales Françaises d'Anesthésie et de Réanimation
Annales Françaises d'Anesthésie et de Réanimation, Elsevier Masson, 2014, 33 (3), pp.e29-e33. ⟨10.1016/j.annfar.2013.12.010⟩
ISSN: 0750-7658
DOI: 10.1016/j.annfar.2013.12.010⟩
Popis: Introduction The utility of bedside ultrasound (US) performed by emergency physicians has been proven for multiple purposes. There are no data about this technique in emergency departments (ED) in France. The primary objective is to determine the availability of ultrasound device (UD) in EDs and in prehospital settings in France. Minor objectives are to determine the number and type of UD, the most current applications of US and the factors correlated with availability of UDs in the setting of emergency medicine. Methods This is a cross-sectional, descriptive, multicenter survey from December 2010 to June 2011, including all EDs and prehospital units in France. A questionnaire was sent by e-mail. Non-responders were contacted by telephone with one recall. Results The response rate was 74% (327/440) for EDs and 73% (278/379) for prehospital units. A UD is available in 52% (171/327) (CI 95% [46; 58]) of EDs and in 9% (25/278) (CI 95% [5; 13]) of prehospital units. Among departments having no access to UDs, 29% of EDs and 12% of prehospital units have plans to implement emergency physician-performed US. The most common US applications are focused assessment with sonography for trauma and pleural exams. Conclusion Availability of UDs in French public hospital EDs is 52% and 9% in prehospital units. Despite the progressive expansion of the technique over the last years, bedside ultrasonography is not yet completely integrated in the physical examination of the patient in an emergency situation in France. A reassessment will be required to confirm the current trend of expansion.
Databáze: OpenAIRE
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