Emergency clinician performed ultrasound: availability, uses and credentialing in Australian emergency departments

Emergency Medicine Australasia : EMA
Guruprasad NagarajMichael Dinh

Abstract

To determine the current availability, uses and credentialing processes of emergency clinician performed ultrasound (EDUS) in Australian ED. Cross-sectional survey of Australian ED that are accredited for advanced training. Ninety-four per cent of respondents (67/71, 95% confidence interval [CI] 86-98%) reported availability of EDUS. Availability was similar in both major referral and non-major referral ED. The most common uses for EDUS were focused abdominal sonography for trauma in 93% (62/67, 95% CI 83-97%), vascular access procedures in 90% (60/67, 95% CI 80-95%) and abdominal aortic aneurysm assessment in 88% of respondents (59/67, 95% CI 78-94%). Of the 67 departments with EDUS availability, 60% (40/67, 95% CI 48-71%) had a credentialing process. Of the major referral group 80% (20/25, 95% CI 61-91%) had a credentialing process compared with 52% (20/42, 95% CI 33-62%) in the non-major referral group. Emergency department ultrasound is widely available in Australia. Only 60% of surveyed ED had a credentialing process in place for EDUS. This may be of concern given the current Australasian College for Emergency Medicine policy regarding EDUS.

References

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Citations

Jan 25, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·X BobbiaJ-E de La Coussaye
Jun 14, 2013·Emergency Medicine Australasia : EMA·Amaali LokugeAdam Bystrzycki
Jun 9, 2017·Scandinavian Journal of Primary Health Care·Kjetil MyhrSteinar Hunskaar
Jul 18, 2018·Ultrasound : Journal of the British Medical Ultrasound Society·Biljana GermanoskaMatthew Miller
Feb 24, 2018·Emergency Medicine Australasia : EMA·Tarsh PanditSabe Sabesan
Apr 8, 2011·World Journal of Surgery·Ian Bennett, Magdalena Biggar
Mar 5, 2016·Emergency Medicine Australasia : EMA·J Scott Bomann
Oct 7, 2018·British Journal of Hospital Medicine·Joaquín Valle AlonsoEric Van der Bergh
May 2, 2019·Journal of Primary Health Care·Garry NixonNgaire Kerse
Oct 22, 2020·Emergency Medicine Australasia : EMA·Andrew ToffoliAdrian Goudie

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